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Psychosomatics 1995; 36:129-137
Copyright © 1995 by Academy of Psychosomatic Medicine
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ORIGINAL RESEARCH REPORTS |
Major depression in primary care practice. Clinical characteristics and treatment implications
HC Schulberg, MJ Madonia, MR Block, JL Coulehan, CP Scott, E Rodriguez and A Black
University of Pittsburgh School of Medicine, West Penn Hospital.
Major depression is thought to be underdiagnosed and undertreated in
primary medical care facilities. The authors conducted a clinical trial
that included a three-phase assessment so only ambulatory medical patients
judged eligible for treatment of this disorder in medical settings were
recruited. In addition to administering the Center for Epidemiologic
Studies-Depression scale and the Diagnostic Interview Schedule's (DIS)
Depression section, the psychiatrists evaluated the DIS-positive patients.
This third assessment determined that clinical characteristics of
DIS-positive patients were such that 70% of the patients could be treated
for major depression in a primary care setting, 13% should probably be
referred to a mental health facility, and 17% were experiencing conditions
other than major depression.
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