Resumen de How far is clinical assessment from the bullseye? Using MEmind to compare clinical assessment with self-assessment in patients with depression and anxiety diagnosis
A. Gómez, M.L. Barrigón Estévez, Carlos A. León, C. González, M. Ruiz Gomez, R.M. Molina Madueño, S. López González, F. Aroca, I. Barahona, Jorge López Castromán, S. Berrouiguet, Philippe Courtet, Enrique Baca García
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.
