ArticleGeneral hospital psychiatry
Quality of depression treatment in Black Americans with major depression and comorbid medical illness.
Article in General hospital psychiatry. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 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
17 citing papers in PubMed, 1 synthesis or guideline pooled it, 22 citations in OpenAlex.
- Vascular depression in Black Americans: A systematic review of the construct and its cognitive, functional, and psychosocial correlates.The Clinical neuropsychologist · 2022Pooled it
- A pilot randomized controlled trial of an outreach intervention to improve depression treatment initiation among racial and ethnic groups.General hospital psychiatryTrial
- Factors Associated with Emergency Department Utilization among Older Black Adults with Chronic Illness in the United States.Journal of racial and ethnic health disparities · 2026Article
- Depression Treatment After a Positive Depression Screen Result.JAMA internal medicine · 2025Article
- Effect of the Patient-Centered Medical Home on Racial Disparities in Quality of Care.Journal of general internal medicine · 2020Article
- Accountable Care Organizations and Preventable Hospitalizations Among Patients With Depression.American journal of preventive medicine · 2020Article
- Depression Treatment Status of Economically Disadvantaged African American Older Adults.Brain sciences · 2020Article
- Integrating local health departments to reduce suicide-related emergency department visits among people with substance use disorders - Evidence from the state of Maryland.Preventive medicine · 2019Article
- Racial, Ethnic, and Nativity Differences in Mental Health Visits to Primary Care and Specialty Mental Health Providers: Analysis of the Medical Expenditures Panel Survey, 2010-2015.Healthcare (Basel, Switzerland) · 2018Article
- Association Between Self-Esteem and Depressive Symptoms Is Stronger Among Black than White Older Adults.Journal of racial and ethnic health disparities · 2017Article
- Residual Effects of Restless Sleep over Depressive Symptoms on Chronic Medical Conditions: Race by Gender Differences.Journal of racial and ethnic health disparities · 2017Article
- Engagement and outcomes for a computerised cognitive-behavioural therapy intervention for anxiety and depression in African Americans.BJPsych open · 2017Article
- Depressive Symptoms Are Associated with More Hopelessness among White than Black Older Adults.Frontiers in public health · 2016Article
- Race and Ethnic Differences in Additive and Multiplicative Effects of Depression and Anxiety on Cardiovascular Risk.International journal of preventive medicine · 2016Article
- Chronic Medical Conditions and Negative Affect; Racial Variation in Reciprocal Associations Over Time.Frontiers in psychiatry · 2016Article
- Long-Term Reciprocal Associations Between Depressive Symptoms and Number of Chronic Medical Conditions: Longitudinal Support for Black-White Health Paradox.Journal of racial and ethnic health disparities · 2015Article
- Black-White differences in the effect of baseline depressive symptoms on deaths due to renal diseases: 25 year follow up of a nationally representative community sample.Journal of renal injury prevention · 2015Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
4 authors at 1 institution in 1 country.
Funding
Abstract
objectiveThe objective was to evaluate how comorbid type 2 diabetes (T2DM) and hypertension (HT) influence depression treatment and to assess whether these effects operate differently in a nationally representative community-based sample of Black Americans.
methodsData came from the National Survey of American Life (N=3673), and analysis is limited to respondents who met lifetime criteria for major depression (MD) (N=402). Depression care was defined according to American Psychiatric Association (APA) guidelines and included psychotherapy, pharmacotherapy and satisfaction with services. Logistic regression was used to examine the effects of T2DM and HT on quality of depression care.
resultsOnly 19.2% of Black Americans with MD alone, 7.8% with comorbid T2DM and 22.3% with comorbid HT reported APA-guideline-concordant psychotherapy or antidepressant treatment. Compared to respondents with MD alone, respondents with MD+T2DM/HT were no more or less likely to receive depression care. Respondents with MD+HT+T2DM were more likely to report any guideline-concordant care (odds ratio=3.32; 95% confidence interval, 1.07-10.31).
conclusionsAlthough individuals with MD and comorbid T2DM+HT were more likely to receive depression care, guideline-concordant depression care is low among Black Americans, including those with 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.