Skip to main content
release_alert
Welcome to the new Scholars 3.0! Read about new features and let us know what you think.
cancel

Treating major depression in primary care practice: an update of the Agency for Health Care Policy and Research Practice Guidelines.

Publication ,  Journal Article
Schulberg, HC; Katon, W; Simon, GE; Rush, AJ
Published in: Arch Gen Psychiatry
December 1998

The Depression Guideline Panel of the Agency for Health Care Policy and Research in 1993 published recommendations for treating major depression in primary care practice that were often based on studies of tertiary care psychiatric patients. We reviewed reports of randomized controlled trials in primary care settings published between 1992 and 1998. This evidence indicates that both antidepressant pharmacotherapy and time-limited depression-targeted psychotherapies are efficacious when transferred from psychiatric to primary care settings. In most cases, the choice between these treatments should depend on patient preference. Studies to date suggest that improving treatment of depression in primary care requires properly organized treatment programs, regular patient follow-up, monitoring of treatment adherence, and a prominent role for the mental health specialist as educator, consultant, and clinician for the more severely ill. Future research should focus on how guidelines are best implemented in routine practice, since conventional dissemination strategies have little impact.

Duke Scholars

Altmetric Attention Stats
Dimensions Citation Stats

Published In

Arch Gen Psychiatry

DOI

ISSN

0003-990X

Publication Date

December 1998

Volume

55

Issue

12

Start / End Page

1121 / 1127

Location

United States

Related Subject Headings

  • United States Agency for Healthcare Research and Quality
  • United States
  • Treatment Outcome
  • Referral and Consultation
  • Psychotherapy
  • Psychiatry
  • Psychiatry
  • Primary Health Care
  • Practice Guidelines as Topic
  • Humans
 

Citation

APA
Chicago
ICMJE
MLA
NLM
Schulberg, H. C., Katon, W., Simon, G. E., & Rush, A. J. (1998). Treating major depression in primary care practice: an update of the Agency for Health Care Policy and Research Practice Guidelines. Arch Gen Psychiatry, 55(12), 1121–1127. https://doi.org/10.1001/archpsyc.55.12.1121
Schulberg, H. C., W. Katon, G. E. Simon, and A. J. Rush. “Treating major depression in primary care practice: an update of the Agency for Health Care Policy and Research Practice Guidelines.Arch Gen Psychiatry 55, no. 12 (December 1998): 1121–27. https://doi.org/10.1001/archpsyc.55.12.1121.
Schulberg HC, Katon W, Simon GE, Rush AJ. Treating major depression in primary care practice: an update of the Agency for Health Care Policy and Research Practice Guidelines. Arch Gen Psychiatry. 1998 Dec;55(12):1121–7.
Schulberg, H. C., et al. “Treating major depression in primary care practice: an update of the Agency for Health Care Policy and Research Practice Guidelines.Arch Gen Psychiatry, vol. 55, no. 12, Dec. 1998, pp. 1121–27. Pubmed, doi:10.1001/archpsyc.55.12.1121.
Schulberg HC, Katon W, Simon GE, Rush AJ. Treating major depression in primary care practice: an update of the Agency for Health Care Policy and Research Practice Guidelines. Arch Gen Psychiatry. 1998 Dec;55(12):1121–1127.

Published In

Arch Gen Psychiatry

DOI

ISSN

0003-990X

Publication Date

December 1998

Volume

55

Issue

12

Start / End Page

1121 / 1127

Location

United States

Related Subject Headings

  • United States Agency for Healthcare Research and Quality
  • United States
  • Treatment Outcome
  • Referral and Consultation
  • Psychotherapy
  • Psychiatry
  • Psychiatry
  • Primary Health Care
  • Practice Guidelines as Topic
  • Humans