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  1. Training primary-care physicians to recognize, diagnose and manage depression : does it improve patient outcomes ?

    Article - En anglais


    We developed a comprehensive, 20-hour training programme for primary-care physicians, that sought to improve their ability to detect, diagnose and manage depression.

    We evaluated the effects of physician training on patient outcomes, using a pre-post design.


    In the pre-training phase of the study, we sampled 1834 consecutive patients of 17 primary-care physicians and evaluated 518 of these patients for the presence of depression.

    We measured outcomes of all patients with depression at 3 months and 1 year.

    The outcome measures were 

    Severity of psychopathology ; duration of depressive episode ; and level of daily functioning.

    After the 17 physicians completed the training, we drew a new sample from their practices (498 of 1785 consecutive patients were evaluated for depression) and measured outcomes for the depressed patients.


    We found an effect of the training on short-term outcome, particularly for patients with a recent-onset depression.

    At 3-month follow-up depressed patients whose physicians had received training had less severe psychopathology and patients with recent-onset depression also showed higher levels of daily functioning than patients of the same physicians prior to the training.

    The patients with a recent-onset depression that was recognized by trained physicians had shorter depressive episodes, but this was not statistically significant.

    At 1-year follow-up, all training effects had faded away. (...)

    Mots-clés Pascal : Etat dépressif, Soin santé primaire, Médecin généraliste, Personnel sanitaire, Formation professionnelle, Diagnostic, Traitement, Pronostic, Efficacité traitement, Santé mentale, Environnement social, Pays Bas, Europe, Homme, Trouble humeur

    Mots-clés Pascal anglais : Depression, Primary health care, General practitioner, Health staff, Occupational training, Diagnosis, Treatment, Prognosis, Treatment efficiency, Mental health, Social environment, Netherlands, Europe, Human, Mood disorder

    Logo du centre Notice produite par :
    Inist-CNRS - Institut de l'Information Scientifique et Technique

    Cote : 99-0398130

    Code Inist : 002B18H04. Création : 22/03/2000.