scholarly journals Initial Rate of Improvement in Relation to Remission of Major Depressive Disorder in Primary Care

2007 ◽  
Vol 09 (05) ◽  
pp. 364-366 ◽  
Author(s):  
Anton C. Vergouwen ◽  
Huibert Burger ◽  
Frank Koerselman ◽  
Theo J. Verheij
Keyword(s):  
Primary Care ◽  
Major Depressive Disorder ◽  
Depressive Disorder ◽  
Initial Rate ◽  
Major Depressive ◽  
Rate Of Improvement

scholarly journals Cost-effectiveness of collaborative care for the treatment of major depressive disorder in primary care. A systematic review

2010 ◽  
Vol 10 (1) ◽  
Author(s):  
Kirsten M van Steenbergen-Weijenburg ◽  
Christina M van der Feltz-Cornelis ◽  
Eva K Horn ◽  
Harm WJ van Marwijk ◽  
Aartjan TF Beekman ◽  
...  
Keyword(s):  
Systematic Review ◽  
Primary Care ◽  
Major Depressive Disorder ◽  
Cost Effectiveness ◽  
Depressive Disorder ◽  
Collaborative Care ◽  
Major Depressive

Outcomes of Recognizing Depressed Chinese American Patients in Primary Care

2005 ◽  
Vol 35 (3) ◽  
pp. 213-224 ◽  
Author(s):  
Albert Yeung ◽  
Winnie W. Kung ◽  
Jessica L. Murakami ◽  
David Mischoulon ◽  
Jonathan E. Alpert ◽  
...  
Keyword(s):  
Primary Care ◽  
Major Depressive Disorder ◽  
Depressive Disorder ◽  
Primary Care Physicians ◽  
Primary Care Clinic ◽  
Chinese American ◽  
Chinese Americans ◽  
Major Depressive ◽  
Care Clinic ◽  
Treatment Of Depression

Purpose: This study aims to examine the effect of identifying Chinese American patients as having major depressive disorder (MDD) to their primary care physicians (PCPs) on the latter's attention given to the treatment of depression. Methodology: Forty Chinese American patients from a primary care clinic were identified as having major depressive disorder (MDD), and their primary care physicians (PCPs) were notified of the diagnosis by letter. Three months later, medical records of subjects in the study were reviewed to see if their PCPs had intervened through referral and/or initiated treatment of depression. Results: PCPs documented intervention in 19 patients (47%) regarding their depression. Two of these patients (11%) were started on an antidepressant. Four (21%) accepted and 13 (68%) declined referral to mental health services. No intervention was recorded for 21 (53%) patients. Conclusion: We conclude that recognition alone of MDD among Chinese Americans in the community primary care setting does not lead to adequate initiation of treatment for depression by PCPs.

Acute and one-year outcome of a randomised controlled trial of brief cognitive therapy for major depressive disorder in primary care

1997 ◽  
Vol 171 (2) ◽  
pp. 131-134 ◽  
Author(s):  
Christine Scott ◽  
Mary Jane Tacchi ◽  
Roger Jones ◽  
Jan Scott
Keyword(s):  
Primary Care ◽  
Major Depressive Disorder ◽  
Randomised Controlled Trial ◽  
Depressive Disorder ◽  
Cognitive Therapy ◽  
Controlled Trial ◽  
Control Group ◽  
Major Depressive ◽  
Treatment As Usual ◽  
Randomised Controlled

BackgroundThe consensus statement on the treatment of depression (Paykel & Priest, 1992) advocates the use of cognitive therapy techniques as an adjunct to medication.MethodThis paper describes a randomised controlled trial of brief cognitive therapy (BCT) plus ‘treatment as usual’ versus treatment as usual in the management of 48 patients with major depressive disorder presenting in primary care.ResultsAt the end of the acute phase, significantly more subjects (P < 0.05) met recovery criteria in the intervention group (n=15) compared with the control group (n=8). When initial neuroticism scores were controlled for, reductions in Beck Depression Inventory and Hamilton Rating Scale for Depression scores favoured the BCT group throughout the 12 months of follow-up.ConclusionsBCT may be beneficial, but given the time constraints, therapists need to be more rather than less skilled in cognitive therapy. This, plus methodological limitations, leads us to advise caution before applying this approach more widely in primary care.

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