The aims of this study were to determine whether detection of major depression in primary care was associated with improved outcome, and to compare the 4.5 month outcomes of detected and undetected depressed primary care patients and depressed psychiatric patients.
Primary care patients with major depression were recruited from the practices of 50 family physicians in Southeastern Michigan using a two-stage selection procedure employing the Center for Epidemiologic Studies-Depression Scale (CES-D) and the Structured Clinical Interview for DSM-III-R (SCID) ; clinician detection of depression was ascertained by response to a direct query on a rating form.
Depressed patients seeking treatment in an outpatient psychiatric setting also received the CES-D and the SCID.
Data on patient demographics and clinical characteristics were obtained for both primary care and psychiatric patients.
Initial and 4.5 month scores on the Hamilton Depression Rating Scale (HAM-D) were obtained for 34 undetected and 25 detected depressed primary care and 55 depressed psychiatric patients.
Improvement in depression over time was assessed by the change in HAM-D scores over the 4.5 months.
The three groups did not differ in initial severity.
Both psychiatric and undetected primary care patients showed significant improvement at 4.5 months, whereas detected primary care patients did not improve.
At 4. (...)
Mots-clés Pascal : Etat dépressif, Trouble humeur, Etude comparative, Dépistage, Soin santé primaire, Service santé, Psychiatrie, Evolution, Etude longitudinale, Homme, Filière soins
Mots-clés Pascal anglais : Depression, Mood disorder, Comparative study, Medical screening, Primary health care, Health service, Psychiatry, Evolution, Follow up study, Human
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 97-0530730
Code Inist : 002B18H05B. Création : 13/02/1998.