Abstract
A multifaceted intervention consisting of collaborative management by the primary care physician and a consulting psychiatrist, intensive patient education, and surveillance of continued refills of antidepressant medication improved adherence to antidepressant regimens in patients with major and with minor depression. It improved satisfaction with care and resulted in more favorable depressive outcomes in patients with major, but not minor, depression.
Keywords
MedicineDepression (economics)Randomized controlled trialManagement of depressionGuidelineAntidepressantIntervention (counseling)Primary careCollaborative CareAntidepressant medicationEmergency medicinePhysical therapyPsychiatryFamily medicineInternal medicineAnxiety
Affiliated Institutions
Related Publications
Sustainability of collaborative care interventions in primary care settings
• Summary: We assessed patient and provider barriers and facilitators to sustainability of a collaborative depression care model for depression treatment in predominantly Hispan...
A Randomized Trial to Improve Self-Management Practices of Adults With Asthma
The prevalence and impact of adult asthma are substantial, and poor self-management practices, especially failures to adhere to treatment regimens, appear to be a significant pr...
Utility of a new procedure for diagnosing mental disorders in primary care. The PRIME-MD 1000 study
<h3>Objective.</h3> —To assess the validity and utility of PRIME-MD (Primary Care Evaluation of Mental Disorders), a new rapid procedure for diagnosing mental disorders by prima...
The anatomy of melancholia – focal abnormalities of cerebral blood flow in major depression
Synopsis Using positron emission tomography (PET) and 15 Oxygen, regional cerebral blood flow (rCBF) was measured in 33 patients with primary depression, 10 of whom had an assoc...
Neuroendocrine Response to L-5-Hydroxytryptophan Challenge in Prepubertal Major Depression
The neuroendocrine response to L-5-hydroxytryptophan was compared in 37 prepubertal children who met the Research Diagnostic Criteria for major depressive disorder with that in ...
Publication Info
- Year
- 1995
- Type
- article
- Volume
- 273
- Issue
- 13
- Pages
- 1026-1026
- Citations
- 1395
- Access
- Closed
External Links
Social Impact
Altmetric
PlumX Metrics
Social media, news, blog, policy document mentions
Citation Metrics
1395
OpenAlex
Cite This
Wayne Katon
(1995).
Collaborative Management to Achieve Treatment Guidelines.
JAMA
, 273
(13)
, 1026-1026.
https://doi.org/10.1001/jama.1995.03520370068039
Identifiers
- DOI
- 10.1001/jama.1995.03520370068039