Epidemiology of depression in primary care

Katon, Wayne; Schulberg, Herbert C.

doi:10.1016/0163-8343(92)90094-q

Cited by 588 publications

(352 citation statements)

References 63 publications

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“…This practical approach is consistent with the current situation in the US, as many patients receive treatment for mental illness in primary care. [13][14][15][16] Further, many patients prefer to receive treatment for mental illness in primary care. A large telephone survey in 2000, reported that the majority of patients, especially elderly patients, prefer treatment for mental illness in the primary care setting.…”

Section: Discussionmentioning

confidence: 99%

“…[13][14][15][16] Further, generalist providers prescribe over 70% of antidepressants. 17 Since primary care physicians manage the treatment of complex patients with both mental and medical illnesses, understanding their perspectives on the challenges and facilitators of their care is critical to improving clinical outcomes for these patients.…”

Section: Introductionmentioning

confidence: 99%

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Primary Care Physician Perceptions on Caring for Complex Patients with Medical and Mental Illness

et al. 2012

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Primary Care Physician Perceptions on Caring for Complex Patients with Medical and Mental Illness

et al. 2012

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“…Mental health issues such as depression are both common and costly [6][7][8] and are of greater prevalence and persistence for those living in underserved communities 9 . Despite the availability of effective treatments for depression, these communities face disparities in access to treatment 10 .…”

Section: Introductionmentioning

confidence: 99%

Addressing Behavioral Health Disparities for Somali Immigrants Through Group Cognitive Behavioral Therapy Led by Community Health Workers

Pratt

Ahmed

Noor³

et al. 2015

J Immigrant Minority Health

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Addressing behavioral health disparities for Somali immigrants through group cognitive behavioral therapy led by community health workers. Journal of Immigrant and Minority Health, (doi:10.1007/s10903-015-0338-2).There may be differences between this version and the published version. You are advised to consult the publisher's version if you wish to cite from it. ABSTRACTObjectives: To test the feasibility and acceptability of implementing an evidence-based, peerdelivered mental health intervention for Somali women in Minnesota, and to assess the impact of the intervention on the mental health of those who received the training.Methods: In a feasibility study, 11 Somali female community health workers were trained to deliver an 8-session cognitive behavioral therapy intervention. Each of the trainers recruited 5 participants through community outreach, resulting in 55 participants in the intervention. Selfassessed measures of mood were collected from study participants throughout the intervention, and focus groups were conducted.

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“…The prevalence of major depression ranges from 6 to 9% of geriatric primary care patients, and is higher on medical in-patient services or in nursing homes (Katon and Schulberg, 1992). Depression is further associated with poorer outcomes of medical illnesses (Rovner et al, 1991;Frasure-Smith et al, 1993;Nemeroff et al, 1998;Jiang et al, 2001) and increased suicide rates (Conwell et al, 2002).…”

Section: Introductionmentioning

confidence: 99%

A Systematic Review of Antidepressant Placebo-Controlled Trials for Geriatric Depression: Limitations of Current Data and Directions for the Future

Taylor

Doraiswamy

2004

Neuropsychopharmacol

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Depression in the elderly is a major public health problem as untreated depression adversely impacts comorbid illnesses. It is important to develop safe and effective antidepressant therapies for older individuals. We performed a systematic review of all published randomized, placebo-controlled antidepressant medication trials in populations over age 55 years. Papers were obtained via MEDLINE (1966( -August 2003 and PSYCINFO (1872-August 2003. Unpublished trials, trials examining nonpharmacologic interventions, and papers reporting post hoc analyses were not included in this review unless they provided new insights. A total of 18 placebo-controlled trials examining acute efficacy met our criteria. The combined sample size in these studies was 2252. The mean sample size was 51 (range 20-728) and mean trial duration was 7 weeks. A total of 12 trials examined tricyclic antidepressants (TCAs), five trials examined selective serotonin reuptake inhibitors (SSRIs), two trials examined bupropion, and one trial examined mirtazapine. There were no published trials of venlafaxine or nefazodone. In all, 71.5% of trials reported significantly greater efficacy with drug than placebo. In conclusions, there is a paucity of published controlled antidepressant trials in the elderly. Most published studies examine small sample sizes and do not include common comorbid conditions. Efficacy studies examining relapse prevention are lacking. Large placebo response rates, lack of controlled head to head comparisons, and other methodological design differences make crosstrial comparisons difficult. Large simple studies are urgently needed to address the unmet needs for data on safety and efficacy of antidepressants in this population.

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Epidemiology of depression in primary care

Cited by 588 publications

References 63 publications

Primary Care Physician Perceptions on Caring for Complex Patients with Medical and Mental Illness

Primary Care Physician Perceptions on Caring for Complex Patients with Medical and Mental Illness

Addressing Behavioral Health Disparities for Somali Immigrants Through Group Cognitive Behavioral Therapy Led by Community Health Workers

A Systematic Review of Antidepressant Placebo-Controlled Trials for Geriatric Depression: Limitations of Current Data and Directions for the Future

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