How far is clinical assessment from the bullseye? Using MEmind to compare clinical assessment with self-assessment in patients with depression and anxiety diagnosis

  1. A. Gómez-Carrillo
  2. M.L. Barrigón
  3. A. Leon-Velasco
  4. C. Gonzalez Garrido
  5. M. Ruiz-Gomez
  6. R.M. Molina-Madueño
  7. S. López-González
  8. F. Aroca
  9. I. Barahona
  10. J. Lopez-Castroman
  11. S. Berrouiguet
  12. P. Courtet
  13. E. Baca-García
Revista:
European journal of psychiatry

ISSN: 0213-6163

Ano de publicación: 2017

Volume: 31

Número: 4

Páxinas: 158-164

Tipo: Artigo

DOI: 10.1016/J.EJPSY.2017.08.006 DIALNET GOOGLE SCHOLAR

Outras publicacións en: European journal of psychiatry

Resumo

Background and objectives Technology based assessments are being used for screening and monitoring in a wide scope of medical specialties, including mental health field. Depression and anxiety are common disorders in which e-health tools can be useful. We aimed to compare clinician assessment of illness severity in patients with depression and anxiety diagnosis with computer-based self-assessment within 24 h of clinician evaluation via MEmind (www.memind.net), a novel web-tool. Methods From May 2014, adult patients attended in outpatient settings in Fundación Jiménez Diaz Psychiatry Department were registered in MEmind, a web tool designed for psychiatric assessment. During the recruitment, clinicians use CGI-S for patient assessment via MEmind and provide patients a code and password to use the web-tool. We selected those patients diagnosed with depression and/or anxiety who connected within 24 h of the clinical visit and complete in the web page GHQ and WHO-5 scales. We calculated a bivariate correlation for CGI-S, WHO-5 and GHQ-12. Results Of the 231 participants, 157 (68%) were diagnosed with anxiety disorders and 74 (32%) with depression. Using the Spearman Rho test for correlation, we found a low correlation between CGI-S and total WHO-5 (r = −0.192; p = 0.006) and between CGI-S and total GHQ-12 (r = 0.211; p = 0.002) and a good correlation between total WHO-5 and total GQH-12 (r = −0.606; p = 0.000). Conclusions We found a low correlation between clinician assessment and patients’ self-reports within 24 h of clinician evaluation. Factors that potentially influenced the degree of correlation related with patients, clinicians, measurements and technology are discussed.

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Información de financiamento

Financiadores

  • FEDER
    • PI16/01852
  • Delegación del Gobierno para el Plan Nacional de Drogas
  • AFSP

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Fonte de datos: Dialnet