Treatment of Dysthymia and Minor Depression in Primary Care: A Randomized Controlled Trial in Older Adults

Article Abstract:

The antidepresssant paroxetine appears to be beneficial for patients with minor depression, according to a study of 415 patients. Problem-solving therapy was also effective, but not as effective as drug treatment.

Evaluation, Product/Service Evaluation, Problem-solving therapy, Paroxetine, Paxil (Medication)

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Effect of improving depression care on pain and functional outcomes among older adults with arthritis: a randomized controlled trial

Article Abstract:

Giving antidepressants or psychotherapy to patients with arthritis who are also depressed can benefit them in more ways than one, according to a study of 1,001 patients. Not only did the treatment lessen their depression, it also reduced their pain and improved their overall functioning and quality of life. Depression can have the same impact on disability as heart disease and other chronic diseases.

Patient outcomes, Arthritis

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Collaborative management to achieve treatment guidelines: impact on depression in primary care

Article Abstract:

Depressed patients may respond better to multifaceted treatment than to traditional primary care management. Researchers treated 108 depressed patients with a multifaceted intervention and 109 depressed patients using traditional primary care management. The multifaceted intervention incorporated patient education, collaborative management between the primary care physician and a psychiatrist, and patient monitoring to ensure compliance with drug therapy. Patients with major and minor depression who received the multifaceted treatment were more likely to take their antidepressants as prescribed and reported greater benefits from the medication than traditionally managed patients. Patients in both treatment groups improved significantly during therapy. Those with major depression treated with the multifactorial approach derived greater satisfaction from therapy and experienced fewer and less severe symptoms of depression than traditionally-treated patients.

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