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The role of patient personality in the identification of depression in older primary care patients

✍ Scribed by Laura W. McCray; Hillary R. Bogner; Mary D. Sammel; Joseph J. Gallo

Publisher
John Wiley and Sons
Year
2007
Tongue
English
Weight
95 KB
Volume
22
Category
Article
ISSN
0885-6230

No coin nor oath required. For personal study only.

✦ Synopsis

Abstract

Background

Our aim was to evaluate whether personality factors significantly contribute to the identification of depression in older primary care patients, even after controlling for depressive symptoms.

Methods

We examined the association between personality factors and the identification of depression among 318 older adults who participated in the Spectrum study.

Results

High neuroticism (unadjusted Odds Ratio (OR) 2.36, 95% Confidence Interval (CI) [1.42, 3.93]) and low extraversion (adjusted OR 2.24, CI [1.26, 4.00]) were associated with physician identification of depression. Persons with high conscientiousness were less likely to be identified as depressed by the doctor (adjusted OR 0.45, CI [0.22, 0.91]).

Conclusion

Personality factors influence the identification of depression among older persons in primary care over and above the relationship of depressive symptoms with physician identification. Knowledge of personality may influence the diagnosis and treatment of depression in primary care. Copyright © 2007 John Wiley & Sons, Ltd.

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