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Adding a question that asks whether help is wanted improves sensitivity of a depression screening tool

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 Q Does adding a question asking whether help is needed to a two-question screening tool assist doctors to diagnose people with depression?

METHODS

Embedded ImageDesign:

Prospective cohort study.

Embedded ImageSetting:

Six general practice clinic waiting rooms, New Zealand.

Embedded ImagePatients:

1025 consecutive people waiting to see a doctor for no pre-specified clinical reason. Exclusion: people using psychotropic medication.

Embedded ImageTest:

The screening tool consisted of three questions; two developed from the Prime MD-questionnaire which asked “During the past month have you often been bothered by feeling down, depressed or hopeless?” and “During the past month have you often been bothered by little interest or pleasure in doing things?” An additional question was added asking “Is this something with which you would like help?” to which there were three possible responses; “No”, “Yes”, and “Yes but not …

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