Table 3.
Physician Documentation of Depressive Symptomsa
| Physician-Recognized Depression from Medical Record | ||
|---|---|---|
| Yes | No | |
| N | 121 | 344 |
| Depressed mood | 52.9% | 3.5% |
| Anhedonia | 12.4% | 0.3% |
| Worthlessness/guilt | 7.4% | 0% |
| Loss of energy/fatigue | 27.3% | 9.9% |
| Psychomotor retardation/agitation | 5.8% | 1.7% |
| Cognitive dulling | 11.6% | 2.0% |
| Appetite/weight change | 28.1% | 11.3% |
| Suicidal thoughts | 4.1% | 0.3% |
| Insomnia/hypersomnia | 36.4% | 5.5% |
| Formal diagnosis by symptom criteriab | 9.1% | 0% |
a
Members were identified from 1997 Managed Care Organization administrative data by Algorithm 1; reported data (n=465) were obtained from chart review of stratified random subset.
b
Diagnosis of depression from Diagnostic and Statistical Manual of Mental Disorders, Version IV (DSM-IV).