Table 2

Selected diagnostic aspects

General Practitioners

Patients


Proceedings (19)a:

Presenting behaviour (20):

Making somatic examination (11)

Presentation of somatic symptoms (11):

Questions on possible psychological causes for symptoms (8)

- Heart complaints/stabbing chest pain (4)

Using depression criteria (6)

- Thyroid dysfunction (3)

Making an indirect anamnesis by asking family members or including information about the patients' biography (5)

- Pain (head, limbs) (2)

Watchful waiting (5)

- Diabetes (1)

Referring patients to specialists (2)

- Hypertension (1)

Observation of nonverbal behavior (e.g. body language) (2)

- Overweight (1)

Using a depression questionnaire (1)

- Fatigue (1)

- Sleeping problems (1)

- Vertigo (1)

Diagnostic problems (17)

Presentation of psychological complaints (9):

Yes (6):

- Time consuming psychological diagnosis (1)

- Overstrain by family or work problems (4)

- Financial losses because of time consuming psychological diagnosis (1)

- Depression/depressiveness (3)

- Differential diagnosis of Depression, Parkinsons' and Alzheimers' disease in older patients (1)

- Sleeping problems (3)

- Fear of overlooking Depression (1)

- Agitation (2)

- Decision if somatic symptoms are actually caused by Depression (1)

- Feeling low (2)

- Being sure if the patient really suffers from Depression, detection of Depression (1)

- Anxieties (2)

No (11)

- Nervousness (1)

- Loss of zest for life (1)

- Loss of drive and energy (1)

- Fatigue (1)

Satisfaction (16):

Satisfied with diagnostic proceedings (11)

Not satisfied with diagnostic proceedings (5) for following reasons:

- Missing information about diagnosis and its causes (3)

- Feeling of not being taken seriously (1)

- No application of concrete measures, such as questionnaire (1)


a numbers in parentheses are numbers of responding informants

Backenstrass et al. BMC Health Services Research 2007 7:190   doi:10.1186/1472-6963-7-190

Open Data