The efficacy of psychosocial treatments in primary care
Identifieur interne : 001264 ( Main/Curation ); précédent : 001263; suivant : 001265The efficacy of psychosocial treatments in primary care
Auteurs : Charlotte Brown [États-Unis] ; Herbert C. Schulberg [États-Unis]Source :
- General Hospital Psychiatry [ 0163-8343 ] ; 1995.
Abstract
Depression and anxiety are the most common psychiatric disorders among ambulatory medical patients and are associated with significant functional disability. However, they remain underrecognized and/or inadequately treated. The AHCPR Depression Guideline Panel recently reviewed the efficacy of pharmacologic interventions for mood disorders in the primary care sector, but there are as yet no comparable analyses of the efficacy of psychosocial interventions for primary care patients experiencing depression or anxiety. This review of randomized, controlled trials conducted in primary care settings generally supports the efficacy of psychosocial treatments (PSTs) provided to ambulatory medical patients with psychiatric disorders. However, methodologic deficiencies in these trials (i.e., diagnostic classification of study subjects, attrition patterns, and criteria for assessing treatment response) limit the generalizability of their findings to routine practice. Studies evaluating the effect of PSTs on health care cost and utilization changes in physicians' prescribing practices, patients' use of psychotropic medication, and number of patient visits to primary care physicians. However, results varied across studies because of methodologic deficiencies similar to those noted previously. Suggestions are offered for improving the internal and external validity of randomized PST trials in primary care settings.
Url:
DOI: 10.1016/0163-8343(95)00072-0
Links toward previous steps (curation, corpus...)
- to stream Istex, to step Corpus: Pour aller vers cette notice dans l'étape Curation :001731
- to stream Istex, to step Curation: Pour aller vers cette notice dans l'étape Curation :001727
- to stream Istex, to step Checkpoint: Pour aller vers cette notice dans l'étape Curation :000E73
- to stream Main, to step Merge: Pour aller vers cette notice dans l'étape Curation :001282
Links to Exploration step
ISTEX:995A8B86341F200970E3CFF4A3FF097259978C1CLe document en format XML
<record><TEI wicri:istexFullTextTei="biblStruct"><teiHeader><fileDesc><titleStmt><title>The efficacy of psychosocial treatments in primary care</title>
<author><name sortKey="Brown, Charlotte" sort="Brown, Charlotte" uniqKey="Brown C" first="Charlotte" last="Brown">Charlotte Brown</name>
</author>
<author><name sortKey="Schulberg, Herbert C" sort="Schulberg, Herbert C" uniqKey="Schulberg H" first="Herbert C." last="Schulberg">Herbert C. Schulberg</name>
</author>
</titleStmt>
<publicationStmt><idno type="wicri:source">ISTEX</idno>
<idno type="RBID">ISTEX:995A8B86341F200970E3CFF4A3FF097259978C1C</idno>
<date when="1995" year="1995">1995</date>
<idno type="doi">10.1016/0163-8343(95)00072-0</idno>
<idno type="url">https://api.istex.fr/document/995A8B86341F200970E3CFF4A3FF097259978C1C/fulltext/pdf</idno>
<idno type="wicri:Area/Istex/Corpus">001731</idno>
<idno type="wicri:explorRef" wicri:stream="Istex" wicri:step="Corpus" wicri:corpus="ISTEX">001731</idno>
<idno type="wicri:Area/Istex/Curation">001727</idno>
<idno type="wicri:Area/Istex/Checkpoint">000E73</idno>
<idno type="wicri:explorRef" wicri:stream="Istex" wicri:step="Checkpoint">000E73</idno>
<idno type="wicri:doubleKey">0163-8343:1995:Brown C:the:efficacy:of</idno>
<idno type="wicri:Area/Main/Merge">001282</idno>
<idno type="wicri:Area/Main/Curation">001264</idno>
</publicationStmt>
<sourceDesc><biblStruct><analytic><title level="a">The efficacy of psychosocial treatments in primary care</title>
<author><name sortKey="Brown, Charlotte" sort="Brown, Charlotte" uniqKey="Brown C" first="Charlotte" last="Brown">Charlotte Brown</name>
<affiliation wicri:level="2"><country xml:lang="fr">États-Unis</country>
<wicri:regionArea>University of Pittsburgh School of Medicine Pittsburgh, Pennsylvania</wicri:regionArea>
<placeName><region type="state">Pennsylvanie</region>
</placeName>
</affiliation>
</author>
<author><name sortKey="Schulberg, Herbert C" sort="Schulberg, Herbert C" uniqKey="Schulberg H" first="Herbert C." last="Schulberg">Herbert C. Schulberg</name>
<affiliation wicri:level="2"><country xml:lang="fr">États-Unis</country>
<wicri:regionArea>University of Pittsburgh School of Medicine Pittsburgh, Pennsylvania</wicri:regionArea>
<placeName><region type="state">Pennsylvanie</region>
</placeName>
</affiliation>
</author>
</analytic>
<monogr></monogr>
<series><title level="j">General Hospital Psychiatry</title>
<title level="j" type="abbrev">GHP</title>
<idno type="ISSN">0163-8343</idno>
<imprint><publisher>ELSEVIER</publisher>
<date type="published" when="1995">1995</date>
<biblScope unit="volume">17</biblScope>
<biblScope unit="issue">6</biblScope>
<biblScope unit="page" from="414">414</biblScope>
<biblScope unit="page" to="424">424</biblScope>
</imprint>
<idno type="ISSN">0163-8343</idno>
</series>
<idno type="istex">995A8B86341F200970E3CFF4A3FF097259978C1C</idno>
<idno type="DOI">10.1016/0163-8343(95)00072-0</idno>
<idno type="PII">0163-8343(95)00072-0</idno>
</biblStruct>
</sourceDesc>
<seriesStmt><idno type="ISSN">0163-8343</idno>
</seriesStmt>
</fileDesc>
<profileDesc><textClass></textClass>
<langUsage><language ident="en">en</language>
</langUsage>
</profileDesc>
</teiHeader>
<front><div type="abstract" xml:lang="en">Depression and anxiety are the most common psychiatric disorders among ambulatory medical patients and are associated with significant functional disability. However, they remain underrecognized and/or inadequately treated. The AHCPR Depression Guideline Panel recently reviewed the efficacy of pharmacologic interventions for mood disorders in the primary care sector, but there are as yet no comparable analyses of the efficacy of psychosocial interventions for primary care patients experiencing depression or anxiety. This review of randomized, controlled trials conducted in primary care settings generally supports the efficacy of psychosocial treatments (PSTs) provided to ambulatory medical patients with psychiatric disorders. However, methodologic deficiencies in these trials (i.e., diagnostic classification of study subjects, attrition patterns, and criteria for assessing treatment response) limit the generalizability of their findings to routine practice. Studies evaluating the effect of PSTs on health care cost and utilization changes in physicians' prescribing practices, patients' use of psychotropic medication, and number of patient visits to primary care physicians. However, results varied across studies because of methodologic deficiencies similar to those noted previously. Suggestions are offered for improving the internal and external validity of randomized PST trials in primary care settings.</div>
</front>
</TEI>
</record>
Pour manipuler ce document sous Unix (Dilib)
EXPLOR_STEP=$WICRI_ROOT/Wicri/Psychologie/explor/TherFamFrancoV1/Data/Main/Curation
HfdSelect -h $EXPLOR_STEP/biblio.hfd -nk 001264 | SxmlIndent | more
Ou
HfdSelect -h $EXPLOR_AREA/Data/Main/Curation/biblio.hfd -nk 001264 | SxmlIndent | more
Pour mettre un lien sur cette page dans le réseau Wicri
{{Explor lien |wiki= Wicri/Psychologie |area= TherFamFrancoV1 |flux= Main |étape= Curation |type= RBID |clé= ISTEX:995A8B86341F200970E3CFF4A3FF097259978C1C |texte= The efficacy of psychosocial treatments in primary care }}
![]() | This area was generated with Dilib version V0.6.29. | ![]() |