Pharmacological treatment of depression in older primary care patients: the PROSPECT algorithm

2001 ◽  
Vol 16 (6) ◽  
pp. 585-592 ◽  
Author(s):  
Benoit H. Mulsant ◽  
George S. Alexopoulos ◽  
Charles F. Reynolds ◽  
Ira R. Katz ◽  
Robert Abrams ◽  
...  
Keyword(s):  
Primary Care ◽  
Pharmacological Treatment ◽  
Treatment Of Depression ◽  
Primary Care Patients

scholarly journals Pharmacological Treatment of Depression in Older Primary Care Patients: The PROSPECT Algorithm

2004 ◽  
Vol 2 (2) ◽  
pp. 253-259 ◽  
Author(s):  
Benoit H. Mulsant ◽  
George S. Alexopoulos ◽  
Charles F. Reynolds ◽  
Ira R. Katz ◽  
Robert Abrams ◽  
...  
Keyword(s):  
Primary Care ◽  
Pharmacological Treatment ◽  
Treatment Of Depression ◽  
Primary Care Patients

scholarly journals Coached Mobile App Platform for the Treatment of Depression and Anxiety Among Primary Care Patients

2020 ◽  
Vol 77 (9) ◽  
pp. 906 ◽  
Author(s):  
Andrea K. Graham ◽  
Carolyn J. Greene ◽  
Mary J. Kwasny ◽  
Susan M. Kaiser ◽  
Paul Lieponis ◽  
...  
Keyword(s):  
Primary Care ◽  
Mobile App ◽  
Depression And Anxiety ◽  
Treatment Of Depression ◽  
Primary Care Patients

Treatment of Depression Among Impoverished Primary Care Patients From Ethnic Minority Groups

2003 ◽  
Vol 54 (2) ◽  
pp. 219-225 ◽  
Author(s):  
Jeanne Miranda ◽  
Francisca Azocar ◽  
Kurt C. Organista ◽  
Eleanor Dwyer ◽  
Patricia Areane
Keyword(s):  
Primary Care ◽  
Ethnic Minority ◽  
Minority Groups ◽  
Ethnic Minority Groups ◽  
Treatment Of Depression ◽  
Primary Care Patients

Diagnosis and Management of Late Life Depression: A Guide for the Primary Care Physician

1997 ◽  
Vol 27 (3) ◽  
pp. 269-281 ◽  
Author(s):  
David K. Conn ◽  
Allan B. Steingart
Keyword(s):  
Primary Care ◽  
Elderly Patients ◽  
Empirical Evidence ◽  
Primary Care Physician ◽  
Care Physician ◽  
Geriatric Depression ◽  
Late Life Depression ◽  
Diagnosis And Management ◽  
Treatment Of Depression ◽  
Primary Care Patients

Objective: The purpose of this article is to provide a brief and practical approach for the primary care physician regarding the recognition, diagnosis, and management of depression in elderly patients. Method: Empirical evidence and current recommendations regarding the recognition, diagnosis, and treatment of depression are reviewed as the basis for this approach. Appropriate modifications for geriatric depression are added where indicated. Results: The recommendations are listed by category and briefly explained. Conclusions: It is important to be vigilant for the variety of depressive presentations that occur in older primary care patients. Neurological causes of depression (such as stroke), suicide, and a longer time to recovery are all more frequent concerns in older depressed patients.

scholarly journals “Doctor, my back hurts and I cannot sleep.” Depression in primary care patients: Reasons for consultation and perceived depression stigma

PLoS ONE ◽  
2021 ◽  
Vol 16 (3) ◽  
pp. e0248069
Author(s):  
Ines Heinz ◽  
Sabrina Baldofski ◽  
Katja Beesdo-Baum ◽  
Susanne Knappe ◽  
Elisabeth Kohls ◽  
...  
Keyword(s):  
Mental Health ◽  
Primary Care ◽  
Pharmacological Treatment ◽  
Physical Symptoms ◽  
Perceived Stigma ◽  
Related Factors ◽  
Adequate Treatment ◽  
Depression Diagnosis ◽  
Mental Symptoms ◽  
Primary Care Patients

Background General practitioners (GPs) play a significant role in depression care. Recognition of depression is crucial for adequate treatment but is impeded by a high portion of depressed patients only reporting physical symptoms to their GP. Among the many reasons for this phenomenon is mental health stigma. We investigated how patients with depression differed from patients without depression regarding the types and number of complaints presented to their GP, as well as their depression stigma. For the subgroup of patients with depression, potential associations between perceived depression stigma and number and types of presented complaints were investigated to see if these might reflect the patient’s intention to conceal mental health symptoms due to fear of being stigmatized by others. Further, we investigated if perceived depression stigma is related to depression treatment. Methods Data on depressive symptoms (assessed by the Depression Screening Questionnaire; DSQ), depression stigma (assessed by the Depressions Stigma Scale; DSS), type of complaints reported to the GP and treatment-related factors were collected from 3,563 unselected primary care patients of 253 GPs in a cross-sectional epidemiological study (“VERA study”) in six different German regions. Data of a total of 3,069 patients was used for analysis on complaints reported to the GP (subsample of the VERA study), and for 2,682 out of 3,069 patients data on a stigma questionnaire was available. Results Nearly half of the primary care patients with depression (42.2%) reported only physical complaints to their GP. Compared to patients without a depression diagnosis, patients with depression reported twice as many complaints to their GP with a mean of 2.02 (1.33) vs. 1.2 (0.69), including a more frequent combination of physical and mental symptoms (28.8% vs. 3.5%). Patients with depression showed higher total stigma compared to patients without depression, Mdn = 48 (IQR 40–54) vs. Mdn = 46.3 (IQR 29–53), due to higher perceived stigma, Mdn = 27 (IQR 21–32) vs. Mdn = 25.9 (IQR 20–29). Perceived stigma was associated with male gender (beta -.14, p = .005) and a lack of pharmacological treatment (beta -.14, p = .021) in patients with a depression diagnosis. Conclusion The number of complaints presented to the GP might function as a marker to actively explore depression in primary care patients, in particular when both physical and mental symptoms are reported. Perceived depression stigma should also be addressed especially in male patients. Further research should clarify the role of perceived stigma as a potential inhibitor of pharmacological treatment of depression in primary care.

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