The Role of Competing Demands in the Treatment Provided Primary Care Patients With Major Depression

2000 ◽  
Vol 9 (2) ◽  
pp. 150-154 ◽  
Author(s):  
K. Rost
Keyword(s):  
Primary Care ◽  
Major Depression ◽  
Competing Demands ◽  
Primary Care Patients

scholarly journals Physical exercise for late-life major depression

2015 ◽  
Vol 207 (3) ◽  
pp. 235-242 ◽  
Author(s):  
M. Belvederi Murri ◽  
M. Amore ◽  
M. Menchetti ◽  
G. Toni ◽  
F. Neviani ◽  
...  
Keyword(s):  
Primary Care ◽  
Major Depression ◽  
Physical Exercise ◽  
Primary Outcome ◽  
Rating Scale ◽  
Late Life ◽  
Lower Intensity ◽  
Progressive Exercise ◽  
Primary Care Patients ◽  
Hamilton Rating Scale

BackgroundInterventions including physical exercise may help improve the outcomes of late-life major depression, but few studies are available.AimsTo investigate whether augmenting sertraline therapy with physical exercise leads to better outcomes of late-life major depression.MethodPrimary care patients (>65 years) with major depression were randomised to 24 weeks of higher-intensity, progressive aerobic exercise plus sertraline (S+PAE), lower-intensity, non-progressive exercise plus sertraline (S+NPE) and sertraline alone. The primary outcome was remission (a score of $10 on the Hamilton Rating Scale for Depression).ResultsA total of 121 patients were included. At study end, 45% of participants in the sertraline group, 73% of those in the S+NPE group and 81% of those in the S+PAE group achieved remission (P = 0.001). A shorter time to remission was observed in the S+PAE group than in the sertraline-only group.ConclusionsPhysical exercise may be a safe and effective augmentation to antidepressant therapy in late-life major depression.

Efficacy of a program to encourage walking in VA elderly primary care patients: The role of pain

2007 ◽  
Vol 12 (3) ◽  
pp. 289-298 ◽  
Author(s):  
Jamie L. Rhudy ◽  
Patricia M. Dubbert ◽  
Kent A. Kirchner ◽  
Amy E. Williams
Keyword(s):  
Primary Care ◽  
Primary Care Patients

Does patient–provider gender concordance affect mental health care received by primary care patients with major depression?

2006 ◽  
Vol 16 (3) ◽  
pp. 122-132 ◽  
Author(s):  
Kitty S. Chan ◽  
Chloe E. Bird ◽  
Robert Weiss ◽  
Naihua Duan ◽  
Lisa S. Meredith ◽  
...  
Keyword(s):  
Mental Health ◽  
Primary Care ◽  
Health Care ◽  
Major Depression ◽  
Mental Health Care ◽  
Gender Concordance ◽  
Primary Care Patients

The chronically mentally ill in primary care

1985 ◽  
Vol 15 (2) ◽  
pp. 265-273 ◽  
Author(s):  
Darrel A. Regier ◽  
Jack D. Burke ◽  
Ronald W. Manderscheid ◽  
Barbara J. Burns
Keyword(s):  
Primary Care ◽  
Mental Disorder ◽  
Mentally Ill ◽  
Primary Care Physicians ◽  
Service Needs ◽  
Medical Problems ◽  
Chronically Mentally Ill ◽  
Severe Impairment ◽  
Primary Care Patients

SynopsisThe role of primary care physicians in addressing the needs of chronically mentally ill patients is examined from three perspectives: (1) assessing community prevalence; (2) treating chronic medical problems in the context of other human service needs; and (3) treating specific types of chronic mental disorders. About 30% of primary care patients were found to have at least one Research Diagnostic Criteria mental disorder, five-sixths of which had a duration greater than 1 year. However, about 9% of patients had some impairment and 2% had severe impairment associated with a mental disorder. Although affective disorders have the highest overall rates, personality, psychotic, and anxiety disorders contribute the greatest proportion of severe disability.

scholarly journals Minimal-contact psychotherapy for sub-threshold depression in primary care

2004 ◽  
Vol 185 (5) ◽  
pp. 416-421 ◽  
Author(s):  
Godelief R. W. M. Willemse ◽  
Filip Smit ◽  
Pim Cuijpers ◽  
Bea G. Tiemens
Keyword(s):  
Quality Of Life ◽  
Primary Care ◽  
Depressive Symptoms ◽  
Major Depression ◽  
Health Related Quality ◽  
Related Quality ◽  
Health Related ◽  
Primary Care Patients ◽  
Minimal Contact

BackgroundSub-threshold depression is a prognostic variable for major depression. Interventions in sub-threshold depression may prevent the onset of new cases of major depression.AimsTo examine the effects of minimal-contact psychotherapy in primary care patients with sub-threshold depression on the onset of major depression, on the reduction in depressive symptoms and on health-related quality of life.MethodWe conducted a randomised trial in primary care, in which patients screened for sub-threshold depression were randomly assigned to minimal-contact psychotherapy (n=107) or to usual care (n=109).ResultsOne year after baseline, the incidence of major depressive disorder was found to be significantly lower in the psychotherapy group (12%) than in those receiving usual care (18%). Small but significant effects were also found on depressive symptoms and on aspects of health-related quality of life.ConclusionsPrimary care patients with sub-threshold depression can benefit from minimal-contact psychotherapy.

scholarly journals Mental health interventions and future major depression among primary care patients with subthreshold depression

2015 ◽  
Vol 177 ◽  
pp. 65-73 ◽  
Author(s):  
Sandra K. Davidson ◽  
Meredith G. Harris ◽  
Christopher F. Dowrick ◽  
Caroline A. Wachtler ◽  
Jane Pirkis ◽  
...  
Keyword(s):  
Mental Health ◽  
Primary Care ◽  
Major Depression ◽  
Health Interventions ◽  
Subthreshold Depression ◽  
Mental Health Interventions ◽  
Primary Care Patients

Major Depression and Disability in Older Primary Care Patients With Heart Failure

2008 ◽  
Vol 21 (2) ◽  
pp. 111-122 ◽  
Author(s):  
Bruce Friedman ◽  
Jeffrey M. Lyness ◽  
Rachel L. Delavan ◽  
Chunyu Li ◽  
William H. Barker
Keyword(s):  
Heart Failure ◽  
Primary Care ◽  
Major Depression ◽  
Patients With Heart Failure ◽  
Primary Care Patients
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