Gaps in depression care: why primary care physicians should hone their depression screening, diagnosis, and management skills

Journal of Occupational and Environmental Medicine
Michelle D Seelig, Wayne J Katon

Abstract

To highlight the potential role that occupational and environmental physicians can play in providing high quality depression care by describing: the profound impact that depression can have on development and persistence of unexplained medical symptoms such as pain; the impact of depression on social and occupational functioning; the adverse effect of comorbid depression in patients with chronic medical illness on self-care and medical outcomes; and the significant direct and indirect costs associated with depression. Literature review. Despite evidence-based treatment guidelines, suboptimal depression care persists. Building on the tenets of the chronic illness care model as well as the principles of public health, three approaches are required to address the gaps between knowledge and practice: 1) improve accuracy of diagnosis; 2) prevent chronic depression; and 3) prevent relapse and recurrence.

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Citations

May 17, 2013·Journal of General Internal Medicine·Wayne J Katon
Mar 19, 2011·The Journal of Ambulatory Care Management·Roger G KatholDeborah Gutteridge
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Apr 12, 2008·Journal of Occupational and Environmental Medicine·Wayne J Katon, Michelle Seelig
Apr 12, 2008·Journal of Occupational and Environmental Medicine·Thomas L Myette
Apr 12, 2008·Journal of Occupational and Environmental Medicine·Garson M Caruso
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