Abstract
Eighty-four audiotaped clinical interviews of seven general practitioners (GPs) with high scoring patients on the General Health Questionnaire (GHQ-28) were analysed at baseline and compared with a similar number at feedback during which doctors were presented with the GHQ-28 scores of their patients. At feedback, there was a significant reduction in the use of physical utterances (deviance 35.150,df 1,P<0.001), an increase in the use of directive questions, a reduction in closed questions, and more advice and more psychological utterances were made. The five doctors who improved had a mean rise in identification index (ID) of 0.25±0.12. Such benefit was more apparent among doctors with lower IDs at baseline. There was no significant correlation in the magnitude of rise in ID and change in psychological utterances. Most doctors were not aware of the impact of the GHQ on their interview technique and case recognition ability.
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References
Gask L, McGrath G, Goldberg D, Millar T (1987) Improving the psychiatric skills of established general practitioners: evaluating of group teaching. Med Educ 21: 362–368
Gask L, Goldberg D, Lesser AL, Millar T (1988) Improving the psychiatric skills of the general practice trainee: an evaluation of a group training course. Med Educ 22: 132–138
Goldberg D (1979) Training primary care physicians to recognise psychiatric disorder. Institute of Medicine Publication 79-00. Washington National Academy of Sciences, Washington DC
Goldberg DP, Bridges KW (1987) Screening for psychiatric illness in general practice. The general practitioner versus the screening questionnaire. J R Coll Gen Pract 37: 15–18
Goldberg D, Hillier V (1978) A scaled version of the General Health Questionnaires. Psychol Med 9: 139–145
Goldberg D, Huxley P (1980) Mental illness in the community: the pathway to care. Tavistock publications, London
Goldberg D, Williams P (1988) A users guide to the General Health Questionnaires. NFER-NELSON, Berkshire. UK
Hoeper EW, NYCZ GR, Kessler LG, Burke JD, Piece WE (1984). The usefulness of screening for mental health. Lancet I: 33–35
Johnstone A, Goldberg D (1976) Psychiatric screening in general practice: a controlled trial Lancet I: 605–608
Rand E, Badger L, Loggings D (1988) Towards a resolution of contradictions-utility of feedback from the GHQ. Gen Hosp Psychiatry 10: 189–196
Rucker L, Frye EB, Cygan RW (1986) Feasibility and usefulness of depression screening in medical outpatients. Arch Intern Med 146: 729–731
Schulberg HC, McClelland M, Coulehan JL, Block M, Werner G (1986) Psychiatric decision making in family practice: future research directions. Gen Hosp Psychiatry 8: 1–6
Shapiro S, Skinner E, Kramer M, Steinwach D, Regier D (1985) Measuring ward for mental health services in a general population. Med Care 23: 1033–1043
Shapiro S, Skinner E, German P, Kramer M, Romanowski A (1986) Need and demand for mental health services in an urban community: an exploration based upon household interviews. In: Barrett J, Rose K (eds) Mental disorders in the community: progress and challenge. Guilford Press, New York, pp 307–320
Shapiro S, German PS, Skinner EA, VonKorff M, Turner RW, Klein LE, Teitelbaum ML, Kramer M, Burke JD, Burns BJ (1987) An experiment to change detection and management of mental morbidity in primary care. Med Care 25: 327–339
SPSS Inc (1988) SPSS/PC + manual. SPSS Inc, Chicago
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Adeyemi, J.D., Goldberg, D.P., Franks, D.R. et al. Case recognition and interview utterances: effect of GHQ feedback. Soc Psychiatry Psychiatr Epidemiol 31, 207–211 (1996). https://doi.org/10.1007/BF00785769
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DOI: https://doi.org/10.1007/BF00785769