Competing Demands From Physical Problems: Effect on Initiating and Completing Depression Care Over 6 Months

Paul A. Nutting

178 citations0/0 files storedArchives of Family Medicine

No readable copy stored yet — this record is metadata only.

No open-access location is known for this record yet.

Literature note Cite in a project Citation map

Mental Health Treatment and Access Treatment of Major Depression Primary Care and Health Outcomes

Abstract

OBJECTIVE AND DESIGN: To evaluate a cohort of patients with major depression to examine the effect of competing demands on depression care during multiple visits over 6 months. PARTICIPANTS AND SETTING: Ninety-two patients with 5 or more symptoms of depression and no recent depression treatment were evaluated by 12 primary care physicians in 6 practices in the usual-care arm of an effectiveness trial of the Agency for Health Care Policy and Research Depression Guidelines. MAIN OUTCOME MEASURE: Treatment was considered to be initiated if the patient reported starting a guideline-concordant antidepressant medication or making a visit for specialty counseling. Treatment completion was defined as either a 3-month course of guideline-concordant antidepressant use or completion of 8 or more specialty counseling visits. RESULTS: Among the 92 patients reporting no recent treatment at study enrollment, 57% reported starting and 17% reported completing a course of guideline-concordant antidepressant medication and or specialty counseling at the 6-month interview. The severity of physical problems among patients with high enthusiasm for depression treatment decreased the odds that patients would initiate depression therapy. Severity of physical problems had no observable effect on completing depression therapy in the group of patients who initiated treatment. CONCLUSIONS: Physical problems compete with depression for attention over multiple visits in untreated patients who are enthusiastic about getting care for their emotional problems. Interventions are needed for this high-risk group, because depression treatment could potentially enhance patients' treatment of their physical problems. Arch Fam Med. 2000;9:1059-1064

Paper brief

Loading…

Cite this work

Citation unavailable for this work.

BibTeX RIS CSL-JSON

No public copy is stored for this record, so only the metadata is cited.

Citations in this library

Citation map →

Stored only when both papers are in the corpus — 178 citations exist upstream.

References

1993The MOS 36-Item Short-Form Health Survey (SF-36)1980Use of a self-report symptom scale to detect depression in a community sample 1986A Self-Report Scale to Diagnose Major Depressive Disorder 2000The Role of Competing Demands in the Treatment Provided Primary Care Patients With Major Depression 1997Competing demands in psychosocial care 1993Development of Screeners for Depressive Disorders and Substance Disorder History 1998Persistently poor outcomes of undetected major depression in primary care

Cited by

2007Mental Health Service Use Among Hurricane Katrina Survivors in the Eight Months After the Disaster 2003Evaluación psicométrica comparativa de las versiones en español de 6, 17 y 21 ítems de la Escala de valoración de Hamilton para la evaluación de la depresión 2007Mental Health Service Use Among Hurricane Katrina Survivors in the Eight Months After the Disaster 2007Disruption of Existing Mental Health Treatments and Failure to Initiate New Treatment After Hurricane Katrina 2011Under-treatment of depression in older persons 2003

Explore the map →

Papers that cite the same references — the relational fallback while embeddings are still backfilling.

Imported from OpenAlex (CC0) — nothing here is generated.