NDLI: Antidepressant Prescribing in Primary Care to Older Adults Without Major Depression.

Please wait, while we are loading the content...

Social Stigma Toward Persons With Prescription Opioid Use Disorder: Associations With Public Support for Punitive and Public Health-Oriented Policies.

Primary Care-Mental Health Integration in the VA Health System: Associations Between Provider Staffing and Quality of Depression Care.

Antidepressant Prescribing in Primary Care to Older Adults Without Major Depression.

Low Rates of HIV Testing Among Adults With Severe Mental Illness Receiving Care in Community Mental Health Settings.

If It Works for Pills, Can It Work for Skills? Direct-to-Consumer Social Marketing of Evidence-Based Psychological Treatments.

Off-Label Prescribing of Psychotropic Medication, 2005-2013: An Examination of Potential Influences.

Insurance Coverage and Treatment Use Under the Affordable Care Act Among Adults With Mental and Substance Use Disorders.

Follow-Up Care After Emergency Department Visits for Mental and Substance Use Disorders Among Medicaid Beneficiaries.

Predictors of Hospital Length and Cost of Stay in a National Sample of Adult Patients with Psychotic Disorders.

Trust in Mental Health Clinicians Among Patients Who Access Clinical Notes Online.

The Cumulative Burden of Mental, Substance Use, and General Medical Disorders and Rehospitalization and Mortality After an Injury.

Violence to Others, Violent Self-Victimization, and Violent Victimization by Others Among Persons With a Mental Illness.

System Transformation Under the California Mental Health Services Act: Implementation of Full-Service Partnerships in L.A. County.

Effects of Sustained Competitive Employment on Psychiatric Hospitalizations and Quality of Life.

Organizational Justice and Collaboration Among Nurses as Correlates of Violent Assaults by Patients in Psychiatric Care.

Addressing Mental Health Needs: Perspectives of African Americans Living in the Rural South.

Increased Treatment Complexity for Major Depressive Disorder for Inpatients With Comorbid Personality Disorder.

Homeless Veterans' Use of Peer Mentors and Effects on Costs and Utilization in VA Clinics.

Service Use in the Month and Year Prior to Suicide Among Adults Enrolled in Ohio Medicaid.

Care Provision and Prescribing Practices of Physicians Treating Children and Adolescents With ADHD.

Prescribing of Clozapine and Antipsychotic Polypharmacy for Schizophrenia in a Large Medicaid Program.

National Rates and Patterns of Depression Screening in Primary Care: Results From 2012 and 2013.

Should Mental Disorders Be a Basis for Physician-Assisted Death?

Factors Associated With Outpatient Visit Attendance After Discharge From Inpatient Psychiatric Units in a New York City Hospital.

PTSD Care Among Veterans With and Without Co-Occurring Substance Use Disorders.

Variation in Veteran Identity as a Factor in Veteran-Targeted Interventions.

Home-Based Outpatient Telepsychiatry to Improve Adherence With Treatment Appointments: A Pilot Study.

Mental Illness-Related Stigma in Canadian Military and Civilian Populations: A Comparison Using Population Health Survey Data.

Effects of Outpatient Aftercare on Psychiatric Rehospitalization Among Children and Emerging Adults in Alberta, Canada.

Beyond 'Med Management'.

Sustaining Housing First After a Successful Research Demonstration Trial: Lessons Learned in a Large Urban Center.

Veterans' Mental Health in Higher Education Settings: Services and Clinician Education Needs.

Nonpsychiatric Outpatient Care for Adults With Serious Mental Illness in California: Who Is Being Left Behind?

The Transition to the Adult Health Care System Among Youths With Autism Spectrum Disorder.

Mechanism of Action for Obtaining Job Offers With Virtual Reality Job Interview Training.

Universal Depression Screening to Improve Depression Outcomes in Primary Care: Sounds Good, But Where Is the Evidence?

Discussing Out-of-Pocket Expenses During Clinical Appointments: An Observational Study of Patient-Psychiatrist Interactions.

Outcomes of Offenders With Co-Occurring Substance Use Disorders and Mental Disorders.

An Observational Study of Service Dogs for Veterans With Posttraumatic Stress Disorder.

Year: 2016 Volume: 67

Year: 2015 Volume: 66

Year: 2014 Volume: 65

Year: 2013 Volume: 64

Year: 2012 Volume: 63

Year: 2011 Volume: 62

Year: 2010 Volume: 61

Year: 2009 Volume: 60

Year: 2008 Volume: 59

Year: 2007 Volume: 58

Year: 2006 Volume: 57

Year: 2005 Volume: 56

Year: 2004 Volume: 55

Year: 2003 Volume: 54

Year: 2002 Volume: 53

Year: 2001 Volume: 52

Antidepressant Prescribing in Primary Care to Older Adults Without Major Depression.

Content Provider	World Health Organization (WHO)-Global Index Medicus
Author	Maust, Donovan T. Sirey, Jo Anne Kales, Helen C.
Description	Author Affiliation: Maust DT ( Dr. Maust and Dr. Kales are with the Department of Psychiatry, University of Michigan, and the U.S. Department of Veterans Affairs (VA) Center for Clinical Management Research, VA Ann Arbor Healthcare System, both in Ann Arbor (e-mail: maustd@umich.edu ). Dr. Sirey is with the Department of Psychiatry, Weill Cornell Medical College, White Plains, New York.); Sirey JA ( Dr. Maust and Dr. Kales are with the Department of Psychiatry, University of Michigan, and the U.S. Department of Veterans Affairs (VA) Center for Clinical Management Research, VA Ann Arbor Healthcare System, both in Ann Arbor (e-mail: maustd@umich.edu ). Dr. Sirey is with the Department of Psychiatry, Weill Cornell Medical College, White Plains, New York.); Kales HC ( Dr. Maust and Dr. Kales are with the Department of Psychiatry, University of Michigan, and the U.S. Department of Veterans Affairs (VA) Center for Clinical Management Research, VA Ann Arbor Healthcare System, both in Ann Arbor (e-mail: maustd@umich.edu ). Dr. Sirey is with the Department of Psychiatry, Weill Cornell Medical College, White Plains, New York.)
Abstract	OBJECTIVE: The study compared distress levels among two groups of older adults who had been newly prescribed an antidepressant by their primary care physician, those with major depressive disorder (MDD) and those without MDD. METHODS: This analysis used a convenience sample of participants (N=231) who had been newly prescribed an antidepressant in a randomized controlled trial of a program to improve antidepressant adherence and depression outcomes among older adults (≥55). After determining the proportion of participants with and without MDD (using the Structured Clinical Interview for DSM-IV), the authors compared groups on demographic, clinical, and psychosocial characteristics, including the 12-Item Short-Form Health Survey physical and mental component summary scores (PCS and MCS). Logistic regression was used to test the association of these characteristics with antidepressant use in the absence of MDD. RESULTS: Most (57%) participants did not have MDD. This group was older (69.4 versus 64.7, p<.001), had a larger proportion of white participants (82% versus 56%, p<.001), and reported better physical (PCS, 43.4 versus 39.9, p=.03) and emotional (MCS, 40.2 versus 30.5, p<.001) well-being compared with the group with MDD. In the final regression model, white race (adjusted odds ratio [AOR]=3.11, p=.03) and better emotional well-being (AOR=1.16, p<.001) were associated with antidepressant use in the absence of MDD. CONCLUSIONS: Older adults prescribed antidepressants in the absence of MDD did not report similar distress levels compared with their counterparts with MDD. Given the continued emphasis on screening for depression in primary care, it is important to consider the potential for overtreatment.
File Format	HTM / HTML
ISSN	10752730
e-ISSN	15579700
Journal	Psychiatric Services
Language	English
Publisher	American Psychiatric Association
Publisher Date	2017-01-03
Publisher Place	United States
Access Restriction	Open
Subject Keyword	Discipline Psychiatry
Content Type	Text
Resource Type	Article
Subject	Psychiatry and Mental Health

Sl.	Authority	Responsibilities	Communication Details
1	Ministry of Education (GoI), Department of Higher Education	Sanctioning Authority	https://www.education.gov.in/ict-initiatives
2	Indian Institute of Technology Kharagpur	Host Institute of the Project: The host institute of the project is responsible for providing infrastructure support and hosting the project	https://www.iitkgp.ac.in
3	National Digital Library of India Office, Indian Institute of Technology Kharagpur	The administrative and infrastructural headquarters of the project	Dr. B. Sutradhar bsutra@ndl.gov.in
4	Project PI / Joint PI	Principal Investigator and Joint Principal Investigators of the project	Dr. B. Sutradhar bsutra@ndl.gov.in Prof. Saswat Chakrabarti will be added soon
5	Website/Portal (Helpdesk)	Queries regarding NDLI and its services	support@ndl.gov.in
6	Contents and Copyright Issues	Queries related to content curation and copyright issues	content@ndl.gov.in
7	National Digital Library of India Club (NDLI Club)	Queries related to NDLI Club formation, support, user awareness program, seminar/symposium, collaboration, social media, promotion, and outreach	clubsupport@ndl.gov.in
8	Digital Preservation Centre (DPC)	Assistance with digitizing and archiving copyright-free printed books	dpc@ndl.gov.in
9	IDR Setup or Support	Queries related to establishment and support of Institutional Digital Repository (IDR) and IDR workshops	idr@ndl.gov.in

Antidepressant Prescribing in Primary Care to Older Adults Without Major Depression

Effectiveness of physical exercise in the treatment of depression in older adults as an alternative to antidepressant drugs in primary care

Accuracy of three depression screening scales to diagnose major depressive episodes in older adults without neurocognitive disorders

Neurocognitive features of mild cognitive impairment and distress symptoms in older adults without major depression

Negotiating Depression Treatment with Older Adults: Primary Care Providers’ Perspectives

Behavioural activation by mental health nurses for late-life depression in primary care: a randomized controlled trial

A double blind, placebo-controlled pilot study of galantamine augmentation of antidepressant treatment in older adults with major depression

Perceived Need for Mental Health Care and Associated Factors and Outcomes in Older Adults Consulting in Primary Care

Prescribing for moderate or severe unipolar depression in patients under the long-term care of UK adult mental health services

Antidepressant Prescribing in Primary Care to Older Adults Without Major Depression.

Similar Documents

Antidepressant Prescribing in Primary Care to Older Adults Without Major Depression

Effectiveness of physical exercise in the treatment of depression in older adults as an alternative to antidepressant drugs in primary care

Accuracy of three depression screening scales to diagnose major depressive episodes in older adults without neurocognitive disorders

Neurocognitive features of mild cognitive impairment and distress symptoms in older adults without major depression

Negotiating Depression Treatment with Older Adults: Primary Care Providers’ Perspectives

Behavioural activation by mental health nurses for late-life depression in primary care: a randomized controlled trial

A double blind, placebo-controlled pilot study of galantamine augmentation of antidepressant treatment in older adults with major depression

Perceived Need for Mental Health Care and Associated Factors and Outcomes in Older Adults Consulting in Primary Care

Prescribing for moderate or severe unipolar depression in patients under the long-term care of UK adult mental health services

Antidepressant Prescribing in Primary Care to Older Adults Without Major Depression.