Symptom profiles of depression among general medical service users compared with speciality mental health service users

摘要: Background Since depressive disorders are now eminently treatable and early detection treatment could bring substantial benefits, it is critical to address alternative presentations of depression in the general medical setting. Concern regarding under-diagnosis settings has given rise question whether clinical disorder differs qualitatively or only quantitatively across care settings. Methods Symptom profiles were compared sectors investigate how presentation among service users might differ from specialty mental health users. Data on symptoms within 6 months interview gathered three community surveys that part NIMH Epidemiologic Catchment Area Program analysed using methods developed assess item bias. The subjects 4931 363 persons who reported a visit sector respectively, interview. Results Compared with users, less likely present dysphoria (adjusted Odds Ratio, aOR = 0.57; 95% Confidence Interval, CI 0.38-0.84) feeling worthless, sinful, guilty (aOR 0.63; 0.40-0.98), but more fatigue 1.71; 1.09-2.69), even after holding constant other characteristics influence reporting as well level depression. Conclusions These results suggest there qualitative differences presenting call for re-conceptualization