The Role of the Primary Care Physician in Patientsʼ Adherence to Antidepressant Therapy

Lin, Enmoore; M, Von Korff; Katon, Wayne; Bush, Terry; Ge, Simon; Walker, Edward A.; Robinson, Patricia J.

doi:10.1097/00005650-199501000-00006

Cited by 498 publications

(343 citation statements)

References 16 publications

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“…Even if a therapeutic dose was prescribed, a number either did not take it or had stopped taking it after only a short period. This poor adherence to antidepressant drug therapy has been previously noted (Lin et al, 1995). The implication is that prescribing is not enough -explanation and monitoring are also required.…”

Section: Unmet Treatment Needmentioning

confidence: 64%

Major depression in outpatients attending a regional cancer centre: screening and unmet treatment needs

et al. 2004

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A screening programme designed to identify cases of Major Depressive Disorder (MDD) in patients attending a Regional Cancer Centre outpatient department was established. It comprised two stages: (1) The Hospital Anxiety and Depression Scale (HADS) selfrating questionnaire administered by a touch-screen computer; (2) we interviewed patients with high scores on the HADS (15 or more total score) over the telephone using the depression section of the Structured Clinical Interview for DSMIV (SCID). A large consecutive sample (5613) of oncology clinic attenders was screened, and practical difficulties in the screening process were identified. The estimated prevalence of major depressive disorder (MDD) in the sample surveyed was approximately 8% (7.8%; 95% confidence intervals 6.9 -8.5%). We assessed a consecutive series of 150 patients identified as having MDD to determine how many had received evidence-based treatment for MDD. Only half had discussed their low mood with their general practitioner, only onethird had been prescribed any antidepressant medication, and very few had taken a therapeutic dose for an adequate period. Very few had received psychological treatment or had been referred to mental health services. Most were receiving no potentially effective therapy.

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Section: Unmet Treatment Needmentioning

confidence: 64%

Major depression in outpatients attending a regional cancer centre: screening and unmet treatment needs

et al. 2004

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“…PCP counsels patient for depression, n (%) 44 (22) 17 (25) 14 ( depressed individuals are often nonadherent with recommended care 8,44 and EMR systems that typically provide feedback to the physician are unable to directly activate patients to participate in their own treatment.…”

Section: Discussionmentioning

confidence: 99%

A randomized trial using computerized decision support to improve treatment of major depression in primary care

et al. 2002

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“…2,9 Premature discontinuation of antidepressant treatment is common, representing one contributor to low rates of adequate depression care. 10,11 We recently reported that 40 % of adults with diabetes prescribed an antidepressant medication did not refill it after the initial dispensing, and two-thirds had discontinued within 12 months of initiating treatment. 12 Both limited health literacy and racial/ethnic minority status were independent risk factors for non-adherence.…”

Section: Introductionmentioning

confidence: 99%

Associations Between Antidepressant Adherence and Shared Decision-Making, Patient–Provider Trust, and Communication Among Adults with Diabetes: Diabetes Study of Northern California (DISTANCE)

et al. 2014

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The Role of the Primary Care Physician in Patientsʼ Adherence to Antidepressant Therapy

Cited by 498 publications

References 16 publications

Major depression in outpatients attending a regional cancer centre: screening and unmet treatment needs

Major depression in outpatients attending a regional cancer centre: screening and unmet treatment needs

A randomized trial using computerized decision support to improve treatment of major depression in primary care

Associations Between Antidepressant Adherence and Shared Decision-Making, Patient–Provider Trust, and Communication Among Adults with Diabetes: Diabetes Study of Northern California (DISTANCE)

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