Literature Collection

2841

Depression and multimorbidity: a cross-sectional study of 1,751,841 patients in primary care

Type: Journal Article

Authors: D. J. Smith, H. Court, G. McLean, D. Martin, Langan Martin, B. Guthrie, J. Gunn, S. W. Mercer

Year: 2014

Publication Place: United States

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2842

Depression and Outcomes of Methadone and Buprenorphine Treatment Among People with Opioid Use Disorders: A Literature Review

Type: Journal Article

Authors: M. F. Ghabrash, A. Bahremand, M. Veilleux, G. Blais-Normandin, G. Chicoine, C. Sutra-Cole, N. Kaur, D. Ziegler, S. Dubreucq, L. C. Juteau, L. Lestage, D. Jutras-Aswad

Year: 2020

Publication Place: United States

Abstract:

Objective: Depression is the most common psychiatric comorbidity among people with opioid use disorders (OUDs). However, whether and how comorbid depression is associated with the outcomes of opioid agonist therapy (OAT) remains poorly understood. The objective of this review was to identify and describe the association between depression and main outcomes (opioid use and treatment retention) of methadone and buprenorphine treatment among people with OUDs. Methods: A literature review was conducted by searching five electronic databases (MEDLINE, PubMed, Embase, Evidence-Based Medicine Reviews [EBMR], and Cumulative Index of Nursing and Allied Health Literature [CINAHL] Complete) from January 1970 to April 2019. Two independent reviewers screened titles and abstracts of the identified records by using pre-established eligibility criteria. Next, full texts were reviewed and studies that met inclusion criteria were selected. Finally, a descriptive synthesis of extracted data was performed. Results: In total, 12,296 records were identified and 18 studies that met inclusion criteria were retained. Of these, six studies reported reduced opioid use and seven reported increased opioid use during methadone or buprenorphine treatment. In addition, three studies reported an increased retention rate and four documented a decreased retention rate during methadone or buprenorphine treatment. The remaining studies did not find any significant association between depression and opioid use or treatment retention. Overall, the evidence did not demonstrate a consistent association between depression and outcomes of methadone or buprenorphine treatment. Conclusions: Although the inconsistent nature of the current evidence prohibited us from drawing definitive conclusions, we posit that the presence of depression among OUDs patients may not always predict negative outcomes related to retention and drug use during the course of OAT. Particularly, the hypothesis that adequate treatment of depression can improve treatment retention is promising and is in line with the call for increased efforts to provide integrated care for comorbid mental health disorders and addiction. Future studies with rigorous methodology are essential to better characterize the complex interplay between depression, OAT, and OUDs.

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2843

Depression and role impairment among adolescents in primary care clinics

Type: Journal Article

Authors: Joan Rosenbaum Asarnow, Lisa H. Jaycox, Naihua Duan, Anne P. LaBorde, Margaret M. Rea, Lingqi Tang, Martin Anderson, Pamela Murray, Christopher Landon, Beth Tang, Diana P. Huizar, Kenneth B. Wells

Year: 2005

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2844

Depression as a risk factor for coronary artery disease: evidence, mechanisms, and treatment

Type: Journal Article

Authors: H. S. Lett, J. A. Blumenthal, M. A. Babyak, A. Sherwood, T. Strauman, C. Robins, M. F. Newman

Year: 2004

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2845

Depression care and treatment in a chronically ill Medicare population

Type: Journal Article

Authors: H. Huang, J. Russo, A. M. Bauer, Y. F. Chan, W. Katon, D. Hogan, J. Unutzer

Year: 2013

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2846

Depression care management for Chinese Americans in primary care: A feasibility pilot study

Type: Journal Article

Authors: K. Kwong, H. Chung, K. Cheal, J. C. Chou, T. Chen

Year: 2013

Publication Place: United States

Abstract: This study describes a culturally relevant intervention using a collaborative depression care model to integrate mental health and primary care services for depressed low income Chinese-Americans at a community health center. A total of 6,065 patients were screened for depression. Of the 341 who screened positive, 57 participated and were randomly assigned to receive either enhanced physician care with care management (32) or enhanced physician care only (25). All enrolled participants were assessed at baseline and 4 monthly follow-up visits for depression, physical and mental health functioning, and perceived stigma toward receiving depression care, to determine the impact, if any, of their mental health treatment. Both groups reported significant reduction of depressive symptoms and improved mental health functioning from baseline to follow-up assessments although there was no significant difference between the two groups. Although the study found no advantage to adding the care management component in the treatment of depression, screening and assertive treatment of immigrant Chinese Americans who tend to underutilize mental health services is important and consistent with the increased adoption of team based care models in patient centered medical homes. High refusal rates for enrollment in the study have implications for future study designs for this group.

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2847

Depression complexity prevalence and outcomes among veterans affairs patients in integrated primary care

Type: Journal Article

Authors: D. G. Campbell, A. Lombardero, I. English, T. J. Waltz, K. J. Hoggatt, B. F. Simon, A. B. Lanto, A. Simon, L. V. Rubenstein, E. F. Chaney

Year: 2022

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2848

Depression decision support in primary care: a cluster randomized trial.

Type: Journal Article

Authors: Steven K. Dobscha, Kathryn Corson, David H. Hickam, Nancy A. Perrin, Dale F. Kraemer, Martha S. Gerrity

Year: 2006

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2849

Depression diagnoses and antidepressant use in primary care practices: a study from the Practice Partner Research Network (PPRNet)

Type: Journal Article

Authors: S. Ornstein, G. Stuart, R. Jenkins

Year: 2000

Publication Place: UNITED STATES

Abstract: BACKGROUND: We examined the pharmacologic management and follow-up of adults with newly diagnosed depression, and the use of antidepressants among patients not diagnosed with depression in primary care practice. A total of 389 physicians in 39 practices in the Practice Partner Research Network (PPRNet), a national network of primary care physicians provided data for the study. METHODS: We performed a retrospective cohort study for the year 1996 using demographic, contact, diagnosis, and prescription data available in the December 1997 PPRNet database. We identified patients with new diagnoses of depression from the problem lists in the electronic medical record. Psychopharmacologic agents prescribed within 5 days of the diagnosis, follow-up contacts within 6 months of the diagnosis, and diagnoses of patients prescribed antidepressants without a new diagnosis of depression were also identified. We performed descriptive analyses for all practices and for individual practices. RESULTS: During 1996, there were 149,327 active adult patients in the 39 participating practices. Of the 131,141 patients without a history of depression or antidepressant prescription, 2103 (1.6%) had a new diagnosis of depression in 1996. Incidence among the 39 practices ranged from 0.4% to 4.0%. Forty-nine percent of the newly diagnosed patients received an antidepressant prescription within 5 days of diagnosis; 81% of the prescriptions were for selective serotonin reuptake inhibitors. Ninety percent of the patients prescribed antidepressants had at least one contact in the 6 months after diagnosis (mean = 5.3 contacts). One third of the patients who had not begun antidepressants within 5 days of their diagnoses started taking one by the end of 1996. Among the 149,327 active patients, 6.3% received a prescription for an antidepressant in 1996. More than 40% of these patients had never been diagnosed with depression. CONCLUSIONS: Our study highlights the high prevalence and wide interpractice variations of diagnosing depression and prescribing antidepressants in primary care. Follow-up of patients newly diagnosed with depression was common and consistent with published guidelines. Opportunities for increased detection and treatment of depression exist in approximately half of the study practices.

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2850

Depression during perimenopause: the role of the obstetrician-gynecologist

Type: Journal Article

Authors: G. B. Raglan, J. Schulkin, E. Micks

Year: 2020

Publication Place: Austria

Abstract: Depression in women is more common during perimenopause (the transition to menopause) than at other times in the life cycle. Symptoms of depression may be different in perimenopausal women compared to younger or older women, and are often dismissed as part of normal menopause. This is an expert narrative review. There are several evidence-based screening modalities which can be integrated into routine women's health visits, and can facilitate distinguishing between depression and normal perimenopausal symptoms. There is emerging evidence regarding the effect of hormonal changes on the development of perimenopausal depression and its optimal treatment, though critical research gaps remain. Obstetrician-gynecologists and other primary care providers play a vital role in the detection and management of depression in women. Providers caring for women during perimenopause have a unique opportunity to diagnose depression in their patients and identify appropriate treatment options.

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2851

Depression during perimenopause: the role of the obstetrician-gynecologist

Type: Journal Article

Authors: G. B. Raglan, J. Schulkin, E. Micks

Year: 2020

Publication Place: Austria

Abstract: Depression in women is more common during perimenopause (the transition to menopause) than at other times in the life cycle. Symptoms of depression may be different in perimenopausal women compared to younger or older women, and are often dismissed as part of normal menopause. This is an expert narrative review. There are several evidence-based screening modalities which can be integrated into routine women's health visits, and can facilitate distinguishing between depression and normal perimenopausal symptoms. There is emerging evidence regarding the effect of hormonal changes on the development of perimenopausal depression and its optimal treatment, though critical research gaps remain. Obstetrician-gynecologists and other primary care providers play a vital role in the detection and management of depression in women. Providers caring for women during perimenopause have a unique opportunity to diagnose depression in their patients and identify appropriate treatment options.

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2852

Depression in adults with a chronic physical health problem: Treatment and management

Type: Report

Authors: National Institute for Health and Care Excellence

Year: 2009

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This grey literature reference is included in the Academy's Literature Collection in keeping with our mission to gather all sources of information on integration. Grey literature is comprised of materials that are not made available through traditional publishing avenues. Often, the information from unpublished resources can be limited and the risk of bias cannot be determined.

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2853

Depression in Adults: Screening

Type: Web Resource

Authors: U.S. Preventive Services Task Force

Year: 2016

Abstract: The USPSTF recommends screening for depression in the general adult population, including pregnant and postpartum women. Screening should be implemented with adequate systems in place to ensure accurate diagnosis, effective treatment, and appropriate follow-up.

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This grey literature reference is included in the Academy's Literature Collection in keeping with our mission to gather all sources of information on integration. Grey literature is comprised of materials that are not made available through traditional publishing avenues. Often, the information from unpublished resources can be limited and the risk of bias cannot be determined.

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2854

Depression in African Americans: Breaking barriers to detection and treatment

Type: Journal Article

Authors: A. K. Das, M. Olfson, H. L. McCurtis, M. M. Weissman

Year: 2006

Publication Place: United States

Abstract: OBJECTIVE: Recent studies in primary care settings indicate that African Americans face health disparities in the treatment of major depression. We reviewed the literature to find evidence of specific patient, physician, and practice-setting factors related to such barriers. DATA SOURCES: We searched for and retrieved articles in Medline (1966-2004) and hand-checked bibliographies to find additional articles that were relevant to the evaluation and treatment of African Americans with depression. STUDY SELECTION AND DATA EXTRACTION: Two investigators (AKD, MO) independently examined the abstracts retrieved from the literature search, and excluded articles that did not match a predefined search strategy. Two other investigators (HLC, MMW) identified potential articles through bibliographic review. In the extracted set articles, we examined cited barriers to diagnosis and effective management. RESULTS: We found 24 articles that fulfilled our criteria. These studies indicate that African Americans face a number of barriers in the recognition and treatment of major depression including clinical presentation with somatization, stigma about diagnosis, competing clinical demands of comorbid general medical problems, problems with the physician-patient relationship, and lack of comprehensive primary care services. CONCLUSIONS: Research indicates that African Americans who have depression may be frequently under diagnosed and inadequately managed in primary care as a result of patient, physician, and treatment-setting factors. Our systematic review can assist family physicians in understanding how to overcome such barriers to the diagnosis and treatment of depressive disorders in African American patients.

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2855

Depression in primary care: assessing suicide risk

Type: Journal Article

Authors: C. W. Ng, C. H. How, Y. P. Ng

Year: 2017

Publication Place: Singapore

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2856

Depression In primary care: Bringing behavioral health care into the mainstream

Type: Journal Article

Authors: Harold Alan Pincus, Jeanine Houtsinger, Bachman John Knox, Donna Keyser

Year: 2005

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2857

Depression in primary care: challenges & controversies

Type: Journal Article

Authors: A. Avasthi, A. Ghosh

Year: 2014

Publication Place: India

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2858

Depression in primary care: current and future challenges

Type: Journal Article

Authors: M. A. Craven, R. Bland

Year: 2013

Publication Place: Canada

Abstract: OBJECTIVES: To describe the current state of knowledge about detection and treatment of major depressive disorder (MDD) by family physicians (FPs), and to identify gaps in practice and current and future challenges. METHODS: We reviewed the recent literature on MDD (Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition, or International Classification of Diseases, Revision 10) in primary care, with an emphasis on systematic reviews and meta-analyses addressing prevalence, the impact of an aging population and of chronic disease on MDD rates in primary care, detection and treatment rates by FPs, adequacy of treatment, and interventions that could improve recognition and treatment. RESULTS: About 10% of primary care patients are likely to meet criteria for MDD. The number of cases will increase as the baby boomer cohort ages and as the prevalence of chronic disease increases. The bidirectional relation between MDD and chronic disease is now firmly established. Detection and treatment rates in primary care remain low. Treatment quality is frequently inadequate in terms of follow-up and monitoring. Formal case management and collaborative care interventions are likely to provide some benefits. CONCLUSIONS: Low detection rates and low treatment rates need to be addressed. Planned reassessment may improve detection rates when the FP is uncertain whether MDD is present, but further research is needed to determine why FPs frequently do not initiate treatment, even when MDD is detected. A caring, attentive FP who monitors depressed patients is likely to have considerable placebo effect. Greater focus on integrated, concurrent treatment for MDD and chronic physical diseases in the middle-aged and elderly is also required.; Publisher: Abstract available from the publisher.

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2859

Depression in primary care: learning lessons in a national quality improvement program

Type: Journal Article

Authors: H. A. Pincus, C. Pechura, D. Keyser, J. Bachman, J. K. Houtsinger

Year: 2006

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2860

Depression in primary care: Strategies for a psychiatry-scarce environment

Type: Journal Article

Authors: A. R. Alson, D. M. Robinson, D. Ivanova, J. Azer, M. Moreno, M. L. Turk, A. Nitturkar, K. S. Blackman

Year: 2016

Publication Place: United States

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