Table 2.
Number of questions asked about mood disorder | Inquiry about thoughts of death, suicide, or self harm | Documentation of depression diagnosis | ||||
---|---|---|---|---|---|---|
Linear model | Logistic model | Logistic model | ||||
Predictor | SD change (95% CI) | value | OR (95% CI) | value | OR (95% CI) | value |
Physician age | −.01 (−.04,.01) | .422 | .99 (.91, 1.07) | .725 | .95 (.89−1.02) | .156 |
Male physician (vs. female) | −.33 (−.78,.12) | .147 | 1.33 (.40,2.47) | .638 | .33 (.11,1.01) | .052 |
SP presents with major depression* | .60 (.31,−.89) | .000 | 2.87 (1.23,6.70) | .015 | 4.75 (1.13−19.94) | .033 |
SP requests antidepressant † | .15 (−.22,−.53) | .422 | .99 (.40,2.48) | .987 | 5.95 (1.69,29.95) | .005 |
Physician suspects SP (vs. does not suspect) | .72 (.31,1.12) | .001 | 7.83 (2.49, 24.64) | .000 | .79 (.32, 1.98) | .622 |
Physician dutifulness | −.24 (−.46,−.01) | .036 | .79 (.44, 1.43) | .439 | 1.92 (1.15,3.21) | .013 |
Physician vulnerability | −.01 (−.23,.21) | .943 | 1.49 (.72, 3.06) | .284 | 1.88 (1.10, 3.22) | .022 |
Physician openness to feelings | .10 (−.14,.34) | .422 | 1.73 (.89, 3.34) | .104 | 1.61 (.90,2.86) | .106 |
SP = standardized patient; OR = odds ratio; CI = confidence interval; SD = standard deviation. Results from GEE models of 88 SP visits to 46 physicians;*Reference group = SP presents with adjustment disorder with depressed (coded 0, baseline category); † Reference group = SP did not request an antidepressant