TY - JOUR KW - Asian Americans/psychology KW - Attitude to Health KW - Depressive Disorder, Major/diagnosis/psychology/therapy KW - Female KW - Humans KW - Male KW - Middle Aged KW - Primary Health Care KW - Recognition (Psychology) KW - Treatment Outcome AU - A. Yeung AU - W. W. Kung AU - J. L. Murakami AU - D. Mischoulon AU - J. E. Alpert AU - A. A. Nierenberg AU - M. Fava A1 - AB - 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. BT - International journal of psychiatry in medicine C5 - Healthcare Disparities CP - 3 CY - United States IS - 3 JF - International journal of psychiatry in medicine N2 - 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. PP - United States PY - 2005 SN - 0091-2174; 0091-2174 SP - 213 EP - 224 EP - T1 - Outcomes of recognizing depressed Chinese American patients in primary care T2 - International journal of psychiatry in medicine TI - Outcomes of recognizing depressed Chinese American patients in primary care U1 - Healthcare Disparities U2 - 16480237 VL - 35 VO - 0091-2174; 0091-2174 Y1 - 2005 ER -