ArticleJournal of the American Board of Family Medicine : JABFM
Comorbid chronic illness and the diagnosis and treatment of depression in safety net primary care settings.
Article in Journal of the American Board of Family Medicine : JABFM. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 1 of them a synthesis that pooled it.
What it found
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The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
14 citing papers in PubMed, 1 synthesis or guideline pooled it, 37 citations in OpenAlex.
- Pooled it
- Anxiety and Depression in Mild and Moderate COPD Patients: An Observational, Cross-Sectional Study in Greece.Diseases (Basel, Switzerland) · 2025Article
- Trajectories of Chronic Disease and Multimorbidity Among Middle-aged and Older Patients at Community Health Centers.JAMA network open · 2023Article
- Racism, Mental Health, Healthcare Provider Trust, and Medication Adherence Among Black Patients in Safety-Net Primary Care.Journal of clinical psychology in medical settings · 2021Article
- Epidemiology of Depression and Associated Factors among Asthma Patients in Addis Ababa, Ethiopia.Psychiatry journal · 2018Article
- Impact of interprofessional education about psychological and medical comorbidities on practitioners' knowledge and collaborative practice: mixed method evaluation of a national program.BMC health services research · 2016Article
- Development of a Faith-Based Stress Management Intervention in a Rural African American Community.Progress in community health partnerships : research, education, and action · 2015Article
- Depression, quality of life and primary care: a cross-sectional study.Journal of epidemiology and global health · 2013Observational
- Depression treatment patterns among women veterans with cardiovascular conditions or diabetes.World psychiatry : official journal of the World Psychiatric Association (WPA) · 2010Article
- Patient-centered care in affective, non-affective, and schizoaffective groups: patients' opinions and attitudes.Community mental health journal · 2010Article
- Time to depression treatment in primary care among HIV-infected and uninfected veterans.Journal of general internal medicine · 2010Article
- Patient-centered technological assessment and monitoring of depression for low-income patients.The Journal of ambulatory care managementArticle
- The Rate of Depression Screening at a Federally Qualified Community Health Center.Health services research and managerial epidemiologyArticle
- Quality of depression treatment in Black Americans with major depression and comorbid medical illness.General hospital psychiatryArticle
Corrections and comments
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Authors and funding
6 authors at 2 institutions in 1 country.
Funding
Abstract
objectiveTo estimate the impact of chronic medical conditions on depression diagnosis, treatment, and follow-up care in primary care settings.
designThis was a cross-sectional study that used interviewer-administered surveys and medical record reviews. Three hundred fifteen participants were recruited from 3 public primary care clinics. Depression diagnosis, guideline-concordant treatment, and follow-up care were the primary outcomes examined in individuals with depression alone compared with individuals with depression and chronic medical conditions measured using the Charlson Comorbidity Index (CCI).
resultsPhysician diagnosis of depression (32.6%), guideline-concordant depression treatment (32.7%), and guideline-concordant follow-up care (16.3%) were all low. Logistic regression analysis showed no significant difference in the likelihood of depression diagnosis, guideline-concordant treatment, or follow-up care in individuals with depression alone compared with those with both depression and chronic medical conditions. Participants with severe depression were, however, twice as likely to receive a diagnosis of depression as participants with moderate depression. In addition, participants with moderately severe and severe depression received much less appropriate follow-up care than participants with moderate depression. Among participants receiving a depression diagnosis, 74% received guideline-concordant treatment.
conclusionPhysician depression care in primary care settings is not influenced by competing demands for care for other comorbid medical conditions.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.