A cluster randomized trial comparing two interventions to improve treatment of major depression in primary care

Vergouwen, A. C. M.; Bakker, A.; Burger, Huibert; Verheij, Theo; Koerselman, Frank

doi:10.1017/s003329170400296x

Cited by 32 publications

(25 citation statements)

References 20 publications

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“…Interventions like telephonic counseling targeted at these patients, 17 patients' proper follow-up by primary care professionals 23 or drug administration when indicated 14 seem to present positive results in the handling of chronic diseases.…”

Section: Referencesmentioning

confidence: 99%

Associação entre depressão e doenças crônicas: um estudo populacional

et al. 2012

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OBJECTIVE:To assess the association between depression and chronic diseases in adults. METHODS:Population-based cross-sectional study with a sample of 1,720 adults aged 20 to 59 years conducted in the city of Florianópolis, southern Brazil, in 2009. Multistage sampling was used and census tracts were the primary sample unit. Subjects were interviewed at home, and reported being diagnosed with depression (outcome) and 11 other chronic diseases (exploratory variable) by a health provider. They were grouped into those with no chronic disease, one, and two or more diseases. Gender, age, marital status, income, physical activity, hospitalization and medical visits were confounders. Poisson regression analysis was used to estimate prevalence ratios and related 95% confi dence intervals. RESULTS:The prevalence os depression was 16.2% (95%CI 14.3;18.2). It was higher in women, older individuals, widowed or divorced, and poor ones. Those who reported no leisure-time physical activity and medical visits in the last two weeks, and who were hospitalized in the last year also showed higher prevalence of depression and chronic diseases. Even after adjustment for confounders the prevalence of depression was 1.44 (95%CI 1.09;1.92) times higher among those reporting one chronic disease and 2.25 times higher among those reporting two or more diseases than among those with no diseases. CONCLUSIONS:The prevalence of depression is much higher among people with higher burden of chronic diseases. Health professionals, health services, and policy makers must target specifi c strategies to this group.

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Section: Referencesmentioning

confidence: 99%

Associação entre depressão e doenças crônicas: um estudo populacional

et al. 2012

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“…To find out if a patient has difficulties taking medication, a person‐centred doctor shows interest, listens carefully, takes the patient seriously and asks goal‐directed questions in an environment without any shame and guilt. This is expected to yield up to a 19% decrease in non‐adherence [13,14].…”

Section: Outcomes Of Tailored Communicationmentioning

confidence: 99%

The value of tailored communication for person‐centred outcomes

Dulmen

2010

Evaluation Clinical Practice

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“…The study design and flow of patients through the trial are described in detail elsewhere. 13 In short, we compared the influence on medication adherence and treatment result of either a depression care program or a systematic follow-up program in SSRI-treated patients with a major depressive episode, according to DSM-IV. We found no differences in outcome at week 10 and week 26 between these 2 programs.…”

Section: Methodsmentioning

confidence: 99%