Table 3.

Barriers to diagnosing major depression in primary care: means and standard deviations, paired t test results (percent ranked as primary reason in parentheses)

Item	Phase 1	Phase 2	t test	df	p value
Lack of time to attend to emotional problems	1.5±0.9 (69.8)	2.0±1.3 (48.8)	−3.12	85	0.002
Lack of continuing medical education	2.3±1.2 (32.6)	2.5±1.3 (25.6)	−1.72	85	0.090
Somatic equivalents of the disorder	2.8±1.2 (11.6)	2.7±1.2 (18.6)	0.71	85	0.478
Symptoms of the illness, such as loss of energy	3.7±1.1 (1.2)	3.7±1.1 (5.8)	−0.79	85	0.937
Stigma associated with the illness	3.7±0.7 (10.5)	3.8±1.3 (8.1)	−0.77	84	0.446

The ranking was based on 1=primary reason and 5=least important reason; some respondents ranked more than one choice as the primary barrier to diagnosis.