Objective: To assess the relationship of specific patient chief physical complaints to underlying depressive symptoms in primary care practice. Design: A cross-sectional study that was part of a larger prevalence study of depression in primary care. Setting: A general medical primary care practice in a teaching medical center in rural New England. Patients: 1,042 consecutive outpatients screened for depression with the Hopkins Symptom Checklist 49-item depression scale and for whom physicians filled out a form recording both specific chief complaints and two aspects of complaint presentation style, clarity and amplification. Interventions: None. Results: Complaints that discriminated between depressed and non-depressed patients (at the p=0.05 level) were sleep disturbance (PPV 61%), fatigue (PPV 60%), multiple (3+) complaints (PPV 56%), nonspecific musculoskeletal complaints (PPV 43%), back pain (PPV 39%), shortness of breath (PPV 39%), amplified complaints (PPV 39%), and vaguely stated complaints (PPV 37%). Conclusions: Depressed patients are common in primary care practice and important to recognize. Certain specific complaints and complaint presentation styles are associated with underlying depressive symptoms. © 1992, Society of General Internal Medicine. All rights reserved.
CITATION STYLE
Gerber, P. D., Barrett, J. E., Barrett, J. A., Oxman, T. E., Manheimer, E., Smith, R., & Whiting, R. D. (1992). The relationship of presenting physical complaints to depressive symptoms in primary care patients. Journal of General Internal Medicine, 7(2), 170–173. https://doi.org/10.1007/BF02598007
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