ANDIAB2 2010: Quality Assurance of Patient Practices and Diabetes Centre Care

Brief Case-find for Depression [BCD]/Psychiatric Treatment

Page last updated: 16 May 2012

In 2002, four questions were added to ANDIAB. These can be used to calculate whether depression is ‘likely’ / ‘unlikely’ on the basis that a Yes to either or both of the first two questions ([a] or [b]) AND a Yes to either or both of the second two questions ([c] or [d]), makes ‘depression likely’.
[BCD© 1993 Monash University Department of Psychological Medicine: used with permission].

The questions [relating to the last two weeks] are :
[a] Have you been having restless or disturbed nights? Yes/No
[b] Have you been feeling unhappy or depressed? Yes/No
[c] Have you felt unable to overcome your difficulties? Yes/No
[d] Have you been dissatisfied with the way you have been doing things? Yes/No

Table 8 shows the % Yes ‘depression likely’ of the total patient population, with results in the next column being the % of those who responded Yes or No to the questions. Overall a BCD calculation could be made for 90.4% of individuals [compared with 99.6 % of individuals in ANDIAB2 2005].

As can be seen from the Table, the reported Likely Depression was 25.6% (versus 26.0% in ANDIAB2 2005).

Table 8 BCD Depression

2005 n = 1405

CategoryN%% (Exc Missing)Total
Likely Depression Yes36526.0%26.1%1400
BCD calculated for99.6%
Table 8 BCD Depression continued...

2010 n = 2131

CategoryN%% (Exc Missing)Total
Likely Depression Yes54525.6%28.3%1926
BCD calculated for90.4%
Additional information was sought regarding whether individuals have/have had Current or Previous Psychiatric Treatment/Counselling. Overall these data were 89.7% complete [compared with 99.4% complete in ANDIAB2 2005] and the results shown in Table 9 are the % Yes of the total patient population, with results also for the % of those who responded Yes or No [ie excluding missing data]. The data shown in the Table indicate that the reported Current and Previous Psychiatric Treatment were 6.4% and 19.2% respectively, very similar to what was reported in ANDIAB2 2005 (6.5% and 16.6% respectively).

Table 9 Psychiatric Treatment

2005 n = 1405

CategoryN%% (Exc Missing)Total
Current Yes926.5%6.6%1396
Previous Yes23316.6%16.7%1396
Completed for99.4%
Table 9 Psychiatric Treatment countiued...

2010 n = 2131

CategoryN%% (Exc Missing)Total
Current Yes1376.4%7.2%1908
Previous Yes40919.2%21.4%1909
Completed for89.7%
These data were supplemented by asking “Is the patient taking antidepressant medication (not prescribed for peripheral neuropathy)?” and the results [Table 10], show findings similar to those reported in ANDIAB2 2005 with 15.4% of all patients reportedly on Antidepressants – the overwhelming majority being those with Likely [versus Unlikely] Depression as per the BCD 30.8% versus 9.1% respectively.

Table 10 On Antidepressant

2005 n = 1405

CategoryN%% (Exc Missing)Total
Depression (BCD) likely9626.3%26.3%365
Depression (BCD) unlikely747.1%7.2%1035
Total on Antidepressant17012.1%12.2%1400
Completed for99.6%
Table 10 On Antidepressant continued...

2010 n = 2131

CategoryN%% (Exc Missing)Total
Depression (BCD) likely16830.8%31.1%545
Depression (BCD) unlikely1269.1%9.2%1381
Total on Antidepressant29615.4%15.5%1917
Completed for90.0%

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