Depression diagnosis and antidepressant treatment among depressed VA primary care patients

Chuan Fen Liu; Duncan G. Campbell; Edmund F. Chaney; Yu Fang Li; Mary McDonell; Stephan D. Fihn

doi:10.1007/s10488-006-0043-5

Depression diagnosis and antidepressant treatment among depressed VA primary care patients

Chuan Fen Liu
, Duncan G. Campbell
, Edmund F. Chaney
, Yu Fang Li
, Mary McDonell
, Stephan D. Fihn

Psychology

Research output: Contribution to journal › Article › peer-review

31 Scopus citations

Abstract

This study examined the extent to which 3559 VA primary care patients with depression symptomatology received depression diagnoses and/or antidepressant prescriptions. Symptomatology was classified as mild (13%), moderate (42%) or severe (45%) based on SCL-20 scores. Diagnosis and treatment was related to depression severity and other patient characteristics. Overall, 44% were neither diagnosed nor treated. Only 22% of those neither diagnosed nor treated for depression received treatment for other psychopathology. Depression treatment performance measures dependent on diagnoses and antidepressant prescriptions from administrative databases exclude undiagnosed patients with significant, treatable, symptomatology.

Original language	English
Pages (from-to)	331-341
Number of pages	11
Journal	Administration and Policy in Mental Health and Mental Health Services Research
Volume	33
Issue number	3
DOIs	https://doi.org/10.1007/s10488-006-0043-5
State	Published - May 2006

Funding

Acknowledgements The research reported here was supported by Department of Veterans Affairs, Veterans Health Administration, Health Services Research and Development (HSR&D) Service, LIP 61-520, SDR 96-002, and IIR 99-376. Additional support was provided by an HSR&D Postdoctoral Traineeship (Campbell). Drs. Liu, Chaney, and Fihn are presently investigators at the VA Puget Sound Health Care System’s HSR&D Center of Excellence. Dr. Campbell was an HSR&D Fellow and is currently on the Psychology faculty of the University of Montana, Missoula. The views expressed in this article are those of the authors and do not necessarily represent the views of the Department of Veterans Affairs or the University of Washington.

Funder number
SDR 96-002, IIR 99-376, LIP 61-520

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

SDG 3 Good Health and Well-being

Keywords

Antidepressant treatment
Depression
Depression diagnosis
Primary care patients
Veterans

Access to Document

10.1007/s10488-006-0043-5

Cite this

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title = "Depression diagnosis and antidepressant treatment among depressed VA primary care patients",

abstract = "This study examined the extent to which 3559 VA primary care patients with depression symptomatology received depression diagnoses and/or antidepressant prescriptions. Symptomatology was classified as mild (13\%), moderate (42\%) or severe (45\%) based on SCL-20 scores. Diagnosis and treatment was related to depression severity and other patient characteristics. Overall, 44\% were neither diagnosed nor treated. Only 22\% of those neither diagnosed nor treated for depression received treatment for other psychopathology. Depression treatment performance measures dependent on diagnoses and antidepressant prescriptions from administrative databases exclude undiagnosed patients with significant, treatable, symptomatology.",

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note = "Funding Information: Acknowledgements The research reported here was supported by Department of Veterans Affairs, Veterans Health Administration, Health Services Research and Development (HSR\&D) Service, LIP 61-520, SDR 96-002, and IIR 99-376. Additional support was provided by an HSR\&D Postdoctoral Traineeship (Campbell). Drs. Liu, Chaney, and Fihn are presently investigators at the VA Puget Sound Health Care System{\textquoteright}s HSR\&D Center of Excellence. Dr. Campbell was an HSR\&D Fellow and is currently on the Psychology faculty of the University of Montana, Missoula. The views expressed in this article are those of the authors and do not necessarily represent the views of the Department of Veterans Affairs or the University of Washington.",

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AU - Fihn, Stephan D.

N1 - Funding Information: Acknowledgements The research reported here was supported by Department of Veterans Affairs, Veterans Health Administration, Health Services Research and Development (HSR&D) Service, LIP 61-520, SDR 96-002, and IIR 99-376. Additional support was provided by an HSR&D Postdoctoral Traineeship (Campbell). Drs. Liu, Chaney, and Fihn are presently investigators at the VA Puget Sound Health Care System’s HSR&D Center of Excellence. Dr. Campbell was an HSR&D Fellow and is currently on the Psychology faculty of the University of Montana, Missoula. The views expressed in this article are those of the authors and do not necessarily represent the views of the Department of Veterans Affairs or the University of Washington.

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KW - Depression diagnosis

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KW - Veterans

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Depression diagnosis and antidepressant treatment among depressed VA primary care patients

Abstract

Funding

UN SDGs

Keywords

Access to Document

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