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MS Klinkman, JC Coyne, S Gallo, TL Schwenk (1998)
False positives, false negatives, and the validity of the diagnosis of major depression in primary care., 7
EDITORIAL Gold Standards vs Higher Standards N THIS ISSUE of the ARCHIVES, 2 very different ar- mendations of the published guidelines. In other words, ticles add to the growing literature on the diag- state-of-the-art treatment “technology” found to be ef- nosis and management of depression in primary fective in psychiatric patients had yet to be found effec- care practice. The article by Klinkman et al deals tive—“transferred”—in our primary care patients. What I with the accuracy of diagnosis of depression when was known was that the guidelines, when followed, were 11-13 criteria (the so-called gold or criterion standard) devel- effective in psychiatric populations. Concerns about oped in psychiatric populations are applied; the article by generalizing conclusions from one group of patients to Lin et al is the first to deal with relapse rates of major de- another rest on the differences in populations that in- pressive disorder in a primary care population. These ar- clude such characteristics as severity, prevalence, differ- ticles are of considerable interest to the family physician ences in symptoms, and natural course; moreover, the because so few data on depression are available from pri- medical comorbidity of our patients may change the op- mary care
Archives of Family Medicine – American Medical Association
Published: Sep 1, 1998
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