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Family Practice Vol. 10, No. 3, 312-316
© Oxford University Press 1993

research-article

The Inventory to Diagnose Depression (IDD) in Primary Care Patients

JACK FROOM*,{dagger} and DORON HERMONI**

*Department of Family Medicine SUNY at Stony Brook, Stony Brook, NY 11794, USA
**Department of Family Medicine, Ben Gurion University of the Negev Israel

{dagger}To whom correspondence should be sent

Major depressive disorder (MDD) is highly prevalent in ambulatory primary care patients. Severe functional impairment and risk of suicide are features of the condition. Although treatment can reduce morbidity, detection of MDD by primary care physicians is suboptimal. The aim of this study is to assess the inventory to diagnose depression (IDD) as compared with clinical psychiatric assessment for case finding in primary care patients. Adult members of an Israeli kibbutz (communal settlement), where all psychiatric diagnoses made by the family physician are confirmed by psychiatric consultation, were asked to complete the IDD; a 22 question, self-administered questionnaire. Patients whose scores indicated MOD, if not previously diagnosed, were also referred to psychiatrists. Patients' medical charts were reviewed for the diagnosis of MDD and response to therapy prior to the administration of the IDD. Of the sample of 312 patients, 207 (66.3%) completed the IDD. Refusers were younger (p = 0.04), more likely to be native born Israelis (p = 0.02), and had a higher prevalence of known MDD (p = 0.05) than participants. MDD by IDD scores was present in seven patients, in three of whom the diagnosis had previously been established; the other four were newly diagnosed. In the three previously diagnosed patients, one (metastatic carcinoma) refused treatment and two were receiving psychotherapy; all were clinically depressed. Four additional previously diagnosed patients whose IDD scores were insufficient for MDD had had a successful response to current therapy. A full test of the validity of the IDD as a diagnostic instrument as com pared with clinical psychiatric assessment as the criterion standard, requires concurrent assessment with both methods of all patients studied. Although patients with negative IDD scores did not receive psychiatric assessment, the diagnosis of MDD was confirmed by psychiatrists in all patients with positive scores.


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Home page
 Arch Fam MedHome page
A. Jaffe, J. Froom, and N. Galambos
Minor Depression and Functional Impairment
Arch Fam Med, December 1, 1994; 3(12): 1081 - 1086.
[Abstract] [PDF]


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