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Title: |
Prognostic factors, course, and outcome of depression among older primary care patients: the PROSPECT study. |
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Reference: |
Aging and Mental Health, 16(4), May 2012, pp.452-461. |
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ISSN paper: |
1360-7863 |
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ISSN online: |
1364-6915 |
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Abstract: |
Major depression describes a clinically diverse set of people; while some patients may respond quickly to treatment, others may have a slower road to recovery. The aim of this study was to examine whether there are patterns of evolving depression symptoms among older primary care patients that are related to prognostic factors and long-term clinical outcomes. The study used data from the PROSPECT study, a multi-site, collaborative study of depression treatment in primary care settings for elderly patients. Primary care practices were randomly assigned to usual care or to an intervention consisting of a depression care manager offering algorithm-based depression care. For this study, 599 adults aged 60 years and older meeting criteria for major depression or clinically significant minor depression were randomly selected. Analysis revealed 3 patterns of change in depression symptoms over 12 months: high persistent course (19.1%); high declining course (14.4%); and low declining course (66.5%). Being in the intervention condition was more likely to be associated with a course of high and declining depression symptoms than high and persistent depression symptoms. Patients with a course of high and persistent depression symptoms were much more likely to have a diagnosis of major depression at 24 months compared with patients with a course of low and declining depression symptoms. |
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Format: |
article; |
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Topics: |
depression; intervention; longitudinal studies; mental health care; older people; outcomes; primary care; |
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Record ID: |
www.scie-socialcareonline.org.uk/profile.asp?guid=1f71e735-23bc-4c83-8b90-92a79c0da652 |
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