Table 4.
Primary care physicians recognition of depressive symptoms: sensitivity and, specificity according to presence or not of medical illness (n=316)
| Absence of medical illness
|
Presence of medical illness
|
|||||||
|---|---|---|---|---|---|---|---|---|
| Depressive symptoms | Sensitivity | 95% CI | Specificity | 95% CI | Sensitivity | 95% CI | Specificity | 95% CI |
| Depressed mood | 79.2 | (70.4–88.0) | 54.9 | (36.7–73.0) | 75.2 | (68.3–82.2) | 67.6 | (55.2–79.9) |
| Loss of interest/pleasure | 84.8 | (76.3–93.4) | 43.7 | (28.8–58.7) | 76.4 | (69.5–83.3) | 63.5 | (51.6–75.4) |
| Appetite/weight change | 79.9 | (70.2–89.6) | 61.9 | (47.7–76.2) | 68.1 | (60.0–76.2) | 81.1 | (72.4–89.7) |
| Insomnia/hypersomnia | 78.5 | (68.5–88.5) | 65.2 | (51.5–79.0) | 72.2 | (64.4–80.4) | 65.8 | (56.0–75.6) |
| Psychomotor agitation/retardation | 84.0 | (72.3–95.7) | 38.4 | (27.2–49.7) | 79.8 | (71.2–88.4) | 48.0 | (39.1–56.8) |
| Fatigue | 85.5 | (77.6–93.4) | 31.4 | (16.0–46.8) | 84.8 | (79.2–90.4) | 53.1 | (39.1–67.0) |
| Worthlessness/guilt | 91.3 | (83.2–99.4) | 53.8 | (41.7–66.0) | 67.2 | (57.4–76.9) | 57.7 | (48.7–66.7) |
| Impaired concentration | 65.8 | (54.0–77.5) | 61.8 | (47.9–75.7) | 58.9 | (50.0–67.9) | 69.8 | (60.3–79.3) |
| Thoughts of death/suicide | 69.7 | (54.2–85.3) | 81.7 | (73.1–90.4) | 79.2 | (67.8–90.6) | 85.4 | (79.9–91.0) |
CI = confidence interval