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Distinguishing emotional distress from mental disorder in primary care: a qualitative exploration of the Four-Dimensional Symptom Questionnaire.
Geraghty, Adam Wa; Holt, Sian; Chew-Graham, Carolyn A; Santer, Miriam; Moore, Michael; Kendrick, Tony; Terluin, Berend; Little, Paul; Stuart, Beth; Mistry, Manoj; Richards, Al; Smith, Debs; Newman, Sonia; Rathod, Shanaya; Bowers, Hannah; van Marwijk, Harm.
Afiliación
  • Geraghty AW; Primary Care, Population Sciences and Medical Education, University of Southampton, Southampton, UK.
  • Holt S; Primary Care, Population Sciences and Medical Education, University of Southampton, Southampton, UK.
  • Chew-Graham CA; School of Medicine, Keele University, Keele, UK.
  • Santer M; Primary Care, Population Sciences and Medical Education, University of Southampton, Southampton, UK.
  • Moore M; Primary Care, Population Sciences and Medical Education, University of Southampton, Southampton, UK.
  • Kendrick T; Primary Care, Population Sciences and Medical Education, University of Southampton, Southampton, UK.
  • Terluin B; Department of General Practice, Amsterdam University Medical Centre, Amsterdam, the Netherlands.
  • Little P; Primary Care, Population Sciences and Medical Education, University of Southampton, Southampton, UK.
  • Stuart B; Queen Mary University of London, London, UK.
  • Mistry M; Primary Care, Population Sciences and Medical Education, University of Southampton, Southampton, UK.
  • Richards A; Primary Care, Population Sciences and Medical Education, University of Southampton, Southampton, UK.
  • Smith D; Primary Care, Population Sciences and Medical Education, University of Southampton, Southampton, UK.
  • Newman S; Primary Care, Population Sciences and Medical Education, University of Southampton, Southampton, UK.
  • Rathod S; Southern Health NHS Foundation Trust, Southampton, UK.
  • Bowers H; Primary Care, Population Sciences and Medical Education, University of Southampton, Southampton, UK.
  • van Marwijk H; Department of Primary Care and Public Health, Brighton and Sussex Medical School, Brighton, UK.
Br J Gen Pract ; 74(744): e434-e441, 2024 Jul.
Article en En | MEDLINE | ID: mdl-38499297
ABSTRACT

BACKGROUND:

Primary care clinicians see people experiencing the full range of mental health problems. Determining when symptoms reflect disorder is complex. The Four-Dimensional Symptom Questionnaire (4DSQ) uniquely distinguishes general distress from depressive and anxiety disorders. It may support diagnostic conversations and targeting of treatment.

AIM:

To explore peoples' experiences of completing the 4DSQ and their perceptions of their resulting score profile across distress, depression, anxiety, and physical symptoms. DESIGN AND

SETTING:

A qualitative study was conducted in the UK with people recruited from primary care and community settings.

METHOD:

Participants completed the 4DSQ then took part in semi-structured telephone interviews. They were interviewed about their experience of completing the 4DSQ, their perceptions of their scores across four dimensions, and the perceived utility if used with a clinician. Interviews were transcribed verbatim and data were analysed thematically.

RESULTS:

Twenty-four interviews were conducted. Most participants found the 4DSQ easy to complete and reported that scores across the four dimensions aligned well with their symptom experience. Distinct scores for distress, depression, and anxiety appeared to support improved self-understanding. Some valued the opportunity to discuss their scores and provide relevant context. Many felt the use of the 4DSQ with clinicians would be helpful and likely to support treatment decisions, although some were concerned about time-limited consultations.

CONCLUSION:

Distinguishing general distress from depressive and anxiety disorders aligned well with people's experience of symptoms. Use of the 4DSQ as part of mental health consultations may support targeting of treatment and personalisation of care.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Atención Primaria de Salud / Investigación Cualitativa Límite: Adult / Female / Humans / Male / Middle aged País/Región como asunto: Europa Idioma: En Revista: Br J Gen Pract Año: 2024 Tipo del documento: Article Pais de publicación: Reino Unido
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Atención Primaria de Salud / Investigación Cualitativa Límite: Adult / Female / Humans / Male / Middle aged País/Región como asunto: Europa Idioma: En Revista: Br J Gen Pract Año: 2024 Tipo del documento: Article Pais de publicación: Reino Unido