Adequacy of antidepressant treatment in Spanish primary care: a naturalistic six-month follow-up study

Psychiatric Services : a Journal of the American Psychiatric Association
Alejandra Pinto-MezaJ M Haro

Abstract

This study evaluated the adequacy of pharmacological antidepressant treatment in major depressive episodes prescribed in 16 Spanish primary care centers, both during the acute phase of treatment and after the first three months of the continuation phase, under real-world naturalistic conditions (usual care). Factors that could be associated with adequacy of care also were explored. A total of 333 patients from primary care who began pharmacological antidepressant treatment were followed up for six months. Treatment adequacy and associated factors were evaluated. Between 27% and 32% of patients received adequate antidepressant treatment during the acute phase. Percentages of adequacy were between 21% and 25% when considering the acute phase and the first three months of the continuation phase. Psychiatric consultations were found to be associated with treatment adequacy. In state-funded Spanish primary care centers, antidepressant treatment adequacy was poor during both the acute phase and the first three months of the continuation phase. Primary care physicians prescribed suggested antidepressants, mostly as recommended (99%) and at adequate dosages. However, they did not perform the recommended number of follow-up sessions and...Continue Reading

Citations

Dec 12, 2012·European Neuropsychopharmacology : the Journal of the European College of Neuropsychopharmacology·Maria Rubio-ValeraAntoni Serrano-Blanco
Apr 1, 2014·Journal of Affective Disorders·Enric AragonèsJuan Cabasés
Mar 26, 2014·Annals of Behavioral Medicine : a Publication of the Society of Behavioral Medicine·Monica L WangMilagros C Rosal
Sep 19, 2012·BMC Psychiatry·Arnaud DuhouxPasquale Roberge
Mar 22, 2012·Value in Health : the Journal of the International Society for Pharmacoeconomics and Outcomes Research·Joel W HayJeffrey J Guterman
Jul 12, 2014·Journal of Affective Disorders·Enric AragonèsGermán López-Cortacans
Aug 27, 2013·Canadian Journal of Psychiatry. Revue Canadienne De Psychiatrie·Marilyn A Craven, Roger Bland
Aug 24, 2017·BMC Research Notes·Victoire MassambaMichel Préville

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