|
| | |
|
Am J Psychiatry 1991; 148:1688-1696
Copyright © 1991 by American Psychiatric Association
How the medical comorbidity of depressed patients differs across health care settings: results from the Medical Outcomes Study
KB Wells, W Rogers, A Burnam, S Greenfield and JE Ware Jr
RAND Corporation, Santa Monica, CA 90407-2138.
OBJECTIVE: Although depression is one of the most common problems of
medical and psychiatric outpatients, it has not been clear whether the
extent of medical comorbidity among depressed patients varies across major
types of clinical settings in which depressed patients receive
care--especially by type of treating clinician (general medical versus
mental health specialty) or type of payment for services (prepaid versus
fee-for-service). METHODS: The authors examined these issues using data on
1,152 adult outpatients with current depressive symptoms and a lifetime
history of unipolar depressive disorder who received care in one of three
health care delivery systems in three U.S. sites. RESULTS: Depressed
patients had a similarly high prevalence (64.9%- 71.0%) of any of eight
common chronic medical conditions whether they were seen in the general
medical or specialty mental health sector; however, those visiting medical
clinicians had a significantly higher prevalence of the two most common
chronic medical conditions, hypertension and arthritis. Among depressed
patients with hypertension, those visiting the general medical sector were
more likely to be taking antihypertensive medication than were those
visiting the mental health specialty sector. Type of payment (prepaid
versus fee-for-service) was unrelated to either prevalence or severity of
comorbid medical conditions, suggesting that the typical depressed patient
in all types of practices studied had medical comorbidity. CONCLUSIONS:
These data suggest that clinicians in all health care settings must be
prepared to encounter chronic medical conditions and complaints in the
depressed patients who visit them.
This article has been cited by other articles:
|
|
|
|
 
D. Mittal, J. C. Fortney, J. M. Pyne, M. J. Edlund, and J. L. Wetherell
Impact of Comorbid Anxiety Disorders on Health-Related Quality of Life Among Patients With Major Depressive Disorder
Psychiatr Serv,
December 1, 2006;
57(12):
1731 - 1737.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
M. W. Ketterer, L. Wulsin, J. J. Cao, J. Schairer, A. Hakim, M. Hudson, S. J. Keteyian, S. Khanal, V. Clark, and W. D. Weaver
"Major" Depressive Disorder, Coronary Heart Disease, and the DSM-IV Threshold Problem
Psychosomatics,
February 1, 2006;
47(1):
50 - 55.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
H. R. Bogner, M. S. Cary, M. L. Bruce, C. F. Reynolds III, B. Mulsant, T. T. Have, G. S. Alexopoulos, and The PROSPECT Group
The Role of Medical Comorbidity in Outcome of Major Depression in Primary Care: The PROSPECT Study
Am J Geriatr Psychiatry,
October 1, 2005;
13(10):
861 - 868.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
D. E. Grembowski, D. L. Patrick, B. Williams, P. Diehr, and D. P. Martin
Managed Care and Patient-Rated Quality of Care from Primary Physicians
Med Care Res Rev,
February 1, 2005;
62(1):
31 - 55.
[Abstract]
[PDF]
|
|
|
|
|
|
|
A. Sciolla, T. L. Patterson, J. L. Wetherell, L. A. McAdams, and D. V. Jeste
Functioning and Well-Being of Middle-Aged and Older Patients With Schizophrenia: Measurement With the 36-Item Short-Form (SF-36) Health Survey
Am J Geriatr Psychiatry,
December 1, 2003;
11(6):
629 - 637.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
D. CHISHOLM, P. DIEHR, M. KNAPP, D. PATRICK, M. TREGLIA, and G. SIMON
Depression status, medical comorbidity and resource costs: Evidence from an international study of major depression in primary care (LIDO)
The British Journal of Psychiatry,
August 1, 2003;
183(2):
121 - 131.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
A. K. Koike, J. Unutzer, and K. B. Wells
Improving the Care for Depression in Patients With Comorbid Medical Illness
Am J Psychiatry,
October 1, 2002;
159(10):
1738 - 1745.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
G. C. Smith, D. M. Clarke, D. Handrinos, and D. P. McKenzie
Consultation-Liaison Psychiatrists' Use of Antidepressants in the Physically Ill
Psychosomatics,
June 1, 2002;
43(3):
221 - 227.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
T. L. Harralson, T. M. White, A. C. Regenberg, M. J. Kallan, T. T. Have, P. A. Parmelee, and J. C. Johnson
Similarities and Differences in Depression Among Black and White Nursing Home Residents
Am J Geriatr Psychiatry,
April 1, 2002;
10(2):
175 - 184.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
S. A. Epstein, J. J. Gonzales, K. Weinfurt, B. Boekeloo, N. Yuan, and G. Chase
Are Psychiatrists' Characteristics Related to How They Care for Depression in the Medically Ill?: Results From a National Case-Vignette Survey
Psychosomatics,
December 1, 2001;
42(6):
482 - 489.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
M. R. DiMatteo, H. S. Lepper, and T. W. Croghan
Depression Is a Risk Factor for Noncompliance With Medical Treatment: Meta-analysis of the Effects of Anxiety and Depression on Patient Adherence
Arch Intern Med,
July 24, 2000;
160(14):
2101 - 2107.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
K. B. Wells and C. D. Sherbourne
Functioning and Utility for Current Health of Patients With Depression or Chronic Medical Conditions in Managed, Primary Care Practices
Arch Gen Psychiatry,
October 1, 1999;
56(10):
897 - 904.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
B. M. Booth, F. C. Blow, and C. A. Loveland Cook
Functional Impairment and Co-occurring Psychiatric Disorders in Medically Hospitalized Men
Arch Intern Med,
July 27, 1998;
158(14):
1551 - 1559.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
G. C. Smith, D. M. Clarke, D. Handrinos, and A. Dunsis
Consultation-Liaison Psychiatrists' Management of Depression
Psychosomatics,
June 1, 1998;
39(3):
244 - 252.
[Abstract]
[Full Text]
|
|
|
Get information about faster international access.
Privacy Policy
Copyright © 1991
American Psychiatric Association.
All rights reserved.
Home
| Search
| Current Issue
| Past Issues
| Subscribe
| All APPI Journals
| Help
| Contact Us
|
