TY - JOUR
KW - Adult
KW - Antidepressive Agents/therapeutic use
KW - Behavior Therapy
KW - Combined Modality Therapy
KW - Counseling
KW - Depressive Disorder/drug therapy/psychology/therapy
KW - Female
KW - Follow-Up Studies
KW - Health Maintenance Organizations/utilization
KW - Humans
KW - Male
KW - Middle Aged
KW - Patient Compliance
KW - Patient Satisfaction
KW - Primary Health Care/utilization
KW - Psychotherapy
KW - Quality of Health Care
KW - Treatment Outcome
AU - W. Katon
AU - P. Robinson
AU - M. Von Korff
AU - E. Lin
AU - T. Bush
AU - E. Ludman
AU - G. Simon
AU - E. Walker
A1 - 
AB - BACKGROUND: This research study evaluates the effectiveness of a multifaceted intervention program to improve the management of depression in primary care. METHODS: One hundred fifty-three primary care patients with current depression were entered into a randomized controlled trial. Intervention patients received a structured depression treatment program in the primary care setting that included both behavioral treatment to increase use of adaptive coping strategies and counseling to improve medication adherence. Control patients received "usual" care by their primary care physicians. Outcome measures included adherence to antidepressant medication, satisfaction with care of depression and with antidepressant treatment, and reduction of depressive symptoms over time. RESULTS: At 4-month follow-up, significantly more intervention patients with major and minor depression than usual care patients adhered to antidepressant medication and rated the quality of care they received for depression as good to excellent. Intervention patients with major depression demonstrated a significantly greater decrease in depression severity over time compared with usual care patients on all 4 outcome analyses. Intervention patients with minor depression were found to have a significant decrease over time in depression severity on only 1 of 4 study outcome analyses compared with usual care patients. CONCLUSION: A multifaceted primary care intervention improved adherence to antidepressant regimens and satisfaction with care in patients with major and minor depression. The intervention consistently resulted in more favorable depression outcomes among patients with major depression, while outcome effects were ambiguous among patients with minor depression.
BT - Archives of General Psychiatry
C5 - Key & Foundational
CP - 10
CY - UNITED STATES
IS - 10
JF - Archives of General Psychiatry
N2 - BACKGROUND: This research study evaluates the effectiveness of a multifaceted intervention program to improve the management of depression in primary care. METHODS: One hundred fifty-three primary care patients with current depression were entered into a randomized controlled trial. Intervention patients received a structured depression treatment program in the primary care setting that included both behavioral treatment to increase use of adaptive coping strategies and counseling to improve medication adherence. Control patients received "usual" care by their primary care physicians. Outcome measures included adherence to antidepressant medication, satisfaction with care of depression and with antidepressant treatment, and reduction of depressive symptoms over time. RESULTS: At 4-month follow-up, significantly more intervention patients with major and minor depression than usual care patients adhered to antidepressant medication and rated the quality of care they received for depression as good to excellent. Intervention patients with major depression demonstrated a significantly greater decrease in depression severity over time compared with usual care patients on all 4 outcome analyses. Intervention patients with minor depression were found to have a significant decrease over time in depression severity on only 1 of 4 study outcome analyses compared with usual care patients. CONCLUSION: A multifaceted primary care intervention improved adherence to antidepressant regimens and satisfaction with care in patients with major and minor depression. The intervention consistently resulted in more favorable depression outcomes among patients with major depression, while outcome effects were ambiguous among patients with minor depression.
PP - UNITED STATES
PY - 1996
SN - 0003-990X; 0003-990X
SP - 924
EP - 932
EP - 
T1 - A multifaceted intervention to improve treatment of depression in primary care
T2 - Archives of General Psychiatry
TI - A multifaceted intervention to improve treatment of depression in primary care
U1 - Key & Foundational
U2 - 8857869
VL - 53
VO - 0003-990X; 0003-990X
Y1 - 1996
ER -