Seller R H, Blascovich J, Lenkei E
J Fam Pract. 1981 May;12(5):849-54.
The focus of this study was on the diagnosis of depression by family practice residents. The sensitivity and specificity of the residents for depression were determined by comparing their diagnoses with the results of an objective assessment of depression for a group of 222 ambulatory patients from a family practice center. The objective assessment involved the administration of the Beck Depression Index to the patients, whereas charts were audited for resident diagnoses. The results indicated that the sensitivity and specificity of the residents' diagnostic acumen for depression were .18 and .90, respectively. In addition, the operation of a sex stereotype was suggested by an analysis which revealed that a disproportionate number of females were diagnosed as depressed by the residents. These results suggest that an increased emphasis be placed on the diagnosis of common psychiatric problems such as depression in family practice residency programs.
本研究的重点是家庭医疗住院医师对抑郁症的诊断。通过将一组来自家庭医疗中心的222名门诊患者的抑郁症诊断结果与客观评估结果进行比较，确定了住院医师对抑郁症诊断的敏感性和特异性。客观评估包括对患者进行贝克抑郁量表测试，同时审核病历以获取住院医师的诊断结果。结果表明，住院医师对抑郁症诊断敏锐度的敏感性和特异性分别为0.18和0.90。此外，一项分析表明存在性别刻板印象，即住院医师诊断为抑郁症的女性数量不成比例。这些结果表明，在家庭医疗住院医师培训项目中，应更加重视常见精神疾病如抑郁症的诊断。
