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The benefits of a broader perspective in case-finding for disease management of depression
 — early lessons from the PROSPECT Study
Author(s)James C Coyne, Gregory Brown, Catherine Datto
Corporate AuthorPROSPECT Study Group
Journal titleInternational Journal of Geriatric Psychiatry, vol 16, no 6, June 2001
Pagespp 570-576
KeywordsDepression ; Drugs ; General practice ; United States of America.
AnnotationThe PROSPECT (Prevention of Suicide in Primary Care Elderly - Collaborative Trial) evaluates collaborative care for the treatment of current depressive disorders in older primary care patients. Using screening data, the authors evaluate implications of expanding the focus to additional patients who report taking psychotropic medication or having a history of depression. Some 13.8% of the patients screened were taking a psychotropic medication, and 7.3% were both taking an antidepressant and had a Center for Epidemiologic Studies - Depression Scale (CES-D) score of >15. Patients who reported current antidepressant use and those with a history of depression that had elevated CES-D scores. Conversely, most patients having an elevated CES-D score also reported taking an antidepressant or having a history of depression. These latter criteria for potential caseness yielded a larger number of patients than those identified by CES-D alone. (RH).
Accession NumberCPA-010716208 A
ClassmarkENR: LLD: L5: 7T

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