Depression in a primary care clinic: the prevalence and impact of an unrecognized disorder.

Abstract:

BACKGROUND:This study assesses depression among primary care patients, the relationship between depression and functioning, and how frequently depressed individuals receive mental health treatment. METHODS:Two hundred and thirteen participants completed a diagnostic interview and measures of functional impairment and service utilization. RESULTS:Sixty-two clinic patients were depressed, and depressed individuals experienced significant functional impairment even after controlling for comorbid anxiety disorders and medical problems. However, less than 40% of depressed individuals were receiving treatment for depression. Severity of impairment was related to likelihood of receiving mental health services. LIMITATIONS:Several factors to consider when evaluating this study are the cross-sectional design, use of self-report data, and lack of random sampling. CONCLUSIONS:These results show that depression has a unique and significant impact on the functioning of primary care patients, and emphasize the need for identification of depressive disorders in primary care.

journal_name

J Affect Disord

authors

McQuaid JR,Stein MB,Laffaye C,McCahill ME

doi

10.1016/s0165-0327(98)00191-8

subject

Has Abstract

pub_date

1999-09-01 00:00:00

pages

1-10

issue

1

eissn

0165-0327

issn

1573-2517

pii

S0165-0327(98)00191-8

journal_volume

55

pub_type

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