scholarly journals Sociodemographic variables and severity of depressive symptoms in primary care patients

2019 ◽  
pp. 11-25
Author(s):  
Daniel Pankowski ◽  
Konrad Janowski ◽  
Kinga Wytrychiewicz
Keyword(s):  
Primary Care ◽  
Depressive Symptoms ◽  
Sociodemographic Variables ◽  
Primary Care Patients

Integrating Clinical Nurse Specialists into the Treatment of Primary Care Patients with Depression

2003 ◽  
Vol 33 (1) ◽  
pp. 17-37 ◽  
Author(s):  
Ralph W. Swindle ◽  
Jaya K. Rao ◽  
Ahdy Helmy ◽  
Laurie Plue ◽  
X. H. Zhou ◽  
...  
Keyword(s):  
Mental Health ◽  
Primary Care ◽  
Depressive Symptoms ◽  
Integrated Care ◽  
Medical Center ◽  
Treatment Plan ◽  
Intervention Group ◽  
Nurse Specialist ◽  
Clinical Nurse ◽  
Primary Care Patients

Objective: To examine the effectiveness of integrating generalist and specialist care for veterans with depression. Method: We conducted a randomized trial of patients screening positive for depression at two Veterans Affairs Medical Center general medicine clinic firms. Control firm physicians were notified prior to the encounter when eligible patients had PRIME-MD depression diagnoses. In the intervention firm, a mental health clinical nurse specialist (CNS) was to: design a treatment plan; implement that plan with the primary care physician; and monitor patients via telephone or visits at two weeks, one month and two months. Primary outcomes (depressive symptoms, patient satisfaction with health care) were collected at 3 and 12 months. Results: Of 268 randomized patients, 246 (92%) and 222 (83%) completed 3- and 12-month follow-up interviews. There were no between-group differences in depressive symptoms or satisfaction at 3 or 12 months. The intervention group had greater chart documentation of depression at baseline (63% versus 33%, p = 0.003) and a higher referral rate to mental health services at 3 months (27% versus 9%, p = 0.019). There was no difference in the rate of new prescriptions for, or adequate dosing of, anti-depressant medications. In 40% of patients, CNSs disagreed with the PRIME-MD depression diagnosis, and their rates of watchful waiting were correspondingly high. Conclusions: Implementing an integrated care model did not occur as intended. Experienced CNSs often did not see the need for treatment in many primary care patients identified by the PRIME-MD. Integrating integrated care models in actual practice may prove challenging.

Do measures of depressive symptoms function differently in people with spinal cord injury versus primary care patients: the CES-D, PHQ-9, and PROMIS®-D

2016 ◽  
Vol 26 (1) ◽  
pp. 139-148 ◽  
Author(s):  
Karon F. Cook ◽  
Michael A. Kallen ◽  
Charles Bombardier ◽  
Alyssa M. Bamer ◽  
Seung W. Choi ◽  
...  
Keyword(s):  
Primary Care ◽  
Spinal Cord ◽  
Spinal Cord Injury ◽  
Depressive Symptoms ◽  
Cord Injury ◽  
Primary Care Patients

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.

Depressive Symptoms in Elderly Chinese Primary Care Patients: Prevalence and Sociodemographic and Clinical Correlates

2019 ◽  
Vol 32 (6) ◽  
pp. 312-318 ◽  
Author(s):  
Bao-Liang Zhong ◽  
Yan-Min Xu ◽  
Wu-Xiang Xie ◽  
Xiu-Jun Liu ◽  
Zhuo-Wei Huang
Keyword(s):  
Mental Health ◽  
Primary Care ◽  
Depressive Symptoms ◽  
Mental Health Services ◽  
Health Services ◽  
Elderly Patients ◽  
Depression Scale ◽  
Clinical Correlates ◽  
Elderly Chinese ◽  
Primary Care Patients

Objective: To estimate the prevalence of depressive symptoms (depression thereafter) and to identify the sociodemographic and clinical correlates of depression in a sample of elderly patients treated in the primary care setting in Wuhan, China. Background: Primary care is an opportune setting for the management of late-life depression in China, but there have been no representative studies on the clinical epidemiology of depression in elderly Chinese primary care patients. Methods: In total, 752 elderly patients (≥ 65 years) were consecutively recruited from 13 primary care centers in Wuhan, China, and interviewed with a standardized questionnaire. Depression was assessed with the 15-item Geriatric Depression Scale (GDS-15). Results: Of the elderly Chinese primary care patients, 30.6% had depression (GDS-15 ≥ 5). Correlates of depression were an education level of primary school or less (odds ratio [OR]: 1.94, 95% confidence interval [CI]: 1.36-2.77, P < .001), poor financial status (OR: 2.19, 95% CI: 1.16-4.15, P = .016), lack of an exercise habit (OR: 1.40, 95% CI: 1.06-1.74, P = .023), 2 or more chronic medical conditions (OR: 1.90, 95% CI: 1.34-2.69, P < .001), and loneliness (OR: 3.53, 95% CI: 2.46-5.08, P < .001). Conclusions: Depression is prevalent among elderly Chinese primary care patients, indicating that elderly patients treated in primary care have a high level of need for mental health services in China. There is an urgent need to integrate mental health services into primary health care.

scholarly journals Depressive symptoms and marital adjustment among primary care patients with erectile dysfunction in Umuahia, Nigeria

2016 ◽  
Vol 22 (1) ◽  
pp. 6
Author(s):  
Nwaonu C. Nwakanma ◽  
John N. Ofoedu
Keyword(s):  
Primary Care ◽  
Erectile Dysfunction ◽  
Depressive Symptoms ◽  
Marital Adjustment ◽  
Depression Scale ◽  
Epidemiological Studies ◽  
Dyadic Adjustment ◽  
Primary Care Patients ◽  
Clinically Significant ◽  
Partner Involvement

<p><strong>Objectives:</strong> The aim of this study was to investigate the relationship between erectile dysfunction (ED), marital adjustment and depression. <br /><strong>Methods:</strong> The survey was conducted among primary care patients at Federal Medical Centre, Umuahia. Subjects were 678 married, male primary care patients; aged 20–70 years (mean age = 45 years). ED was assessed by International Index of Erectile Function 5 (IIEF-5) score, the presence of clinically significant depressive symptoms was assessed with the 5-item <br />version of the Center for Epidemiological Studies Depression Scale (CES-D), and marital adjustment was assessed with the Revised Dyadic Adjustment Scale (RDAS).<br /><strong>Results:</strong> The prevalence of probable depression by CES-D and ED by IIEF-5 score was 20.9% and 26.0%, respectively. Marital distress was rampant (62.0%) among subjects with ED (<em>p</em> &lt; 0.05, <em>χ</em>2 = 196.58). Erectile dysfunction was associated with marital adjustment (<em>p</em> &lt; 0.05). Partial correlation revealed that depression affects both ED and marital adjustment, and is closely related to both variables.<br /><strong>Conclusion:</strong> Partner involvement and screening for depression should be emphasised in the care of patients with ED.</p>

scholarly journals Response style and severity and chronicity of depressive disorders in primary health care

2016 ◽  
Vol 33 (1) ◽  
pp. 1-8
Author(s):  
K. Riihimäki ◽  
M. Vuorilehto ◽  
P. Jylhä ◽  
E. Isometsä
Keyword(s):  
Primary Care ◽  
Depressive Symptoms ◽  
Depressive Disorders ◽  
Rating Scale ◽  
Response Styles ◽  
Related Phenomenon ◽  
Eysenck Personality Inventory ◽  
Primary Care Patients ◽  
Depressive Episodes

AbstractBackgroundResponse styles theory of depression postulates that rumination is a central factor in occurrence, severity and maintaining of depression. High neuroticism has been associated with tendency to ruminate. We investigated associations of response styles and neuroticism with severity and chronicity of depression in a primary care cohort study.MethodsIn the Vantaa Primary Care Depression Study, a stratified random sample of 1119 adult patients was screened for depression using the Prime-MD. Depressive and comorbid psychiatric disorders were diagnosed using SCID-I/P and SCID-II interviews. Of the 137 patients with depressive disorders, 82% completed the prospective five-year follow-up with a graphic life chart enabling evaluation of the longitudinal course of episodes. Neuroticism was measured with the Eysenck Personality Inventory (EPI-Q). Response styles were investigated at five years using the Response Styles Questionnaire (RSQ-43).ResultsAt five years, rumination correlated significantly with scores of Hamilton Depression Rating Scale (r = 0.54), Beck Depression Inventory (r = 0.61), Beck Anxiety Inventory (r = 0.50), Beck Hopelessness Scale (r = 0.51) and Neuroticism (r = 0.58). Rumination correlated also with proportion of follow-up time spent depressed (r = 0.38). In multivariate regression, high rumination was significantly predicted by current depressive symptoms and neuroticism, but not by anxiety symptoms or preceding duration of depressive episodes.ConclusionsAmong primary care patients with depression, rumination correlated with current severity of depressive symptoms, but the association with preceding episode duration remained uncertain. The association between neuroticism and rumination was strong. The findings are consistent with rumination as a state-related phenomenon, which is also strongly intertwined with traits predisposing to depression.

The relationship of presenting physical complaints to depressive symptoms in primary care patients

1992 ◽  
Vol 7 (2) ◽  
pp. 170-173 ◽  
Author(s):  
Paul D. Gerber ◽  
James E. Barrett ◽  
Jane A. Barrett ◽  
Thomas E. Oxman ◽  
Eric Manheimer ◽  
...  
Keyword(s):  
Primary Care ◽  
Depressive Symptoms ◽  
Physical Complaints ◽  
Primary Care Patients ◽  
Relationship Of ◽  
The Relationship

Prevalence of Depressive Symptoms and Depressive Disorder in Primary Care Patients Over 65 Years of Age

1994 ◽  
Vol 11 (1) ◽  
pp. 80-84 ◽  
Author(s):  
HARM VAN MARWIJK ◽  
HENRIËTTE L HOEKSEMA ◽  
JO HERMANS ◽  
ADRIAN A KAPTEIN ◽  
JAN D. MULDER
Keyword(s):  
Primary Care ◽  
Depressive Symptoms ◽  
Depressive Disorder ◽  
Primary Care Patients
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