OBJECTIVE: The authors' goal was to assess the adequacy of control, quality of life, and treatment experiences of patients with chronic, recurrent depression being treated by primary care physicians. METHOD: The sample comprised 1,001 patients 18 years old or older who had chronic, recurring depression and were currently being treated with a single antidepressant prescribed by a primary care physician. These patients had responded positively to questions regarding the presence of clinical depression and prescription of a single antidepressant by a primary care physician during a telephone survey conducted in two stages separated by 18 to 24 months. The 1,001 patients participated in a structured, 20-minute, anonymous interview conducted by trained personnel. RESULTS: Most patients had recurrent depression (median=5 episodes), and most had taken their current antidepressant for more than 1 year. The mean age at onset of depression was 33.8 years, and the mean age at time of diagnosis was 38.0 years, with treatment following a mean of 2 years later. Most patients were satisfied with the care they received from their primary care physician, but many also reported incomplete symptom resolution and substantial side effects from medications that were not discussed with or by their primary care physician. A majority of patients reported that treatment decisions were made in conjunction with their physician, a method that was preferred by three-quarters of the group. Although 752 patients reported that they had mild or moderate depression, 729 were satisfied with their life and 600 said they were in good or excellent health. CONCLUSIONS: Despite being mostly satisfied with the care received from their primary care physician, patients with chronic, recurring depression had substantial levels of continuing dysfunction, distress, unrelieved symptoms, and medication side effects, which suggests several possible physician-centered, patient-centered, or system-centered barriers to treatment to full function and wellness.
OBJECTIVE: The authors' goal was to assess the adequacy of control, quality of life, and treatment experiences of patients with chronic, recurrent depression being treated by primary care physicians. METHOD: The sample comprised 1,001 patients 18 years old or older who had chronic, recurring depression and were currently being treated with a single antidepressant prescribed by a primary care physician. These patients had responded positively to questions regarding the presence of clinical depression and prescription of a single antidepressant by a primary care physician during a telephone survey conducted in two stages separated by 18 to 24 months. The 1,001 patients participated in a structured, 20-minute, anonymous interview conducted by trained personnel. RESULTS: Most patients had recurrent depression (median=5 episodes), and most had taken their current antidepressant for more than 1 year. The mean age at onset of depression was 33.8 years, and the mean age at time of diagnosis was 38.0 years, with treatment following a mean of 2 years later. Most patients were satisfied with the care they received from their primary care physician, but many also reported incomplete symptom resolution and substantial side effects from medications that were not discussed with or by their primary care physician. A majority of patients reported that treatment decisions were made in conjunction with their physician, a method that was preferred by three-quarters of the group. Although 752 patients reported that they had mild or moderate depression, 729 were satisfied with their life and 600 said they were in good or excellent health. CONCLUSIONS: Despite being mostly satisfied with the care received from their primary care physician, patients with chronic, recurring depression had substantial levels of continuing dysfunction, distress, unrelieved symptoms, and medication side effects, which suggests several possible physician-centered, patient-centered, or system-centered barriers to treatment to full function and wellness.
Authors: Kent Roundy; Jeffrey A Cully; Melinda A Stanley; Connie Veazey; Julianne Souchek; Nelda P Wray; Mark E Kunik Journal: Prim Care Companion J Clin Psychiatry Date: 2005
Authors: Maria Alcocer Alkureishi; Wei Wei Lee; Maureen Lyons; Valerie G Press; Sara Imam; Akua Nkansah-Amankra; Deb Werner; Vineet M Arora Journal: J Gen Intern Med Date: 2016-01-19 Impact factor: 5.128
Authors: Ruth S Shim; Peter Baltrus; L DiAnne Bradford; Kisha B Holden; Edith Fresh; Lonnie E Fuller Journal: J Natl Med Assoc Date: 2013 Impact factor: 1.798
Authors: Michael S Klinkman; Sabrina Bauroth; Stacey Fedewa; Kevin Kerber; Julie Kuebler; Tanya Adman; Ananda Sen Journal: Ann Fam Med Date: 2010 Sep-Oct Impact factor: 5.166
Authors: Benjamin P Chapman; Paul R Duberstein; Ronald M Epstein; Kevin Fiscella; Richard L Kravitz Journal: Med Care Date: 2008-08 Impact factor: 2.983
Authors: Steven A Epstein; Lisa M Hooper; Kevin P Weinfurt; Venita DePuy; Lisa A Cooper; William G Harless; Cynthia M Tracy Journal: Med Care Res Rev Date: 2008-10-01 Impact factor: 3.929