Recognition of depression and anxiety in primary care

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# General practitioners in study seemed to agree with commentary writer {#article-title-2} EDITOR—Kessler et al assessed the ability of general practitioners to diagnose depression and anxiety as defined by the general health questionnaire (GHQ-12).1 Unfortunately, they have miscalculated their results; from their data, the general practitioners had a sensitivity of 36% and a specificity of 91%. These figures suggest that the participating general practitioners—at least in their day to day practice—shared Heath's opinion in her commentary.1 Most patients with a score >3 on the general health questionnaire do not have a diagnosable psychiatric condition. 1. 1.↵1. Kessler D, 2. Lloyd K, 3. Lewis G, 4. Gray DP . Cross sectional study of symptom attribution and recognition of depression and anxiety in primary care [with commentary by I Heath]. BMJ 1999; 318: 436–440. [OpenUrl][1][Abstract/FREE Full Text][2] # Authors' reply {#article-title-4} EDITOR—Our paper had a hostile commentary from Heath. She ignored the substance … [1]: {openurl}?query=rft.jtitle%253DBMJ%26rft.stitle%253DBMJ%26rft.issn%253D0007-1447%26rft.aulast%253DKessler%26rft.auinit1%253DD.%26rft.volume%253D318%26rft.issue%253D7181%26rft.spage%253D436%26rft.epage%253D440%26rft.atitle%253DCross%2Bsectional%2Bstudy%2Bof%2Bsymptom%2Battribution%2Band%2Brecognition%2Bof%2Bdepression%2Band%2Banxiety%2Bin%2Bprimary%2Bcare%2B%2595%2BCommentary%253A%2BThere%2Bmust%2Bbe%2Blimits%2Bto%2Bthe%2Bmedicalisation%2Bof%2Bhuman%2Bdistress%26rft_id%253Dinfo%253Adoi%252F10.1136%252Fbmj.318.7181.436%26rft_id%253Dinfo%253Apmid%252F9974461%26rft.genre%253Darticle%26rft_val_fmt%253Dinfo%253Aofi%252Ffmt%253Akev%253Amtx%253Ajournal%26ctx_ver%253DZ39.88-2004%26url_ver%253DZ39.88-2004%26url_ctx_fmt%253Dinfo%253Aofi%252Ffmt%253Akev%253Amtx%253Actx [2]: /lookup/ijlink?linkType=ABST&journalCode=bmj&resid=318/7181/436&atom=%2Fbmj%2F319%2F7204%2F254.3.atom