Exact(60)
The frequency of psychiatric disorders in CM was elevated in both settings, tending to be higher in the tertiary care sample.
A highly significant difference was observed between the general population sample, the pain clinic and the primary care sample for MIDAS scores (P value = 0.0005) but not for the PHQ9 depressive disorder estimate (Table 5).
In our primary care sample we recalculated that 8.5% used an antidepressant.
From each of these population surveys, we constructed a sample matched for age and gender with the primary care sample.
Also we did not attempt to capture co-occurring or changing diagnoses which present potentially complex issues for analysis in a secondary care sample and which we felt were beyond the scope of this initial report.
The third previous study (Cameron et al) reported a small percentage (exact percentage not mentioned) of overtreatment in a Scottish primary care sample of 120 antidepressant users.[19] They did not have a diagnosis based on a structured interview, but used a cutt-off score of the Hospital Anxiety and Depression Scale (HADS).
Only AGFI was slightly below the set margin 0.9 for the primary care sample (Table 3).
Seventy-three of 336 staff from the direct care sample responded to the postal questionnaire.
One further limitation that has to be considered is our non-randomised primary care sample.
This model was tested in a German primary care sample (N = 1,913).
We expect about 50% positive screens in this secondary care sample.
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