2017
DOI: 10.1111/acem.13261
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Depression and Anxiety Among Emergency Department Patients: Utilization and Barriers to Care

Abstract: Patients identified with internalizing mental health concerns utilize the ED at elevated rates while also reporting the greatest difficulties accessing care. These findings highlight the need for ED interventions aimed at identifying patient mental health concerns, as well as perceived barriers to care, to design interventions to effectively improve continuity of care.

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Cited by 29 publications
(35 citation statements)
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“…We also found that a positive MDD screen was associated with increased subsequent health care utilization during the 1‐year follow‐up period. While associations between depression and health care utilization have been previously reported in the primary care clinic, specialty clinic, elderly ED patient populations, and adult ED patients with abdominal pain, our study represents one of the first reports specific to the general adult ED population …”
Section: Discussionmentioning
confidence: 71%
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“…We also found that a positive MDD screen was associated with increased subsequent health care utilization during the 1‐year follow‐up period. While associations between depression and health care utilization have been previously reported in the primary care clinic, specialty clinic, elderly ED patient populations, and adult ED patients with abdominal pain, our study represents one of the first reports specific to the general adult ED population …”
Section: Discussionmentioning
confidence: 71%
“…In addition, ED visit frequency at 12‐ and 24‐week follow‐up intervals were associated with changes in HAMD scores from baseline . In one prior report in the general adult ED population, patients with moderate or severe depression reported a median of two ED visits in the past 6 months while those who screened negative for depression reported one visit . Notably, that study also documented strong correlations between mental health scores for depression and anxiety and perceived barriers to care …”
Section: Discussionmentioning
confidence: 72%
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“…There was evidence of a mild, but highly statistically significant linear association between the summary score of depression and anxiety level and age of study participants (Spearman's -Filho et al, 2009). In addition, depression and anxiety have been reported to be high among patients attending the emergency departments (Abar et al, 2017). Hence, according to a recent study, severe anxiety was observed in 10% of the patients, whereas moderately severe or severe depression was observed in 12% of the patients (Abar et al, 2017).…”
Section: 7 Respectively)mentioning
confidence: 98%