Treatment of minor depression

被引:59
作者
Oxman, TE
Sengupta, A
机构
[1] DHMC, Dept Psychiat, Lebanon, NH 03756 USA
[2] DHMC, Dept Family Med, Lebanon, NH 03756 USA
关键词
D O I
10.1176/appi.ajgp.10.3.256
中图分类号
R592 [老年病学]; C [社会科学总论];
学科分类号
03 ; 0303 ; 100203 ;
摘要
Minor depression is one of the most common types of depressive disorders, but the benefit of depression-specific treatments for minor depression is less clear than for major depression. The authors reviewed the available evidence-base for the treatment of Minor Depression as conceptualized in DSM-IV or RDC, conducting a computer literature search to identify randomized treatment trials that included minor depression and a control condition, and identifying 10 studies meeting these crileria. Effect sizes, defined as difference in proportions, could be calculated for eight of the studies. and ranged from 0.46 to -0.08. There was no evidence that older persons were less responsive to treatment than younger persons. Few studies have been specifically designed to test treatments for minor depression. The studies are quite variable. Nonspecific treatment factors common to both depression treatments and to active control conditions appear potent and may be of benefit for persons with minor depression.
引用
收藏
页码:256 / 264
页数:9
相关论文
共 69 条
[21]   Efficacy of nurse telehealth care and peer support in augmenting treatment of depression in primary care [J].
Hunkeler, EM ;
Meresman, JF ;
Hargreaves, WA ;
Fireman, B ;
Berman, WH ;
Kirsch, AJ ;
Groebe, J ;
Hurt, SW ;
Braden, P ;
Getzell, M ;
Feigenbaum, PA ;
Peng, T ;
Salzer, M .
ARCHIVES OF FAMILY MEDICINE, 2000, 9 (08) :700-708
[22]   THE ROLE OF NONSPECIFIC FACTORS IN COGNITIVE-BEHAVIOR THERAPY FOR DEPRESSION [J].
ILARDI, SS ;
CRAIGHEAD, WE .
CLINICAL PSYCHOLOGY-SCIENCE AND PRACTICE, 1994, 1 (02) :138-156
[23]  
Jaffe A, 1994, Arch Fam Med, V3, P1081, DOI 10.1001/archfami.3.12.1081
[24]   Changing patterns of antidepressant use and costs in a health maintenance organisation [J].
Johnson, RE ;
McFarland, BH ;
Nichols, GA .
PHARMACOECONOMICS, 1997, 11 (03) :274-286
[25]  
JUDD LL, 1994, J CLIN PSYCHIAT, V55, P18
[26]  
Katon W, 1996, ARCH GEN PSYCHIAT, V53, P924
[27]   COLLABORATIVE MANAGEMENT TO ACHIEVE TREATMENT GUIDELINES - IMPACT ON DEPRESSION IN PRIMARY-CARE [J].
KATON, W ;
VONKORFF, M ;
LIN, E ;
WALKER, E ;
SIMON, GE ;
BUSH, T ;
ROBINSON, P ;
RUSSO, J .
JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 1995, 273 (13) :1026-1031
[28]   Randomized trial of a depression management program in high utilizers of medical care [J].
Katzelnick, DJ ;
Simon, GE ;
Pearson, SD ;
Manning, WG ;
Helstad, CP ;
Henk, HJ ;
Cole, SM ;
Lin, EHB ;
Taylor, LH ;
Kobak, KA .
ARCHIVES OF FAMILY MEDICINE, 2000, 9 (04) :345-351
[29]  
KAZDIN AE, 1986, HDB PSYCHOTHERAPY BE, P23
[30]  
Kendrick T, 1996, BRIT MED J, V313, P829