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Depression and How We Can Help


In 1999, the Department of General Internal Medicine in Minneapolis conducted a study with hopes of diagnosing different stages along with the severity of each case. When posted in PubMed Central, the study reported that: "Thirty-five third year internal medicine residents completed a self-administered, written instrument containing 2 open-ended questions and 21 hypothetical scenarios. The sensitivity for recognizing major depressive disorder was 64%. The purpose of this study was to assess the medical residents' knowledge of symptom criteria ad subtypes of major depressive episodes and their accuracy in diagnosing major depressive disorders." (pg. 35).
             The study went on to clarify that the residents more often than not failed to recognize the presence or absence of major depressive disorders. The research also showed that despite the physician's job to recognize depressive disorders, there was room for more extensive research in the subject. In 2002 Depression in Primary Care, a book published by various health professionals introduced a new and improved way to diagnose depression called the "Nine Symptom Checklist, also known as PHQ-9. Doctors Kroenke and Spitzer talk about a list of nine major symptoms with a synonymous point system in which the total points of the patients at the end of nine major symptoms equal a certain number. These numbers ranged from 1 to 47 and within each number range there was a different level of depression severity with zero being no depression at all and 47 being the highest and most severe. After various tests, this method proved to be one of the best ways to diagnose depression. "Brevity coupled with its constructs and criterion validity makes the PHQ-9 an attractive, dual-purpose instrument for diagnoses and assessing severity of depressive disorders, particularly in setting of clinical practices (pg. 6)". The consistency in results and its ability to discover depression and classify the severity makes it easier for both doctors and patients alike to use because of how easy it is to administer.


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