Patients' depression treatment preferences and initiation, adherence, and outcome: a randomized primary care study.

ABSTRACT:

Objective

The authors examined the association of treatment preferences with treatment initiation, adherence, and clinical outcome among nonsenior adult and senior primary care patients with depression.

Methods

Sixty primary care participants meeting DSM-IV criteria for major depression were randomly assigned to receive treatment congruent or incongruent with their primary stated preference. Participants received either 20 weeks of escitalopram, with monitoring by a care manager, or 12 weekly sessions of interpersonal psychotherapy followed by two monthly booster sessions. Adherence to treatment and depression severity were reassessed at weeks 4, 8, 12, and 24.

Results

Participants expressed stronger preferences for psychotherapy than for antidepressant medication. Pr

SUBMITTER: Raue PJ 

PROVIDER: S-EPMC2710876 | biostudies-literature | 2009 Mar

REPOSITORIES: biostudies-literature