PMID: 9429068Jan 16, 1998Paper

Depression in primary care--more like asthma than appendicitis: the Michigan Depression Project

Canadian Journal of Psychiatry. Revue Canadienne De Psychiatrie
M S KlinkmanJ C Coyne

Abstract

To explore the relationships between detection, treatment, and outcome of depression in the primary care setting, based upon results from the Michigan Depression Project (MDP). A weighted sample of 425 adult family practice patients completed a comprehensive battery of questionnaires exploring stress, social support, overall health, health care utilization, treatment attitudes, self-rated levels of stress and depression, along with the Center for Epidemiologic Studies Depression Scale (CES-D), the Hamilton Rating Scale for Depression (HAM-D), and the Structured Clinical Interview for DSM-III (SCID), which served as the criterion standard for diagnosis. A comparison sample of 123 depressed psychiatric outpatients received the same assessment battery. Family practice patients received repeated assessment of depressive symptoms, stress, social support, and health care utilization over a period of up to 60 months of longitudinal follow-up. The central MDP findings confirm that significant differences in past history, severity, and impairment exist between depressed psychiatric and family practice patients, that detection rates are significantly higher for severely depressed primary care patients, and that clinicians use clinical cu...Continue Reading

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Citations

Apr 20, 2007·Journal of General Internal Medicine·Robert C Smith, Francesca C Dwamena
Dec 13, 2006·International Journal of Psychiatry in Medicine·Donald E NeaseJames E Aikens
May 12, 2007·BMC Family Practice·Gail Gilchrist, Jane Gunn
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Jun 22, 2002·International Journal of Psychiatry in Medicine·Joseph J GalloUNKNOWN Quality Improvement for Depression Consortium

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