Wikberg Carl, Pettersson Agneta, Westman Jeanette, Björkelund Cecilia, Petersson Eva-Lisa
a Department of Public Health and Community Medicine, Section of Primary Health Care , Institute of Medicine, University of Gothenburg , Gothenburg , Sweden.
b Närhälsan Research and Development Primary Health Care , Region Västra Götaland , Sweden.
Scand J Prim Health Care. 2016 Dec;34(4):434-442. doi: 10.1080/02813432.2016.1248635. Epub 2016 Nov 2.
The aim of the current study was to better understand how patients with depression perceive the use of MADRS-S in primary care consultations with GPs.
Qualitative study. Focus group discussion and analysis through Systematic Text Condensation.
Primary Health Care, Region Västra Götaland, Sweden.
Nine patients with mild/moderate depression who participated in a RCT evaluating the effects of regular use of the Montgomery-Åsberg Depression Self-assessment scale (MADRS-S) during the GP consultations.
Patients' experiences and perceptions of the use of MADRS-S in primary care.
Three categories emerged from the analysis: (I) confirmation; MADRS-S shows that I have depression and how serious it is, (II) centeredness; the most important thing is for the GP to listen to and take me seriously and (III) clarification; MADRS-S helps me understand why I need treatment for depression.
Use of MADRS-S was perceived as a confirmation for the patients that they had depression and how serious it was. MADRS-S showed the patients something black on white that describes and confirms the diagnosis. The informants emphasized the importance of patient-centeredness; of being listened to and to be taken seriously during the consultation. Use of self-assessment scales such as MADRS-S could find its place, but needs to adjust to the multifaceted environment that primary care provides. Key Points Patients with depression in primary care perceive that the use of a self-assessment scale in the consultation purposefully can contribute in several ways. The scale contributes to Confirmation: MADRS-S shows that I have depression and how serious it is. Centeredness: The most important thing is for the GP to listen to and take me seriously. Clarification: MADRS-S helps me understand why I need treatment for depression.
本研究的目的是更好地了解抑郁症患者如何看待在与全科医生进行初级保健咨询时使用蒙哥马利-Åsberg 抑郁自评量表（MADRS-S）。
定性研究。通过系统文本浓缩进行焦点小组讨论和分析。
瑞典韦斯特罗斯-哥特兰地区的初级卫生保健机构。
九名轻度/中度抑郁症患者，他们参与了一项随机对照试验，该试验评估了在全科医生咨询期间定期使用蒙哥马利-Åsberg 抑郁自评量表（MADRS-S）的效果。
患者在初级保健中使用 MADRS-S 的体验和看法。
分析得出三类结果：（I）确认；MADRS-S 表明我患有抑郁症以及病情的严重程度，（II）以患者为中心；最重要的是全科医生倾听并认真对待我，（III）澄清；MADRS-S 帮助我理解为什么我需要接受抑郁症治疗。
患者认为使用 MADRS-S 可确认他们患有抑郁症以及病情的严重程度。MADRS-S 向患者白纸黑字地展示了描述并确认诊断的内容。受访者强调了以患者为中心的重要性；即在咨询过程中被倾听并得到认真对待。像 MADRS-S 这样的自评量表可以发挥作用，但需要适应初级保健所提供的多方面环境。要点 初级保健中的抑郁症患者认为，在咨询中有意使用自评量表可在多个方面发挥作用。该量表有助于确认：MADRS-S 表明我患有抑郁症以及病情的严重程度。以患者为中心：最重要的是全科医生倾听并认真对待我。澄清：MADRS-S 帮助我理解为什么我需要接受抑郁症治疗。
