The detection of depression in medical setting: A study with PRIME-MD

Fráguas, Renério; Henriques, Sergio Gonsalves; Lucia, Mara S. De; Iosifescu, Dan V.; Schwartz, Faye; Menezes, Paulo Rossi; Gattaz, Wagner F.; Martins, Mílton de Arruda

doi:10.1016/j.jad.2005.12.003

Cited by 87 publications

(51 citation statements)

References 26 publications

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“…122 It is possible that placing additional responsibilities on a primary care visit may actually interfere with secondary detection of conditions such as skin cancers or depression. [123][124][125] Finally, there are limitations in the methods used in this review. The quality of each study was subjectively determined and could not be analyzed in the aggregate because most studies and evaluations used different interventions and approaches to data collection.…”

Section: Limitations Of This Reviewmentioning

confidence: 99%

The Medical Home: Growing Evidence to Support a New Approach to Primary Care

Rosenthal¹

2008

The Journal of the American Board of Family Medicine

448

341

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Introduction:A medical home is a patient-centered, multifaceted source of personal primary health care. It is based on a relationship between the patient and physician, formed to improve the patient's health across a continuum of referrals and services. Primary care organizations, including the American Board of Family Medicine, have promoted the concept as an answer to government agencies seeking political solutions that make quality health care affordable and accessible to all Americans.Methods: Standard literature databases, including PubMed, and Internet sites of numerous professional associations, government agencies, business groups, and private health organizations identified over 200 references, reports, and books evaluating the medical home and patient-centered primary care.Findings: Evaluations of several patient-centered medical home models corroborate earlier findings of improved outcomes and satisfaction. The peer-reviewed literature documents improved quality, reduced errors, and increased satisfaction when patients identify with a primary care medical home. Patient autonomy and choice also contributes to satisfaction. Although industry has funded case management models demonstrating value superior to traditional fee-for-service reimbursement adoption of the medical home as a basis for medical care in the United States, delivery will require effort on the part of providers and incentives to support activities outside of the traditional face-to-face office visit.Conclusions: Evidence from multiple settings and several countries supports the ability of medical homes to advance societal health. A combination of fee-for-service, case management fees, and quality outcome incentives effectively drive higher standards in patient experience and outcomes. Community/ provider boards may be required to safeguard the public interest.

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Section: Limitations Of This Reviewmentioning

confidence: 99%

The Medical Home: Growing Evidence to Support a New Approach to Primary Care

Rosenthal¹

2008

The Journal of the American Board of Family Medicine

448

341

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“…A Escala Hospitalar de Ansiedade e Depressão (HAD), desenvolvida especificamente para avaliar sintomas depressivos e ansiosos em pacientes com doenças físicas, além ser uma das escalas mais utilizadas em pacientes com câncer, encontra-se validada, tendo sido utilizada em vários trabalhos brasileiros [28][29][30][31] . O Primary Care Evaluation of Mental Disorders (PRIME-MD), instrumento de screnning de transtornos psiquiátri-cos associados às condições médicas, recentemente validado no Brasil, mostrou elevada sensibilidade na detecção de transtornos psiquiátricos em cuidados primários, com a possibilidade da aplicação dessa entrevista por clínicos 32 .…”

Section: Diagnóstico Da Depressão Em Pacientes Com Câncerunclassified

Depressão e câncer

Bottino¹,

Fráguas

Gattaz

2009

Rev. psiquiatr. clín.

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ResumoA depressão é o transtorno psiquiátrico mais comum em pacientes com câncer, com prevalências variando de 22% a 29%. Essa variabilidade está associada a sítios do tumor, estágio clínico, dor, funcionamento físico limitado, além da existência de suporte social. A depressão associa-se a um pior prognóstico e aumento da mortalidade pelo câncer. Síndromes depressivas podem ser uma consequência das terapias antineoplásicas, como ocorre em 21% a 58% dos pacientes recebendo interferon-alfa. Sentimentos de tristeza e desespero podem inibir a procura de cuidado pelos pacientes, dificultando o reconhecimento da depressão. O tratamento com antidepressivos é efetivo e melhora a adesão aos tratamentos do câncer, reduzindo efeitos adversos como náusea, dor e fadiga. Em pacientes com câncer, tratamento prévio com antidepressivos pode minimizar sintomas depressivos induzidos por interferon-alfa. O tratamento com antidepressivos parece ser uma estratégia efetiva para prevenir o desenvolvimento da depressão induzida por interferon-alfa. Intervenções psicossociais, como técnicas de relaxamento, terapia individual e em grupo, também podem ser utilizadas na redução dos sintomas depressivos e de estresse em pacientes com câncer. Bottino SMB, et al. / Rev Psiq Clín. 2009;36(3):109-15Palavras-chave: Depressão, câncer, diagnóstico, tratamento. AbstractDepression is the most common psychiatric disorder in patients with cancer, with prevalence rates ranging from 22% to 29%. This variability is associated to cancer sites, clinical stages, pain, limited physical functioning, beyond the existence of social support. Depression is associated to poorer prognosis and higher cancer mortality. Depressive syndromes can be a consequence of the antineoplasic therapies, as occurs in 21% to 58% of the patients treated with alfa-interferon. Sadness and desperation can inhibit the search for care by the patients, and difficult depression recognition. Antidepressant treatment is effective, and improve the adherence to cancer treatments, reducing side effects as nausea, pain and fatigue. In cancer patients, pretreatment with antidepressants seems to minimize depressive symptoms induced by interferon-alfa. Psychosocial interventions as relaxing techniques, group and individual psychotherapies can also be applied to reduce depressive and stress symptoms in patients with cancer.Bottino SMB, et al. / Rev Psiq Clín. 2009;36(3):109-15

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“…Risk of suicide was assessed using Primary Care Evaluation of Mental Disorders (PRIME-MD), 12 a structured interview tool for the investigation of psychological disorders. This study used the specific module for assessment of major depression, and more particularly, the question assessing the risk of suicide.…”

Section: ■ Materials and Methodsmentioning

confidence: 99%

Depression, stress and guilt are linked to the risk of suicide associated to ectopic pregnancy

Benute¹,

Bordini²,

Juhas³

et al. 2016

Medical Express

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OBJECTIVE:To identify the risk for suicidal behavior in women who had a fetal loss resulting from ectopic pregnancy and verify the association of suicide risk with depression and psychosocial aspects. METHODS: Thirty-one women diagnosed with an ectopic pregnancy were interviewed. Major depression was identified using the Primary Care Evaluation of Mental Disorders questionnaire. The Prenatal Psychosocial Profile questionnaire was used to measure stress, social support and self-esteem. RESULTS: We found that 16% (n = 5) reported suicide risk behavior. The correlation between suicide risk and symptoms of major depression, stress and guilt was statistically significant. CONCLUSIONS: Depression and stress have been linked to the presence of suicide risk, further increasing the vulnerability of women with ectopic prgnancy, which generates intense emotional reactions as guilt.

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The detection of depression in medical setting: A study with PRIME-MD

Cited by 87 publications

References 26 publications

The Medical Home: Growing Evidence to Support a New Approach to Primary Care

The Medical Home: Growing Evidence to Support a New Approach to Primary Care

Depressão e câncer

Depression, stress and guilt are linked to the risk of suicide associated to ectopic pregnancy

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