Evidence map›Paper›PMID 22616640›Full record

ArticleActa psychiatrica Scandinavica2012

Primary care physicians' and psychiatrists' approaches to treating mild depression.

R E Lawrence, K A Rasinski, J D Yoon, K G Meador, H G Koenig, F A Curlin

Open access · greenAbstract read
In one paragraph

Article in Acta psychiatrica Scandinavica, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
2.0field-weighted citation impact, top 14% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

7 citing papers in PubMed, 19 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 2 institutions in 1 country.

R E LawrenceDepartment of Psychiatry, Columbia University Medical Center and the New York State Psychiatric Institute, New York, NY 10032, USA. rlawrence@uchicago.edu
K A Rasinski
J D Yoon
K G Meador
H G Koenig
F A Curlin
New York State Psychiatric InstituteNew York Psychoanalytic Society and Institute · US

Funding

Religious Commitments and Clinical EngagementsK23AT002749 · NCCIH · UNIVERSITY OF CHICAGO · PI CURLIN, FARR A · 2005 to 2009
$630k
NCCIH NIH HHS 1 K23 AT002749NCCIH NIH HHS K23 AT002749
6 · The paper itself

Abstract

objectiveTo measure how primary care physicians (PCPs) and psychiatrists treat mild depression.

methodWe surveyed a national sample of US PCPs and psychiatrists using a vignette of a 52-year-old man with depressive symptoms not meeting Major Depressive Episode criteria. Physicians were asked how likely they were to recommend an antidepressant counseling, combined medication, and counseling or to make a psychiatric referral.

resultsResponse rate was 896/1427 PCPs and 312/487 for psychiatrists. Compared with PCPs, psychiatrists were more likely to recommend an antidepressant (70% vs. 56%), counseling (86% vs. 54%), or the combination of medication and counseling (61% vs. 30%). More psychiatrists (44%) than PCPs (15%) were 'very likely' to promote psychiatric referral. PCPs who frequently attended religious services were less likely (than infrequent attenders) to refer the patient to a psychiatrist (12% vs. 18%); and more likely to recommend increased involvement in meaningful relationships/activities (50% vs. 41%) and religious community (33% vs. 17%).

conclusionPsychiatrists treat mild depression more aggressively than PCPs. Both are inclined to use antidepressants for patients with mild depression.

Indexed as

AdultAgedAntidepressive AgentsCombined Modality TherapyCounselingDepressive DisorderFemaleHumansMaleMiddle AgedPhysicians, Primary CarePractice Patterns, Physicians'PsychiatryReferral and ConsultationSurveys and QuestionnairesAntidepressive Agents

Identifiers

PMID22616640
PMCPMC3622733
OpenAlexW1893907177

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

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.