Do depressed patients in different treatment settings have different levels of well-being and functioning
Department of Quantitative Health Sciences
*Adaptation, Psychological; Adolescent; Adult; Aged; Aged, 80 and over; *Delivery of Health Care; Depressive Disorder; Female; Follow-Up Studies; Group Practice; Health Maintenance Organizations; Humans; Male; Middle Aged; *Patient Care Team; Private Practice; Treatment Outcome
Biostatistics | Epidemiology | Health Services Research
Differences in the functioning and well-being of adult patients with current or past depressive disorder who visited clinicians of different specialties in health maintenance organizations, solo practices, or large multispecialty group practices were examined. For patients in different systems, there were no significant differences in functioning and well-being across 12 domains tested. Patients of mental health specialists had worse mental health and more limitations in social activities, whereas patients of medical clinicians had worse physical functioning, more pain, more physical/psychophysiologic symptoms, and worse health perceptions. Thus, each system of care had depressed patients with a similar functioning and well-being "burden" but specialty sectors had patients with slightly different functioning and well-being profiles, probably reflecting patient selection of type of provider.
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Citation: J Consult Clin Psychol. 1993 Oct;61(5):849-57. Link to article on publisher's site
Journal of consulting and clinical psychology
Stewart, Anita L.; Sherbourne, Cathy Donald; Wells, Kenneth B.; Burnam, M. Audrey; Rogers, William H.; Hays, Ron D.; and Ware, John E. Jr., "Do depressed patients in different treatment settings have different levels of well-being and functioning" (1993). Quantitative Health Sciences Publications and Presentations. 508.