Literature DB >> 10512600

Depression in a primary care clinic: the prevalence and impact of an unrecognized disorder.

J R McQuaid1, M B Stein, C Laffaye, M E McCahill.   

Abstract

BACKGROUND: This study assesses depression among primary care patients, the relationship between depression and functioning, and how frequently depressed individuals receive mental health treatment.
METHODS: Two hundred and thirteen participants completed a diagnostic interview and measures of functional impairment and service utilization.
RESULTS: Sixty-two clinic patients were depressed, and depressed individuals experienced significant functional impairment even after controlling for comorbid anxiety disorders and medical problems. However, less than 40% of depressed individuals were receiving treatment for depression. Severity of impairment was related to likelihood of receiving mental health services. LIMITATIONS: Several factors to consider when evaluating this study are the cross-sectional design, use of self-report data, and lack of random sampling.
CONCLUSIONS: These results show that depression has a unique and significant impact on the functioning of primary care patients, and emphasize the need for identification of depressive disorders in primary care.

Entities:  

Mesh:

Year:  1999        PMID: 10512600     DOI: 10.1016/s0165-0327(98)00191-8

Source DB:  PubMed          Journal:  J Affect Disord        ISSN: 0165-0327            Impact factor:   4.839


  19 in total

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