ArticlePsychiatric services (Washington, D.C.)2010
Association of general medical and psychiatric comorbidities with receipt of guideline-concordant care for depression.
Article in Psychiatric services (Washington, D.C.), 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 1 of them a synthesis that pooled it.
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.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
10 citing papers in PubMed, 1 synthesis or guideline pooled it, 19 citations in OpenAlex.
- Understanding the journey of patients with depression in Brazil: A systematic review.Clinics (Sao Paulo, Brazil) · 2023Pooled it
- Analysis of the Use of Duloxetine in the High-dose Range (90 to 120 mg) in the Psychiatric Clinic for the Treatment of Patients With Major Depressive Disorder.Journal of psychiatric practice · 2026Observational
- Care pathways for people with major depressive disorder: a European Brain Council Value of Treatment study.European psychiatry : the journal of the Association of European Psychiatrists · 2022Article
- Duration of medical home participation and quality of care for patients with chronic conditions.Health services research · 2021Article
- Adherence of psychopharmacological prescriptions to clinical practice guidelines in patients with eating behavior disorders.European journal of clinical pharmacology · 2017Observational
- Medicare Part D benzodiazepine exclusion and use of psychotropic medication by patients with new anxiety disorders.Psychiatric services (Washington, D.C.) · 2012Article
- Effect of medicare part D benzodiazepine exclusion on psychotropic use in benzodiazepine users.Journal of the American Geriatrics Society · 2012Article
- Strategies to improve the management of depression in primary care.Primary care · 2012Review
- Quality of depression treatment in Black Americans with major depression and comorbid medical illness.General hospital psychiatryArticle
- Depression care and treatment in a chronically ill Medicare population.General hospital psychiatryArticle
Corrections and comments
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Authors and funding
6 authors at 1 institution in 1 country.
Funding
Abstract
objectiveThis study described the association of general medical and psychiatric comorbidities with receipt of guideline-concordant depression care.
methodsPharmacy, medical, and behavioral claims and enrollment data from OptumHealth in 2003-2006 were linked for 1,835 adults with a new depression diagnosis or a new antidepressant fill. Multiple logistic regression was used to estimate the association of comorbidities with receipt of guideline-concordant pharmacotherapy, guideline-concordant psychotherapy, and any guideline-concordant therapy.
resultsEleven percent of patients received guideline-concordant psychotherapy; 23%, guideline-concordant pharmacotherapy; and 33%, any guideline-concordant therapy. Having a psychiatric but no medical comorbidity was associated with higher rates of guideline-concordant psychotherapy and overall guideline concordance; conversely, having a general medical but no psychiatric comorbidity was associated with lower rates of guideline-concordant psychotherapy. Comorbidities were associated with the probability of receiving any guideline-concordant therapy, but they were not associated with improved guideline concordance among patients already receiving therapy.
conclusionsPatients with general medical comorbidities may not receive psychotherapy referrals, perhaps because of well-established relationships with their primary care providers.
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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.