Table 2.
Selected diagnostic aspects
General Practitioners | Patients |
Proceedings (19)a: | Presenting behaviour (20): |
Making somatic examination (11) | Presentation of somatic symptoms (11): |
Questions on possible psychological causes for symptoms (8) | - Heart complaints/stabbing chest pain (4) |
Using depression criteria (6) | - Thyroid dysfunction (3) |
Making an indirect anamnesis by asking family members or including information about the patients' biography (5) | - Pain (head, limbs) (2) |
Watchful waiting (5) | - Diabetes (1) |
Referring patients to specialists (2) | - Hypertension (1) |
Observation of nonverbal behavior (e.g. body language) (2) | - Overweight (1) |
Using a depression questionnaire (1) | - Fatigue (1) |
- Sleeping problems (1) | |
- Vertigo (1) | |
Diagnostic problems (17) | Presentation of psychological complaints (9): |
Yes (6): | |
- Time consuming psychological diagnosis (1) | - Overstrain by family or work problems (4) |
- Financial losses because of time consuming psychological diagnosis (1) | - Depression/depressiveness (3) |
- Differential diagnosis of Depression, Parkinsons' and Alzheimers' disease in older patients (1) | - Sleeping problems (3) |
- Fear of overlooking Depression (1) | - Agitation (2) |
- Decision if somatic symptoms are actually caused by Depression (1) | - Feeling low (2) |
- Being sure if the patient really suffers from Depression, detection of Depression (1) | - Anxieties (2) |
No (11) | - Nervousness (1) |
- Loss of zest for life (1) | |
- Loss of drive and energy (1) | |
- Fatigue (1) | |
Satisfaction (16): | |
Satisfied with diagnostic proceedings (11) | |
Not satisfied with diagnostic proceedings (5) for following reasons: | |
- Missing information about diagnosis and its causes (3) | |
- Feeling of not being taken seriously (1) | |
- No application of concrete measures, such as questionnaire (1) |
a numbers in parentheses are numbers of responding informants