Use of Depression Education Materials to Improve Treatment Compliance of Primary Care Patients

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Abstract

In a collaborative effort between a managed behavioral health organization, a health maintenance organization, and a state employer, this pilot study tested the value of mailing a depression education flyer to primary care patients who were recently prescribed antidepressant medications and an informational letter to their physician. The intervention, designed to improve use of behavioral healthcare services and antidepressant medication adherence, had a moderate impact on consistency of antidepressant medication use and on use of psychotherapy in combination with antidepressant medications. Additionally, intervention patients on combination treatment were more likely to stay on antidepressant medications into the continuation phase of treatment.

References

  1. 1.
    Kessler RC, Berglund P, Demler O, et al. The epidemiology of major depressive disorder: results from the National Comorbidity Survey Replication (NCS-R). Journal of the American Medical Association. 2003;289(23):3095–3105.PubMedCrossRefGoogle Scholar
  2. 2.
    Thase ME. Effectiveness of antidepressants: comparative remission rates. Journal of Clinical Psychiatry. 2003;64(Suppl 2):3–7.Google Scholar
  3. 3.
    Westen D, Morrison K. A multidimensional meta-analysis of treatments for depression, panic, and generalized anxiety disorder: an empirical examination of the status of empirically supported therapies. Journal of Consulting Clinical Psychology. 2001;69(6):875–899.CrossRefGoogle Scholar
  4. 4.
    Casacalenda N, Perry JC, Looper K. Remission in major depressive disorder: a comparison of pharmacotherapy, psychotherapy, and control conditions. American Journal of Psychiatry. 2002;159(8):1354–1360.PubMedCrossRefGoogle Scholar
  5. 5.
    Thase ME, Greenhouse JB, Frank E, et al. Treatment of major depression with psychotherapy or psychotherapy–pharmacotherapy combinations. Archives of General Psychiatry. 1997;54(11):1009–1015.PubMedGoogle Scholar
  6. 6.
    Burnand Y, Andreoli A, Kolatte E, et al. Psychodynamic psychotherapy and clomipramine in the treatment of major depression. Psychiatric Services. 2002;53(5):585–590.PubMedCrossRefGoogle Scholar
  7. 7.
    Pampallona S, Bollini P, Tibaldi G, et al. Combined pharmacotherapy and psychological treatment for depression: a systematic review. Archives of General Psychiatry. 2004;61(7):714–749.PubMedCrossRefGoogle Scholar
  8. 8.
    Dobrez DG, Melfi CA, Croghan TW, et al. Antidepressant treatment for depression: total charges and therapy duration. Journal of Mental Health Policy and Economics. 2000;3(4):187–197.PubMedCrossRefGoogle Scholar
  9. 9.
    de Jonghe F, Kool S, van Aalst G, et al. Combining psychotherapy and antidepressants in the treatment of depression. Journal of Affective Disorders. 2001;64(2–3):217–229.PubMedCrossRefGoogle Scholar
  10. 10.
    Thase ME, Howland RH. Refractory depression: relevance of psychosocial factors and therapies. Psychiatric Annals. 1994;24:232–240.Google Scholar
  11. 11.
    Fava GA, Grandi S, Zielezny M, et al. Cognitive behavioral treatment of residual symptoms in primary major depressive disorder. American Journal of Psychiatry. 1994;151(9):1295–1299.PubMedGoogle Scholar
  12. 12.
    Fava GA, Savron G, Grandi S, et al. Cognitive–behavioral management of drug-resistant major depressive disorder. Journal of Clinical Psychiatry. 1997;58:278–282.PubMedGoogle Scholar
  13. 13.
    Kocsis JH, Rush AJ, Markowitz JC, et al. Continuation treatment of chronic depression: A comparison of nefazodone, cognitive behavioral analysis system of psychotherapy, and their combination. Psychopharmacology Bulletin. 2003;37(4):73–87.PubMedGoogle Scholar
  14. 14.
    Fava GA, Rafanelli C, Grandi S, et al. Six-year outcome for cognitive behavioral treatment of residual symptoms in major depression. American Journal of Psychiatry. 1998;155:1443–1445.PubMedGoogle Scholar
  15. 15.
    Hollon SD, DeRubeis RJ, Shelton RC, et al. Prevention of relapse following cognitive therapy vs. medications in moderate to severe depression. Archives of General Psychiatry. 2005;62(4):417–422.PubMedCrossRefGoogle Scholar
  16. 16.
    Katz SJ, Kessler RC, Lin E, et al. Medication management of depression in the United States and Ontario. Journal of General Internal Medicine. 1998;13(2):77–85.PubMedCrossRefGoogle Scholar
  17. 17.
    Kessler RC, Demler O, Frank RG, et al. Prevalence and treatment of mental disorders, 1990 to 2003. New England Journal of Medicine. 2005;352(24):2515–2523.PubMedCrossRefGoogle Scholar
  18. 18.
    Dwight-Johnson M, Sherbourne CD, Liao D, et al. Treatment preferences among depressed primary care patients. Journal of General Internal Medicine. 2000;15(8):527–534.PubMedCrossRefGoogle Scholar
  19. 19.
    Davidson JR, Meltzer-Brody SE. The underrecognition and undertreatment of depression: what is the breadth and depth of the problem? Journal of Clinical Psychiatry. 1999;60(Suppl 7):4–9.PubMedGoogle Scholar
  20. 20.
    Simon GE, VonKorff M, Rutter C, et al. Randomised trial of monitoring, feedback, and management of care by telephone to improve treatment of depression in primary care. British Medical Journal. 2000;320(7234):550–554.PubMedCrossRefGoogle Scholar
  21. 21.
    Robinson WD, Geske JA, Prest LA, et al. Depression treatment in primary care 2005. Journal of the American Board of Family Practice. 2005;18(2):79–86.PubMedGoogle Scholar
  22. 22.
    Way K, Young CH, Opland E. Antidepressant utilization patterns in a national managed care organization. Drug Benefit Trends. 1999;11(9):6–11.Google Scholar
  23. 23.
    Schoenbaum M, Unutzer J, Wetzel J, et al. Reasons for use and early discontinuation of antidepressant medication: a pilot study. Paper presented at: Academy Health Meeting June 27, 2003.Google Scholar
  24. 24.
    Lin EH, Von Korff M, Katon W, et al. The role of the primary care physician in patients' adherence to antidepressant therapy. Medical Care. 1995;33(1):67–74.PubMedCrossRefGoogle Scholar
  25. 25.
    Whooley MA, Simon GE. Managing depression in medical outpatients. New England Journal of Medicine. 2000;343(26):1942–1950.PubMedCrossRefGoogle Scholar
  26. 26.
    Solberg LI, Trangle MA, Wineman AP. Follow-up and follow-through of depressed patients in primary care: the critical missing components of quality care. Journal of the American Board of Family Practice. 2005;18(6):520–527.CrossRefPubMedGoogle Scholar
  27. 27.
    Keller MB. The long-term treatment of depression. Journal of Clinical Psychiatry. 1999;60(Suppl 17):41–45.PubMedGoogle Scholar
  28. 28.
    Nierenberg, AA. Management of patients on antidepressant therapy. Journal of Clinical Psychiatry Monograph. 1999;17:22–25.Google Scholar
  29. 29.
    Mundt J, Clarke G, Burroughs D, et al. Effectiveness of antidepressant pharmacotherapy: the impact of medication compliance and patient education. Depression and Anxiety. 2001;13:1–10.PubMedCrossRefGoogle Scholar
  30. 30.
    Ruoff G. A method that dramatically improves patient adherence to depression treatment. Journal of Family Practice. 2005;54(10):846–852.PubMedGoogle Scholar
  31. 31.
    Rost K, Nutting P, Smith J, et al. The role of competing demands in the treatment provided primary care patients with major depression. Archives of Family Medicine. 2000;9(2):150–154.PubMedCrossRefGoogle Scholar
  32. 32.
    Von Korff M, Unutzer J, Katon W, Wells K. Improving care for depression in organized health care systems. Journal of Family Practice. 2001;50(6):530–531.Google Scholar
  33. 33.
    National Center for Health Statistics. Health, United States 2004 With Chartbook on Trends in the Health of Americans. Hyattsville, Maryland, 2004.Google Scholar
  34. 34.
    Greenberg PE, Kessler RC, Birnbaum HG, et al. The economic burden of depression in the United States: how did it change between 1990 and 2000? Journal of Clinical Psychiatry. 2003;64(12):1465–1475.PubMedCrossRefGoogle Scholar
  35. 35.
    Stewart WF, Ricci JA, Chee E, Morganstein D, et al. Lost productive time and cost due to common pain conditions in the US workforce. Journal of the American Medical Association. 2003;290(18):2443–2454.PubMedCrossRefGoogle Scholar

Copyright information

© National Council for Community Behavioral Healthcare 2006

Authors and Affiliations

  1. 1.United Behavioral Health, Behavioral Health SciencesSan FranciscoUSA

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