OBJECTIVE: The aims of this study were to examine correlates of depression symptoms, baseline predictors of change in depression symptoms, and time-varying predictors of depression symptoms in a primary care sample. METHOD: In this study, we assessed depression symptoms and other variables at 3 time points over the course of 6 months in 103 primary care patients with elevated depression symptoms at baseline. Data collection occurred from May 2004 to September 2007. RESULTS: Individuals with lower income levels and those who were not married had a poorer course of depression, as assessed by Center for Epidemiologic Studies Depression Scale score, over time. Several variables fluctuated in concert with depression symptoms within individuals over time. As depression symptoms improved, family functioning, problem-solving, pain, and general health perceptions also improved. A multivariate analysis showed that problem-solving and general health perceptions predicted significant (P < .001) unique variance in fluctuations in depression symptoms within individuals. CONCLUSIONS: Care management programs for primary care depression may benefit from the inclusion of psychosocial interventions that directly target variables closely linked to depression, such as problem-solving and general health perceptions. In addition, special efforts must be made to help depressed individuals with low income and less social support.
OBJECTIVE: The aims of this study were to examine correlates of depression symptoms, baseline predictors of change in depression symptoms, and time-varying predictors of depression symptoms in a primary care sample. METHOD: In this study, we assessed depression symptoms and other variables at 3 time points over the course of 6 months in 103 primary care patients with elevated depression symptoms at baseline. Data collection occurred from May 2004 to September 2007. RESULTS: Individuals with lower income levels and those who were not married had a poorer course of depression, as assessed by Center for Epidemiologic Studies Depression Scale score, over time. Several variables fluctuated in concert with depression symptoms within individuals over time. As depression symptoms improved, family functioning, problem-solving, pain, and general health perceptions also improved. A multivariate analysis showed that problem-solving and general health perceptions predicted significant (P < .001) unique variance in fluctuations in depression symptoms within individuals. CONCLUSIONS: Care management programs for primary care depression may benefit from the inclusion of psychosocial interventions that directly target variables closely linked to depression, such as problem-solving and general health perceptions. In addition, special efforts must be made to help depressed individuals with low income and less social support.
Authors: Jürgen Unützer; Wayne Katon; Christopher M Callahan; John W Williams; Enid Hunkeler; Linda Harpole; Marc Hoffing; Richard D Della Penna; Polly Hitchcock Noël; Elizabeth H B Lin; Patricia A Areán; Mark T Hegel; Lingqi Tang; Thomas R Belin; Sabine Oishi; Christopher Langston Journal: JAMA Date: 2002-12-11 Impact factor: 56.272
Authors: Jeanne Miranda; Joyce Y Chung; Bonnie L Green; Janice Krupnick; Juned Siddique; Dennis A Revicki; Tom Belin Journal: JAMA Date: 2003-07-02 Impact factor: 56.272
Authors: Allen J Dietrich; Thomas E Oxman; John W Williams; Herbert C Schulberg; Martha L Bruce; Pamela W Lee; Sheila Barry; Patrick J Raue; Jean J Lefever; Moonseong Heo; Kathryn Rost; Kurt Kroenke; Martha Gerrity; Paul A Nutting Journal: BMJ Date: 2004-09-02
Authors: Matthew J Bair; Rebecca L Robinson; George J Eckert; Paul E Stang; Thomas W Croghan; Kurt Kroenke Journal: Psychosom Med Date: 2004 Jan-Feb Impact factor: 4.312
Authors: Lisa A Uebelacker; Risa B Weisberg; Debra S Herman; Genie L Bailey; Megan M Pinkston-Camp; Michael D Stein Journal: Pain Med Date: 2015-06-27 Impact factor: 3.750