Depression
Conditions
Keywords
Depression, Primary care, General Practitioners
Brief summary
Depression has emotional consequences, social and important business. Reaching at least 7.5% of French aged 15 to 85 years. General Practitioners are the first professional consulted in terms of frequency of consultations. Indeed, in primary care, 10 to 25% of patients with depression that General Practitioners are often alone to support and follow. But General Practitioners are faced with diagnostic difficulties facing the diagnosis of depression, because if the patient does not engage itself, no tool is validated in France to help them in their diagnosis. However, standardized questionary exist that allow to overcome this difficulty. Questionary used in other european countries. Among them, the HSCL25 scale was selected by a systematic review of literature and a RAND UCLA type of consensus procedure. This HSCL25 scale is the most efficient for the diagnosis of depression in terms of efficiency tool, reproducibility and ergonomics. However, it remains necessary to confirm its validity in terms of the French translation and in terms of efficiency.
Interventions
The patient must answer to 25 questions of the HSCL25 scale. In function of the results, the patients was diagnosed depressed (≥1.75) or not depressed (\<1.75)
On the 900 patients recruited, 50 patients who was diagnosed depressed or no depressed have to have a psychological interview with the PSE9 questionary to validate the first diagnosis done by the HSCL25 scale
Sponsors
Study design
Eligibility
Inclusion criteria
* Adult (18 and over) consultant in primary care
Exclusion criteria
* Child or young person under 18 * Women with a declared pregnancy to prevent puerperal depression whose support is different. * Adult consultant to obtain a medical certificate * Psychotic patients and\\or requiring immediate care
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| To assess the HSCL25 scale diagnosis efficacy of depression in primary care ambulatory practice | 1 month | The score between HSCL25 scale and PSE9 questionary will be compared |
| To validate the French translation of the HSCL25 scale | 1 month | The score between HSCL25 scale and PSE9 questionary will be compared |
Countries
France