Original ArticlesCoherence Between Physician Diagnosis and Patient Self Reports of Anxiety and Depression in Primary CareMcGrady, Angele PhD*; Lynch, Denis J. PhD†; Nagel, Rollin W. PhD†; Tamburrino, Marijo MD*Author Information *Department of Psychiatry, University of Toledo, Toledo, OH; and †Department of Family Medicine, University of Toledo, Toledo, OH. Send reprint requests to Angele McGrady, PhD, Department of Psychiatry, University of Toledo, Mail Stop #1193, 3000 Arlington Ave., Toledo, OH 43614. E-mail: firstname.lastname@example.org. The Journal of Nervous and Mental Disease: June 2010 - Volume 198 - Issue 6 - p 420-424 doi: 10.1097/NMD.0b013e3181e084ce Buy Metrics Abstract Mood and anxiety disorders complicate the care of patients with physical illness and pose challenges for primary care physicians. This study explored the coherence between a screening tool (PRIME-MD), a standardized questionnaire (Eysenck Personality Inventory), and physician diagnoses of anxiety and depression. Of 165 patients, 29% had diagnoses of depression, 21% had anxiety, and 59% had no mental health diagnosis. Patients who were younger, female, divorced/widowed, or unemployed with minimal education had highest prevalence of anxiety or depression. Scores on the self-report inventories were significantly higher in patients with physician-diagnosed anxiety or depression compared with those without these diagnoses. Medical use and chronic illness were highest in patients with anxiety or depression diagnoses. Despite the statistical agreement between the self-report inventories and physician diagnosis, the coherence among these measures was less than optimal. Use of self report tools is recommended to complement physician understanding of patient symptom description and management of anxiety and depression in primary care. © 2010 Lippincott Williams & Wilkins, Inc.