The Natural Course of Adolescent Depression Treatment in the Primary Care Setting
| Autor: | Zachary W. Adams, Leslie A. Hulvershorn, Matthew C. Aalsma, Allison McCord Stafford, Tamila Garbuz, Stephen M. Downs, Dillon J. Etter |
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| Rok vydání: | 2019 |
| Předmět: |
Male
medicine.medical_specialty Adolescent Psychology Adolescent Primary care Symptom assessment Article 03 medical and health sciences 0302 clinical medicine 030225 pediatrics medicine North Carolina Humans Mass Screening 030212 general & internal medicine Medical prescription Referral and Consultation Depression (differential diagnoses) Retrospective Studies Natural course Descriptive statistics Primary Health Care business.industry Depression Continuity of Patient Care Antidepressive Agents Discontinuation Psychotherapy Family medicine Pediatrics Perinatology and Child Health Antidepressant Female business |
| Zdroj: | J Pediatr Health Care |
| ISSN: | 1532-656X |
| Popis: | Introduction Little is known about how adolescents receive depression follow-up in primary care. The purpose of this study was to describe the rates of symptom assessment and depression treatment over time in a group of adolescents screening positive for moderate or severe depression in the primary care setting. Methods Retrospective chart reviews were conducted to gather information related to symptom reassessments, antidepressant prescriptions, psychotherapy referrals, and treatment discontinuation. Descriptive statistics were calculated, and a qualitative content analysis was conducted to determine the reasons for treatment discontinuation. Results Eighty records were reviewed (mean age = 15.3, 73% female, 59% Black). Treatment was initiated for 83% (n = 66) of patients, and 45% (n = 30) of patients discontinued treatment during the review period for a variety of reasons. Discussion To improve adolescents’ adherence to depression treatment, providers should address factors that contribute to treatment discontinuation and use tools to manage depression follow-up care. |
| Databáze: | OpenAIRE |
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