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Titolo:
Improving the recognition and management of depression - Is there a role for physician education?
Autore:
Gerrity, MS; Cole, SA; Dietrich, AJ; Barrett, JE;
Indirizzi:
Oregon Hlth Sci Univ, Dept Med, Portland, OR 97201 USA Oregon Hlth Sci Univ Portland OR USA 97201 pt Med, Portland, OR 97201 USA Portland Vet Adm Med Ctr, Portland, OR USA Portland Vet Adm Med Ctr Portland OR USA t Adm Med Ctr, Portland, OR USA Long Isl Jewish Med Ctr, Dept Psychiat, New Hyde Park, NY USA Long Isl Jewish Med Ctr New Hyde Park NY USA hiat, New Hyde Park, NY USA Care management Grp Greater New York Inc, New Hyde Park, NY USA Care management Grp Greater New York Inc New Hyde Park NY USA rk, NY USA Oregon Hlth Sci Univ, Dept Community, Portland, OR 97201 USA Oregon Hlth Sci Univ Portland OR USA 97201 munity, Portland, OR 97201 USA Oregon Hlth Sci Univ, Dept Family Med, Portland, OR 97201 USA Oregon Hlth Sci Univ Portland OR USA 97201 ly Med, Portland, OR 97201 USA
Titolo Testata:
JOURNAL OF FAMILY PRACTICE
fascicolo: 12, volume: 48, anno: 1999,
pagine: 949 - 957
SICI:
0094-3509(199912)48:12<949:ITRAMO>2.0.ZU;2-O
Fonte:
ISI
Lingua:
ENG
Soggetto:
RANDOMIZED CLINICAL-TRIAL; PRIMARY-CARE PHYSICIANS; GENERAL-PRACTITIONERS; STANDARDIZED PATIENTS; PSYCHIATRIC-CONSULTATION; COMMUNICATION-SKILLS; TREATING DEPRESSION; EMOTIONAL DISTRESS; MEDICAL OUTCOMES; DISORDERS;
Keywords:
depression; education; communication;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Citazioni:
67
Recensione:
Indirizzi per estratti:
Indirizzo: Gerrity, MS Oregon Hlth Sci Univ, Dept Med, OP30,3181 SW Sam Jackson Pk Rd, Portland, OR 97201 USA Oregon Hlth Sci Univ OP30,3181 SW Sam Jackson Pk Rd Portland OR USA 97201
Citazione:
M.S. Gerrity et al., "Improving the recognition and management of depression - Is there a role for physician education?", J FAM PRACT, 48(12), 1999, pp. 949-957

Abstract

BACKGROUND. Many patients who visit primary care physicians suffer from depression, but physicians may miss the diagnosis or undertreat these patients. Improving physicians' communication skills pertaining to diagnosing and managing depression may lead to better outcomes. METHODS. We performed a randomized controlled trial involving 49 primary care physicians to determine the effect of the Depression Education Program on their knowledge of depression and their behavior toward depressed patients. After randomization, physicians in the intervention group completed theDepression Education Program, which consists of 2 4-hour interactive workshops that combine lectures, discussion, audiotape review, and role-playing. Between sessions, physicians audiotaped an interview with one of their patients. Two to 6 weeks following the intervention program, physicians completed a knowledge test and received office visits from 2 unannounced people acting as standardized patients with major depression. These "patients" completed a checklist and scales. Logistic and linear regression were used to controlfor sex, specialty, and suspicion that the patient was a standardized patient. RESULTS. For both standardized patients, more intervention physicians thancontrol physicians asked about stresses at home, and they also scored higher on the Participatory Decision-Making scale. During the office visits of one of the standardized patients, more intervention physicians asked about at least 5 criteria for major depression (82% and 38%, P = .006), discussedthe possibility of depression (96% and 65%, P = .049), scheduled a return visit within 2 weeks (67% and 33%, P = .004), and scored higher than control physicians on the Patient Satisfaction scale (40.3 and 35.5, P = .014). CONCLUSIONS. The Depression Education Program changed physicians' behaviorand may be an important component in the efforts to improve the care of depressed patients.

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Documento generato il 31/03/20 alle ore 18:59:37