Prognostic factors, course, and outcome of depression among older primary care patients: the PROSPECT study.

ABSTRACT:

Objectives

We sought to examine whether there are patterns of evolving depression symptoms among older primary care patients that are related to prognostic factors and long-term clinical outcomes.

Method

Primary care practices were randomly assigned to Usual Care or to an intervention consisting of a depression care manager offering algorithm-based depression care. In all, 599 adults 60 years and older meeting criteria for major depression or clinically significant minor depression were randomly selected. Longitudinal analysis via growth curve mixture modeling was carried out to classify patients according to the patterns of depression symptoms across 12 months. Depression diagnosis determined after a structured interview at 24 months was the long-term clinical outcome.

R

SUBMITTER: Bogner HR 

PROVIDER: S-EPMC3323766 | biostudies-literature | 2012

REPOSITORIES: biostudies-literature