Disparity in use of psychotherapy offered in primary care between older african-american and white adults: results from a practice-based depression intervention trial.

Journal of the American Geriatrics Society
Jin Hui JooJoseph J Gallo

Abstract

The purpose of this study was to assess ethnic differences in use of psychotherapy (having met at least once with a psychotherapist) for late-life depression in primary care. Participants were identified through a two-stage, age-stratified (60-74, > or =75) depression screening of randomly sampled patients from 20 practices in New York City, Philadelphia, and Pittsburgh in a practice-randomized trial. Practices were randomly assigned to usual care or to an intervention with a depression care manager who worked with primary care physicians to provide algorithm-based care. Depression status based on clinical interview and any use of psychotherapy within the 2-year follow-up interval were the primary dependent variables under study. The focus was on 582 persons with complete data. Participants were sorted into major depression (n=385, 112 African American and 273 white) and clinically significant minor depression (n=197, 51 African American and 146 white) based on clinical diagnostic assessment. Persons who self-identified as African American were less likely than whites to use interpersonal therapy (IPT) if they had minor depression, even after adjusting for potentially influential variables including age, cognitive functioning, ...Continue Reading

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Citations

Oct 5, 2011·Psychotherapy and Psychosomatics·Matthew M BurgKarina W Davidson
Jul 20, 2014·Clinics in Geriatric Medicine·Patricia A Arean, Grace Niu
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Aug 23, 2021·The American Journal of Geriatric Psychiatry : Official Journal of the American Association for Geriatric Psychiatry·Jin Hui JooConstantine Lyketsos

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