Distinguishing between emotional distress and psychiatric disorder in primary care attenders: A cross sectional study of the four-dimensional symptom questionnaire (4DSQ)

摘要: Abstract Background Detection of psychiatric disorder in primary care is a complex issue. Distinctions between ‘normal’ emotional distress and depend on how conceptualized. Our aim was to explore two different conceptualizations by examining patients' scores one-dimensional depression measures the Four Dimensional Symptom Questionnaire (4DSQ), measure that uniquely has separate dimensions for general depressive disorder. Methods This cross sectional study 487 patients attending clinics Hampshire, UK. Patients completed 4DSQ, Patient Health Questionnaire-9 (PHQ-9), General Questionnaire-12 (GHQ-12) Hospital Anxiety Depression Scale (HADS) whilst waiting room. Results The 4DSQ classified 26% (126/485) as having heightened levels 8% (38/468) possible cases Casesness consistently higher across (PHQ-9: 16%, GHQ-12: 28%, HADS-D: 13%). Of those deemed PHQ-9 (≥10), 91% (71/78) 44% (32/72) Limitations sample predominately older white, which may limit generalizability findings more diverse patient groups. There are limits self-report assessment diagnostic issues. Conclusions Inclusion distinct dimension alongside focusing specific symptomatology lowered number view symptoms have implications targeting existing treatments, be useful guiding development novel self-management interventions.