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Prevention of major depression in complex medically ill patients: Preliminary results from a randomized, controlled trial
- Source :
- Psychosomatics, 50(3), 227-233. American Psychiatric Publishing Inc., Psychosomatics, 50(3), 227-233. ELSEVIER SCIENCE INC
- Publication Year :
- 2009
-
Abstract
- Background: Depression is highly prevalent in patients with physical illness and is associated with a diminished quality of life and poorer medical outcomes. Objective: The authors evaluated whether a multifaceted intervention conducted by a psychiatric consultation-liaison nurse could reduce the incidence of major depression in rheumatology inpatients and diabetes outpatients with a high level of case complexity. Method: Of 247 randomized patients, the authors identified 100 patients with a high level of case complexity at baseline and without major depression (65 rheumatology and 35 diabetes patients). Patients were randomized to usual care (N = 53) or to a nurse-led intervention (N = 47). Main outcomes were the incidence of major depression and severity of depressive symptoms during a 1-year follow-up, based on quarterly assessments with standardized psychiatric interviews. Results: The incidence of major depression was 63% in usual-care patients and 36% in the intervention group. Effects of intervention on depressive symptoms were observed in outpatients with diabetes but not in rheumatology inpatients. Conclusion: These preliminary results based on subgroup analysis suggest that a multifaceted nurse-led intervention may prevent the occurrence of major depression in complex medically ill patients and reduce depressive symptoms in diabetes outpatients. (Psychosomatics 2009; 50: 227-233)
- Subjects :
- Male
Fibromyalgia
Kaplan-Meier Estimate
law.invention
Arthritis, Rheumatoid
DOUBLE-BLIND
0302 clinical medicine
Randomized controlled trial
Quality of life
law
Adaptation, Psychological
LENGTH
030212 general & internal medicine
Referral and Consultation
Applied Psychology
Depression (differential diagnoses)
Sertraline
Incidence (epidemiology)
Psychosomatics
Sick Role
Middle Aged
Combined Modality Therapy
HEALTH-SERVICE NEEDS
HOSPITAL STAY
3. Good health
Psychiatry and Mental health
Treatment Outcome
RELIABILITY
Female
medicine.drug
Adult
medicine.medical_specialty
DISORDERS
Pain
Subgroup analysis
Psychiatric Nursing
SERTRALINE
03 medical and health sciences
Arts and Humanities (miscellaneous)
Internal medicine
Rheumatic Diseases
medicine
Diabetes Mellitus
Humans
Aged
Patient Care Team
Depressive Disorder, Major
business.industry
INPATIENTS
CARE
medicine.disease
030227 psychiatry
LIFE
Psychotherapy
Physical therapy
Patient Compliance
business
Follow-Up Studies
Subjects
Details
- Language :
- English
- ISSN :
- 00333182
- Database :
- OpenAIRE
- Journal :
- Psychosomatics, 50(3), 227-233. American Psychiatric Publishing Inc., Psychosomatics, 50(3), 227-233. ELSEVIER SCIENCE INC
- Accession number :
- edsair.doi.dedup.....20e93f4367f836384119b3a3fa0a905b