Impact of Psychological Screening on Routine Outpatient Care of Hematopoietic Cell Transplantation Survivors

Patients in the experimental group who had PHQ results reviewed by their provider before the visit were significantly more likely to have discussion of psychological symptoms than the control group (6

Effect: improvement; 68% versus 49%

The two groups did not differ in rates of referral to mental health providers (12% versus 10%, P = 0.49) or prescription of psychotropic medication (14% in both groups, P = 0.60), despite increased di

Effect: null; 12% vs 10% (referral); 14% vs 14% (medication)

Medical providers with access to the PHQ prior to the visit were significantly more satisfied with their management of psychological problems (6.11 vs 5.56, P < 0.001) and with the visit as a whole (5

Effect: improvement; 6.11 versus 5.56 (psychological satisfaction); 5.89 versus 4.66 (overall satisfaction)

Patients with clinically significant depression or anxiety were significantly more likely to prefer the PHQ be used at future outpatient visits (depression OR = 3.88, P = 0.02; anxiety OR = 17.6, P =

Effect: improvement; OR = 3.88 (depression); OR = 17.6 (anxiety); CI: 95% CI 1.27-11.9 (depression); 95% CI 2.18-142.3 (anxiety)