ArticleMedical care2009
Clinical inertia in depression treatment.
Article in Medical care, 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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
19 citing papers in PubMed.
- Prevalence and predictors of physician recommendations for medication adjustment in bipolar disorder treatment.Journal of affective disorders · 2018Trial
- Customization in prescribing for bipolar disorder.Health economics · 2012Trial
- Bipolar disorder measurement-based care: Two-phase trial in primary care.General hospital psychiatryTrial
- Real-world clinical outcomes and treatment patterns in patients with MDD treated with vortioxetine: a retrospective study.BMC psychiatry · 2023Article
- Self-reported reasons for reducing or stopping antidepressant medications in primary care: thematic analysis of thePrimary health care research & development · 2023Article
- Predictors and outcomes in primary depression care (POKAL) - a research training group develops an innovative approach to collaborative care.BMC primary care · 2022Article
- Digital and Mobile Health Technology in Collaborative Behavioral Health Care: Scoping Review.JMIR mental health · 2022Article
- Psychiatric Case Review and Treatment Intensification in Collaborative Care Management for Depression in Primary Care.Psychiatric services (Washington, D.C.) · 2018Article
- Testing for clinical inertia in medication treatment of bipolar disorder.Journal of affective disorders · 2016Article
- Integrating Behavioral Health into Primary Care.Population health management · 2016Article
- Clinical inertia in general practice, a matter of debate: a qualitative study with 114 general practitioners in Belgium.BMC family practice · 2015Article
- Web-based Mindfulness-based Cognitive Therapy for reducing residual depressive symptoms: An open trial and quasi-experimental comparison to propensity score matched controls.Behaviour research and therapy · 2014Article
- Factors associated with clinical inertia: an integrative review.Advances in medical education and practice · 2014Review
- Grand challenges: integrating mental health services into priority health care platforms.PLoS medicine · 2013Article
- Article
- Strategies to improve the management of depression in primary care.Primary care · 2012Review
- Multilevel interventions: study design and analysis issues.Journal of the National Cancer Institute. Monographs · 2012Article
- Usual and unusual care: existing practice control groups in randomized controlled trials of behavioral interventions.Psychosomatic medicine · 2011Review
- Achieving adolescent adherence to treatment of major depression.Adolescent health, medicine and therapeutics · 2010Review
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
5 authors.
Funding
Abstract
objectiveTo explore reasons for clinical inertia in the management of persistent depression symptoms. RESEARCH
designWe characterized patterns of treatment adjustment in primary care and their relation to the patient's clinical condition by modeling transition to a given treatment "state" conditional on the current state of treatment. We assessed associations of patient, clinician, and practice barriers with adjustment decisions. SUBJECTS: Survey data on patients in active care for major depression were collected at 6-month intervals over a 2-year period for the quality improvement for depression (QID) studies. MEASURES: Patient and clinician characteristics were collected at baseline. Depression severity and treatment were measured at each interval.
resultsApproximately, one-third of the observation periods ending with less than a full response resulted in an adjustment recommendation. Clinicians often respond correctly to the combination of severe depression symptoms and less than maximal treatment by changing the treatment. Appropriate adjustment is less common, however, in management of less severely depressed patients who do not improve after starting treatment, particularly if their care already meets minimal treatment intensity guidelines.
conclusionsOur findings suggest that quality improvement efforts should focus on promoting appropriate adjustments for patients with persistent depression symptoms, particularly those with less severe depression.
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What OpenQuestion holds
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.