METHODOLOGIC ISSUES IN RANDOMIZED TRIALS OF LIAISON PSYCHIATRY IN PRIMARY-CARE

被引：19

作者：

KATON, W ^{[1
]}

VONKORFF, M ^{[1
]}

LIN, E ^{[1
]}

WALKER, E ^{[1
]}

SIMON, G ^{[1
]}

ROBINSON, P ^{[1
]}

BUSH, T ^{[1
]}

IRVIN, S ^{[1
]}

机构：

[1] GRP HLTH COOPERAT PUGET SOUND,CTR HLTH STUDIES,SEATTLE,WA

来源：

PSYCHOSOMATIC MEDICINE | 1994年 / 56卷 / 02期

关键词：

PRIMARY CARE; RANDOMIZED TRIAL; PSYCHIATRIC CONSULTATION;

D O I：

10.1097/00006842-199403000-00004

中图分类号：

R749 [精神病学];

学科分类号：

100205 ;

摘要：

Most anxiety, depressive, and substance abuse disorders are treated exclusively in the primary care health system. However, recognition and treatment of these disorders in primary care is deficient. Psychopharmacologic and psychotherapeutic interventions have been developed and proven effective in randomized trials in specialty care. However, the results of successful trials of mental health interventions in specialty settings may not generalize to primary care settings because of epidemiologic differences in patients, differences in skills of providers, as well as differences in the very structure of care. The importance of the development of innovative randomized trials to improve recognition and treatment of mental illness in primary care is emphasized, as well as the methodologic problems inherent in carrying out these trials.

引用

页码：97 / 103

页数：7

共 27 条

[1] ANTIDEPRESSANTS MAY NOT ASSIST RECOVERY IN PRACTICE - A NATURALISTIC PROSPECTIVE SURVEY [J].

BRUGHA, TS ;

BEBBINGTON, PE ;

MACCARTHY, B ;

STURT, E ;

WYKES, T .

ACTA PSYCHIATRICA SCANDINAVICA, 1992, 86 (01) :5-11

[2] MEDICAL COMORBIDITY OF MAJOR DEPRESSIVE DISORDER IN A PRIMARY MEDICAL-PRACTICE [J].

COULEHAN, JL ;

SCHULBERG, HC ;

BLOCK, MR ;

JANOSKY, JE ;

ARENA, VC .

ARCHIVES OF INTERNAL MEDICINE, 1990, 150 (11) :2363-2367

[3]

ELKIN I, 1989, ARCH GEN PSYCHIAT, V46, P971

[4] SAMPLE SELECTION AND THE NATURAL-HISTORY OF DISEASE - STUDIES OF FEBRILE SEIZURES [J].

ELLENBERG, JH ;

NELSON, KB .

JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 1980, 243 (13) :1337-1340

[5]

HILL AB, 1971, PRINCIPLES MED STATI, P244

[6]

HOEPER EW, 1984, LANCET, V1, P33

[7] PSYCHIATRIC SCREENING IN GENERAL-PRACTICE - CONTROLLED TRIAL [J].

JOHNSTONE, A ;

GOLDBERG, D .

LANCET, 1976, 1 (7960) :605-608

[8] EPIDEMIOLOGY OF DEPRESSION IN PRIMARY CARE [J].

KATON, W ;

SCHULBERG, H .

GENERAL HOSPITAL PSYCHIATRY, 1992, 14 (04) :237-247

[9] THE EPIDEMIOLOGY OF DEPRESSION IN MEDICAL-CARE [J].

KATON, W .

INTERNATIONAL JOURNAL OF PSYCHIATRY IN MEDICINE, 1987, 17 (01) :93-112

[10] A RANDOMIZED TRIAL OF PSYCHIATRIC-CONSULTATION WITH DISTRESSED HIGH UTILIZERS [J].

KATON, W ;

VONKORFF, M ;

LIN, E ;

BUSH, T ;

RUSSO, J ;

LIPSCOMB, P ;

WAGNER, E .

GENERAL HOSPITAL PSYCHIATRY, 1992, 14 (02) :86-98

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