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Measuring outcomes in patients with depression or anxiety: an essential part of clinical practice

Ian B Hickie, Tracey A Davenport and Gavin Andrews
Med J Aust 2002; 177 (4): . || doi: 10.5694/j.1326-5377.2002.tb04734.x
Published online: 19 August 2002

For most doctors, it would be inconceivable to manage common long term disorders (such as diabetes or asthma) or serious risk factors (like hypertension or hypercholesterolaemia) without using standard clinical, pathology or other investigative parameters. The data from standard clinical measures have underpinned the drive towards outcomes-based healthcare and have long been recognised as the optimal response to "uninformed patients, skeptical payers, frustrated physicians and besieged health care executives".1


  • 1 School of Psychiatry, University of New South Wales at St George Hospital, Sydney, NSW.
  • 2 School of Psychiatry, University of New South Wales at St Vincent's Hospital, Sydney, NSW.



Competing interests:

None identified.

  • 1. Ellwood PM. Outcomes management. A technology of patient experience. N Engl J Med 1988; 318: 1549-1556.
  • 2. Portfolio Budget Statements 2002–03. Health and Ageing Portfolio. Outcome 9: Health Investment. Available at <http://www.health.gov.au/internet/wcms/publishing.nsf/Content/health-budget2002-index1.htm/$FILE/outcome9.pdf>.
  • 3. Andrews G, Peters L, Teesson M. The measurement of consumer outcome in mental health. Canberra: Australian Government Publishing Service, 1994.
  • 4. Cone JD. Evaluating outcomes: empirical tools for effective practice. Washington, DC: American Psychological Association, 2001.
  • 5. Andrews G. Should depression be managed as a chronic disease? BMJ 2001; 322: 419-421.
  • 6. Andrews G, Henderson S, Hall W. Prevalence, comorbidity, disability and service utilisation. Overview of the Australian National Mental Health Survey. Br J Psychiatry 2001; 178: 145-153.
  • 7. Kemp R, Kirov G, Everitt B, et al. Randomised controlled trial of compliance therapy. 18-month follow-up. Br J Psychiatry 1998; 172: 413-419.
  • 8. Hickie IB, Davenport TA, Hadzi-Pavlovic D, et al. Development of a simple screening tool for common mental disorders in general practice. Med J Aust 2001; 175 Suppl Jul 16: S10-S17.
  • 9. Hickie I. Primary care psychiatry is not specialist psychiatry in general practice. Med J Aust 1999; 170: 171-173. <eMJA full text>
  • 10. Hickie IB, Scott EM, Davenport TA. Are antidepressants all the same? Surveying the opinions of Australian psychiatrists. Aust N Z J Psychiatry 1999; 33: 642-649.
  • 11. Hickie IB, Davenport TA, Scott EM, et al. Unmet need for recognition of common mental disorders in Australian general practice. Med J Aust 2001; 175 Suppl Jul 16: S18-S24.
  • 12. Davenport TA, Hickie IB, Naismith SL, et al. Variability and predictors of mental disorder rates and medical practitioner responses across Australian general practices. Med J Aust 2001; 175 Suppl Jul 16: S37-S41.
  • 13. Naismith SL, Hickie IB, Scott EM, Davenport TA. Effects of mental health training and clinical audit on general practitioners' management of common mental disorders. Med J Aust 2001; 175 Suppl Jul 16: S42-S47.
  • 14. Ware JE, Kosinski M, Keller SD. A 12-item short-form health survey: construction of scales and preliminary tests of reliability and validity. Med Care 1996; 34: 220-233.
  • 15. Von Korff M, Ustun TB, Ormel J, et al. Self-report disability in an international primary care study of psychological illness. J Clin Epidemiol 1996; 49: 297-303.
  • 16. Kessler RC, Andrews G, Colpe L, et al. Short screening scales to monitor population prevalences and trends in nonspecific psychological distress [paper]. Cambridge, MA: Department of Health Care Policy, Harvard Medical School, April 2000.
  • 17. Zigmond AS, Snaith RP. The Hospital Anxiety and Depression Scale. Acta Psychiatr Scand 1983; 67: 361-370.
  • 18. Furukawa TA, Andrews G, Goldberg D. Stratum-specific likelihood ratios of the General Health Questionnaire in the community: help seeking and physical comorbidity affect the test characteristics. Psychol Med 2002; 32: 743-748.
  • 19. Andrews G, Slade T. Interpreting scores on the Kessler Psychological Distress Scale (K10). Aust N Z J Public Health 2001; 25: 494-497.
  • 20. Tobin M, Hickie I. Outcomes focussed service delivery: developing an academic-management partnership. Aust N Z J Psychiatry 1998; 32: 327-336.

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