The quality of care for depressive and anxiety disorders in the United States
Abstract
BACKGROUND: Depressive and anxiety disorders are prevalent and cause substantial morbidity. While effective treatments exist, little is known about the quality of care for these disorders nationally. We estimated the rate of appropriate treatment among the US population with these disorders, and the effect of insurance, provider type, and individual characteristics on receipt of appropriate care. METHODS: Data are from a cross-sectional telephone survey conducted during 1997 and 1998 with a national sample. Respondents consisted of 1636 adults with a probable 12-month depressive or anxiety disorder as determined by brief diagnostic interview. Appropriate treatment was defined as present if the respondent had used medication or counseling that was consistent with treatment guidelines. RESULTS: During a 1-year period, 83% of adults with a probable depressive or anxiety disorder saw a health care provider (95% confidence interval [CI], 81%-85%) and 30% received some appropriate treatment (95% CI, 28%-33%). Most visited primary care providers only. Appropriate care was received by 19% in this group (95% CI, 16%-23%) and by 90% of individuals visiting mental health specialists (95% CI, 85%-94%). Appropriate treatment was less likely for men and those who were black, less educated, or younger than 30 or older than 59 years (range, 19-97 years). Insurance and income had no effect on receipt of appropriate care. CONCLUSIONS: It is possible to evaluate mental health care quality on a national basis. Most adults with a probable depressive or anxiety disorder do not receive appropriate care for their disorder. While this holds across diverse groups, appropriate care is less common in certain demographic subgroups.
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U.S. older persons are less likely to use mental health services.
“and to use mental health services [9,10]”
From A systematic review of social factors and suicidal behavior in older adulthood (2012) · cites this paper as [9]
Cites
WARE, J. E., KOSINSKI, M., & KELLER, S. D. (1996) · Medical Care · doi:10.1097/00005650-199603000-00003 · Cited by 17,392 · see citing works
(2001) · Cited by 5,455 · see citing works
The world health organization composite international diagnostic interview short-form (CIDI-SF)
Kessler, R. C., Andrews, G., Mroczek, D., Ustun, B., & Wittchen, H. (1998) · International Journal of Methods in Psychiatric Research · doi:10.1002/mpr.47 · Cited by 2,242 · see citing works
The de Facto US Mental and Addictive Disorders Service System
Regier, D. A. (1993) · Archives of General Psychiatry · doi:10.1001/archpsyc.1993.01820140007001 · Cited by 1,988 · see citing works
Public conceptions of mental illness: labels, causes, dangerousness, and social distance.
Link, B. G., Phelan, J. C., Bresnahan, M., Stueve, A., & Pescosolido, B. A. (1999) · American Journal of Public Health · doi:10.2105/ajph.89.9.1328 · Cited by 1,949 · cited 1× · see citing works
“Recent research suggests that while a majority of the public identifies major depression as a mental illness, psychiatric disorders continue to be strongly stigmatized.(52) We found that people not receiving appropriate care were much less likely to have had their mental health problems evaluated, and much less likely…”
BackgroundCollaborative management to achieve treatment guidelines. Impact on depression in primary care
Katon, W. J. (1995) · JAMA · doi:10.1001/jama.273.13.1026 · Cited by 1,464 · see citing works
Agency for Health Care Policy and Research
Eisenberg, J. M. (1999) · Medical Care · doi:10.1097/00005650-199903000-00001 · Cited by 1,372 · see citing works
An international study of the relation between somatic symptoms and depression
Simon, G. E., VonKorff, M., Piccinelli, M., Fullerton, C., & Ormel, J. (1999) · New England Journal of Medicine · doi:10.1056/nejm199910283411801 · Cited by 1,303 · see citing works
Wells, K. B., Sherbourne, C., Schoenbaum, M., Duan, N., Meredith, L., Unützer, J., Miranda, J., Carney, M. F., & Rubenstein, L. V. (2000) · JAMA · doi:10.1001/jama.283.2.212 · Cited by 1,021 · see citing works
Self-citationHow Good Is the Quality of Health Care in the United States?
Schuster, M. A., McGlynn, E. A., & Brook, R. H. (1998) · Milbank Quarterly · doi:10.1111/1468-0009.00105 · Cited by 912 · see citing works
Past-Year Use of Outpatient Services for Psychiatric Problems in the National Comorbidity Survey
Kessler, R. C., Zhao, S., Katz, S. J., Kouzis, A. C., Frank, R. G., Edlund, M. J., & Leaf, P. J. (1999) · American Journal of Psychiatry · doi:10.1176/ajp.156.1.115 · Cited by 610 · see citing works
Treating Major Depression in Primary Care Practice
Schulberg, H. C., Katon, W. J., Simon, G. E., & Rush, A. J. (1998) · Archives of General Psychiatry · doi:10.1001/archpsyc.55.12.1121 · Cited by 459 · see citing works
Does Managed Care Lead To Better Or Worse Quality Of Care?
Miller, R. H., & Luft, H. S. (1997) · Health Affairs · doi:10.1377/hlthaff.16.5.7 · Cited by 453 · see citing works
Antidepressants for the Treatment of Generalized Anxiety Disorder
Rickels, K. (1993) · Archives of General Psychiatry · doi:10.1001/archpsyc.1993.01820230054005 · Cited by 412 · see citing works
Is Health Care Ready for Six Sigma Quality?
Chassin, M. R. (1998) · Milbank Quarterly · doi:10.1111/1468-0009.00106 · Cited by 389 · see citing works
Ethnicity and the use of outpatient mental health services in a national insured population.
Padgett, D. K., Patrick, C., Burns, B. J., & Schlesinger, H. J. (1994) · American Journal of Public Health · doi:10.2105/ajph.84.2.222 · Cited by 312 · see citing works
How can care for depression become more cost-effective?
Sturm, R. (1995) · JAMA · doi:10.1001/jama.273.1.51 · Cited by 239 · see citing works
Wells, K. B., Sturm, R., Sherbourne, C. D., & Meredith, L. S. (1996) · Medical Entomology and Zoology · Cited by 226 · see citing works
Self-citationMental Disorders and Access to Medical Care in the United States
Druss, B. G., & Rosenheck, R. A. (1998) · American Journal of Psychiatry · doi:10.1176/ajp.155.12.1775 · Cited by 211 · see citing works
Kemper, P. F., Blumenthal, D. M., Corrigan, J. M., Cunningham, P. J., Felt, S. M., Grossman, J. M., Kohn, L. T., Metcalf, C. E., Peter, R. F. S., Strouse, R., et al. (1996) · PubMed · Cited by 208 · see citing works
Thase, M. E. (1996) · Archives of General Psychiatry · doi:10.1001/archpsyc.1996.01830090023004 · Cited by 201 · see citing works
Strategies in the Multivariate Analysis of Data from Complex Surveys
Koch, G. G., Freeman, D. H., & Freeman, J. L. (1975) · International Statistical Review · doi:10.2307/1402660 · Cited by 190 · see citing works
Persistently poor outcomes of undetected major depression in primary care
ROST, K. M., Zhang, M., Fortney, J. C., Smith, J. L., Coyne, J., & Smith, G. R. (1998) · General Hospital Psychiatry · doi:10.1016/s0163-8343(97)00095-9 · Cited by 187 · see citing works
ECT, Research, and Professional Ambivalence
Salzman, C. (1998) · American Journal of Psychiatry · doi:10.1176/ajp.155.1.1 · Cited by 176 · see citing works
Racial Injustice in Health Care
Freeman, H. P., & Payne, R. (2000) · New England Journal of Medicine · doi:10.1056/nejm200004063421411 · Cited by 145 · see citing works
Pharmacologic Treatment of Acute Major Depression and Dysthymia: Clinical Guideline, Part 1
Snow, V. T., Lascher, S., & Mottur-Pilson, C. (2000) · Annals of Internal Medicine · doi:10.7326/0003-4819-132-9-200005020-00010 · Cited by 143 · see citing works
Advances in the Psychosocial Treatment of Anxiety Disorders
Barlow, D. H. (1996) · Archives of General Psychiatry · doi:10.1001/archpsyc.1996.01830080079013 · Cited by 140 · see citing works
Markowitz, J. C. (1994) · American Journal of Psychiatry · doi:10.1176/ajp.151.8.1114 · Cited by 137 · see citing works
Medication management of depression in the United States and Ontario
Katz, S. J., Kessler, R. C., Lin, E. H. B., & Wells, K. B. (1998) · Journal of General Internal Medicine · doi:10.1046/j.1525-1497.1998.00022.x · Cited by 131 · see citing works
Self-citationCooper, L. A., Crum, R. M., & Ford, D. E. (1994) · Medical Care · doi:10.1097/00005650-199401000-00002 · Cited by 125 · see citing works
Quality of Care for Primary Care Patients With Depression in Managed Care
Wells, K. B. (1999) · Archives of Family Medicine · doi:10.1001/archfami.8.6.529 · Cited by 122 · see citing works
Self-citationMental health care use, morbidity, and socioeconomic status in the United States and Ontario.
Katz, S. J., Kessler, R. C., Frank, R. G., Leaf, P. J., & Lin, E. H. B. (1997) · PubMed · Cited by 100 · see citing works
Panic, Agoraphobia, and Panic Disorder with Agoraphobia
Goisman, R. M., Warshaw, M. G., Peterson, L. G., Rogers, M. P., CUNEO, P., HUNT, M. F., TOMLIN-ALBANESE, J. M., Kazim, A., Gollan, J. K., EPSTEIN-KAYE, T., et al. (1994) · The Journal of Nervous and Mental Disease · doi:10.1097/00005053-199402000-00002 · Cited by 91 · see citing works
Sturm, R., Gresenz, C. R., Sherbourne, C. D., Minnium, K., Klap, R. S., Bhattacharya, J., Farley, D. O., Young, A. S., Burnam, M. A., & Wells, K. B. (1999) · PubMed · Cited by 87 · see citing works
Self-citationA Comparison of Diagnostic Interviews for Depression in the Stirling County Study
Murphy, J. M., Monson, R. R., Laird, N. M., Sobol, A. M., & Leighton, A. H. (2000) · Archives of General Psychiatry · doi:10.1001/archpsyc.57.3.230 · Cited by 79 · see citing works
Controlled efficacy study of fluoxetine in dysthymia
Vanelle, J., Attar-Levy, D., Poirier, M. F., Bouhassira, M., Blin, P., & Olié, J. (1997) · The British Journal of Psychiatry · doi:10.1192/bjp.170.4.345 · Cited by 65 · see citing works
Dysthymia in Clinical Practice
Akiskal, H. S., Silva, J. A. C. E., FRANCES, A. J., Freeman, H. L., Keller, M. B., Lapierre, Y. D., Ibor, J. J. L., Paykel, E. S., Stabl, M., & The WPA Dysthymia Working Group (1995) · The British Journal of Psychiatry · doi:10.1192/bjp.166.2.174 · Cited by 64 · see citing works
Use of medication and in vivo exposure in volunteers for panic disorder research
Taylor, C. B., King, R., Margraf, J., Ehlers, A., Telch, M. J., Roth, W. T., & Agras, W. S. (1989) · American Journal of Psychiatry · doi:10.1176/ajp.146.11.1423 · Cited by 55 · see citing works
Use of medical services and treatment for panic disorder with agoraphobia and for social phobia.
Swinson, R. P., Cox, B. J., & Woszczyna, C. (1992) · PubMed · Cited by 55 · see citing works
Mental Health Needs of the Uninsured
NORQUIST, G. S. (1991) · Archives of General Psychiatry · doi:10.1001/archpsyc.1991.01810290087016 · Cited by 52 · see citing works
Pharmacotherapy of Panic Disorder: Proposed Guidelines for the Family Physician
Roy‐Byrne, P., Stein, M. B., Bystrisky, A., & Katon, W. J. (1998) · The Journal of the American Board of Family Medicine · doi:10.3122/jabfm.11.4.282 · Cited by 44 · see citing works
Meredith, L. S. (1994) · Archives of Family Medicine · doi:10.1001/archfami.3.12.1065 · Cited by 41 · see citing works
Women's mental health: Some directions for research.
Padgett, D. K. (1997) · American Journal of Orthopsychiatry · doi:10.1037/h0080252 · Cited by 25 · see citing works
Psychopharmacologic Treatment of Panic, Generalized Anxiety Disorder, and Social Phobia
Roy‐Byrne, P., Wingerson, D. K., Cowley, D. S., & Dager, S. R. (1993) · Psychiatric Clinics of North America · doi:10.1016/s0193-953x(18)30146-1 · Cited by 23 · see citing works
The long-term management of generalized anxiety disorder: issues and dilemmas.
Schweizer, E. E., & Rickels, K. (1996) · PubMed · Cited by 16 · see citing works
Description of Antipanic Therapy in a Prospective Longitudinal Study
Yonkers, K. A., Ellison, J. M., Shera, D. M., Pratt, L. A., Cole, J. O., Fierman, E. J., Keller, M. B., & Lavori, P. W. (1996) · Journal of Clinical Psychopharmacology · doi:10.1097/00004714-199606000-00006 · Cited by 13 · see citing works
Flagged first, then by citations
1 of the 47 references couldn’t be matched to a known paper.
Cited by
Sorted by citations
Anxiety disorders in primary care: prevalence, impairment, comorbidity, and detection
Kroenke, K., Spitzer, R. L., Williams, J. B. W., Monahan, P. O., & Löwe, B. (2007) · Annals of Internal Medicine · doi:10.7326/0003-4819-146-5-200703060-00004 · Cited by 4,741 · see citing works
An Ultra-Brief Screening Scale for Anxiety and Depression: The PHQ–4
Kroenke, K., Spitzer, R. L., Williams, J. B. W., & Löwe, B. (2009) · Psychosomatics · doi:10.1016/s0033-3182(09)70864-3 · Cited by 4,261 · see citing works
Improving Primary Care for Patients With Chronic Illness
Bodenheimer, T. (2002) · JAMA · doi:10.1001/jama.288.14.1775 · Cited by 2,961 · see citing works
Wang, P. S., Lane, M., Olfson, M., Pincus, H. A., Wells, K. B., & Kessler, R. C. (2005) · Archives of General Psychiatry · doi:10.1001/archpsyc.62.6.629 · Cited by 2,695 · see citing works
Self-citationUnützer, J., Katon, W., Callahan, C. M., Williams, Jr., Hunkeler, E., Harpole, L., Hoffing, M., Della Penna, R. D., Noël, P. H., Lin, E. H. B., et al. (2002) · JAMA · doi:10.1001/jama.288.22.2836 · Cited by 2,405 · see citing works
Unmet Need for Mental Health Care Among U.S. Children: Variation by Ethnicity and Insurance Status
Kataoka, S. H., Zhang, L., & Wells, K. B. (2002) · American Journal of Psychiatry · doi:10.1176/appi.ajp.159.9.1548 · Cited by 1,566 · see citing works
Self-citationHelp-Seeking and Access to Mental Health Care in a University Student Population
Eisenberg, D., Golberstein, E., & Gollust, S. E. (2007) · Medical Care · doi:10.1097/mlr.0b013e31803bb4c1 · Cited by 1,131 · see citing works
User’s manual for the SF-12v2 health survey
Ware, J., Kosinski, M., Bowker, D., Gandek, B., Ware, J. E., & Turner‐Bowker, D. M. (2002) · Cited by 1,085 · see citing works
Kessler, R. C. (2005) · JAMA · doi:10.1001/jama.293.20.2487 · Cited by 1,071 · see citing works
The challenge of patient adherence.
Martin, L. R., Williams, S. L., Haskard, K. B., & DiMatteo, M. R. (2005) · PubMed Central · Cited by 994 · see citing works
Shanafelt, T. D. (2011) · Archives of Surgery · doi:10.1001/archsurg.2010.292 · Cited by 869 · see citing works
Culturally competent healthcare systems
Anderson, L. M., Scrimshaw, S. C. M., Fullilove, M. T., Fielding, J. E., & Normand, J. (2003) · American Journal of Preventive Medicine · doi:10.1016/s0749-3797(02)00657-8 · Cited by 798 · see citing works
Ethnic Disparities in Unmet Need for Alcoholism, Drug Abuse, and Mental Health Care
Wells, K., Klap, R., Koike, A., & Sherbourne, C. (2001) · American Journal of Psychiatry · doi:10.1176/appi.ajp.158.12.2027 · Cited by 773 · see citing works
Self-citationAlegria, M. M., CANINO, G. J., Ríos, R. E., Vera, M., Calderón, J., Rusch, D. B., & Ortega, A. N. (2002) · Psychiatric Services · doi:10.1176/appi.ps.53.12.1547 · Cited by 768 · see citing works
New Evidence Regarding Racial And Ethnic Disparities In Mental Health: Policy Implications
McGuire, T. G., & Miranda, J. (2008) · Health Affairs · doi:10.1377/hlthaff.27.2.393 · Cited by 734 · see citing works
Holdeman, T. C. (2009) · Psychiatric Services · doi:10.1176/appi.ps.60.2.273 · Cited by 733 · see citing works
Perceived Need and Help-Seeking in Adults With Mood, Anxiety, or Substance Use Disorders
Mojtabai, R., Olfson, M., & Mechanic, D. (2002) · Archives of General Psychiatry · doi:10.1001/archpsyc.59.1.77 · Cited by 710 · see citing works
Confronting Depression and Suicide in Physicians: A Consensus Statement
Center, C., Davis, M., Detre, T., Ford, D. E., Hansbrough, W., Hendin, H., Laszlo, J., Litts, D. A., Mann, J., Mansky, P. A., et al. (2003) · JAMA · doi:10.1001/jama.289.23.3161 · Cited by 661 · see citing works
Hirschfeld, R. M. A. (2001) · The Primary Care Companion For CNS Disorders · doi:10.4088/pcc.v03n0609 · Cited by 661 · see citing works
Cooper, L. A., Gonzales, J. J., Gallo, J. J., Rost, K. M., Meredith, L. S., Rubenstein, L. V., Wang, N.-Y., & Ford, D. E. (2003) · Medical Care · doi:10.1097/01.mlr.0000053228.58042.e4 · Cited by 651 · see citing works
Lifetime risk and persistence of psychiatric disorders across ethnic groups in the United States
BRESLAU, J., KENDLER, K. S., SU, M., GAXIOLA-AGUILAR, S., & KESSLER, R. C. (2005) · Psychological Medicine · doi:10.1017/s0033291704003514 · Cited by 642 · see citing works
van Ryn, M., & Fu, S. S. (2003) · American Journal of Public Health · doi:10.2105/ajph.93.2.248 · Cited by 603 · see citing works
Mental health treatment seeking among older adults with depression: The impact of stigma and race
Conner, K. O., Copeland, V. C., Grote, N. K., Koeske, G., Rosen, D., Reynolds, C. F., & Brown, C. (2010) · The American Journal of Geriatric Psychiatry · doi:10.1097/jgp.0b013e3181cc0366 · Cited by 568 · see citing works
Jorm, A. F., Patten, S. B., Brugha, T. S., & Mojtabai, R. (2017) · World Psychiatry · doi:10.1002/wps.20388 · Cited by 556 · see citing works
Vittengl, J. R., Clark, L. A., Dunn, T. W., & Jarrett, R. B. (2007) · Journal of Consulting and Clinical Psychology · doi:10.1037/0022-006x.75.3.475 · Cited by 551 · see citing works
Millan, M. J. (2006) · Pharmacology & Therapeutics · doi:10.1016/j.pharmthera.2005.11.006 · Cited by 549 · see citing works
Treatment of Depression in Patients With Alcohol or Other Drug Dependence
Nunes, E. V., & LEVIN, F. R. (2004) · JAMA · doi:10.1001/jama.291.15.1887 · Cited by 535 · see citing works
Treating Depression in Predominantly Low-Income Young Minority Women
Miranda, J. M., Chung, J. Y., Green, B. L., KRUPNICK, J. L., Siddique, J., Revicki, D. A., & Belin, T. (2003) · JAMA · doi:10.1001/jama.290.1.57 · Cited by 520 · see citing works
Treatment and prevention of depression
Hollon, S. D., Thase, M. E., & Markowitz, J. C. (2002) · Psychological Science in the Public Interest · doi:10.1111/1529-1006.00008 · Cited by 511 · see citing works
Depression and Social Identity: An Integrative Review
Cruwys, T., Haslam, S. A., Dingle, G. A., Haslam, C., & Jetten, J. (2014) · Personality and Social Psychology Review · doi:10.1177/1088868314523839 · Cited by 498 · see citing works
A meta-analysis of interventions to improve care for chronic illnesses.
Tsai, A. C., Morton, S. C., Mangione, C. M., & Keeler, E. B. (2005) · PubMed · Cited by 482 · see citing works
Collaborative Care to Improve the Management of Depressive Disorders
Thota, A. B., Sipe, T. A., Byard, G. J., Zometa, C. S., Hahn, R. A., McKnight-Eily, L. R., Chapman, D. P., Abraído‐Lanza, A. F., Pearson, J. L., Anderson, C. W., et al. (2012) · American Journal of Preventive Medicine · doi:10.1016/j.amepre.2012.01.019 · Cited by 479 · see citing works
Bauer, M., Bschor, T., Pfennig, A., Whybrow, P. C., Angst, J., Versiani, M., Möller, H., & WFSBP Task Force on Unipolar Depres (2007) · The World Journal of Biological Psychiatry · doi:10.1080/15622970701227829 · Cited by 474 · see citing works
Kessler, R. C., Merikangas, K. R., & Wang, P. S. (2007) · Annual Review of Clinical Psychology · doi:10.1146/annurev.clinpsy.3.022806.091444 · Cited by 468 · see citing works
Suicide Risk During Antidepressant Treatment
Simon, G. E., Savarino, J., Operskalski, B., & Wang, P. S. (2006) · American Journal of Psychiatry · doi:10.1176/appi.ajp.163.1.41 · Cited by 424 · see citing works
Depression Care in the United States: Too Little for Too Few
González, H. M., Vega, W. A., Williams, D. R., Tarraf, W., West, B. T., & Neighbors, H. W. (2010) · Archives of General Psychiatry · doi:10.1001/archgenpsychiatry.2009.168 · Cited by 418 · see citing works
Wang, P. S., Simon, G. E., Avorn, J., Azocar, F., Ludman, E. J., McCulloch, J., Petukhova, M. Z., & Kessler, R. C. (2007) · JAMA · doi:10.1001/jama.298.12.1401 · Cited by 408 · see citing works
Mendel, P., Meredith, L. S., Schoenbaum, M., Sherbourne, C. D., & Wells, K. B. (2008) · Administration and Policy in Mental Health and Mental Health Services Research · doi:10.1007/s10488-007-0144-9 · Cited by 407 · see citing works
Self-citationStrine, T. W., Mokdad, A. H., Balluz, L. S., Gonzalez, O., Crider, R. A., Berry, J. T., & Kroenke, K. (2008) · Psychiatric Services · doi:10.1176/ps.2008.59.12.1383 · Cited by 407 · see citing works
The economic burden of depression and the cost-effectiveness of treatment
Wang, P. S., Simon, G., & Kessler, R. C. (2003) · International Journal of Methods in Psychiatric Research · doi:10.1002/mpr.139 · Cited by 403 · see citing works
Simon, G. E., Ludman, E. J., Tutty, S., Operskalski, B., & Korff, M. V. (2004) · JAMA · doi:10.1001/jama.292.8.935 · Cited by 395 · see citing works
Continuity of antidepressant treatment for adults with depression in the United States
Olfson, M., Marcus, S. C., Tedeschi, M., & Wan, G. J. (2006) · American Journal of Psychiatry · doi:10.1176/appi.ajp.163.1.101 · Cited by 392 · see citing works
Therapist-supported Internet cognitive behavioural therapy for anxiety disorders in adults
Olthuis, J. V., Watt, M. C., Bailey, K., Hayden, J. A., & Stewart, S. H. (2016) · Cochrane Database of Systematic Reviews · doi:10.1002/14651858.cd011565.pub2 · Cited by 390 · see citing works
Latino Adults’ Access to Mental Health Care: A Review of Epidemiological Studies
Cabassa, L. J., Zayas, L. H., & Hansen, M. C. (2006) · Administration and Policy in Mental Health and Mental Health Services Research · doi:10.1007/s10488-006-0040-8 · Cited by 390 · see citing works
Racial/Ethnic and Gender Disparities in Health Care Use and Access
Manuel, J. I. (2018) · Health Services Research · doi:10.1111/1475-6773.12705 · Cited by 378 · see citing works
Bias in Mental Health Assessment and Intervention: Theory and Evidence
Snowden, L. R. (2003) · American Journal of Public Health · doi:10.2105/ajph.93.2.239 · Cited by 371 · see citing works
Personalized Medicine for Depression: Can We Match Patients With Treatments?
Simon, G. E., & Perlis, R. H. (2010) · American Journal of Psychiatry · doi:10.1176/appi.ajp.2010.09111680 · Cited by 365 · see citing works
A systematic review of social factors and suicidal behavior in older adulthood
Fässberg, M. M., Orden, K. A. V., Duberstein, P., Erlangsen, A., Lapierre, S., Bodner, E., Canetto, S. S., Leo, D. D., Szanto, K., & Waern, M. (2012) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph9030722 · Cited by 342 · see citing works
Bauer, M., Whybrow, P. C., Angst, J., Versiani, M., Möller, H., & WFSBP Task Force on Treatment Guide (2002) · The World Journal of Biological Psychiatry · doi:10.3109/15622970209150599 · Cited by 340 · see citing works
Cost-effectiveness of Practice-Initiated Quality Improvement for Depression
Schoenbaum, M., Unützer, J., Sherbourne, C. D., Duan, N., Rubenstein, L. V., Miranda, J. M., Meredith, L. S., Carney, M. F., & Wells, K. B. (2001) · JAMA · doi:10.1001/jama.286.11.1325 · Cited by 330 · see citing works
Self-citationHollon, S. D., Muñoz, R. F., Barlow, D. H., Beardslee, W. R., Bell, C. C., Bernal, G., Clarke, G. N., Franciosi, L. P., Kazdin, A. E., Kohn, L. P., et al. (2002) · Biological Psychiatry · doi:10.1016/s0006-3223(02)01384-7 · Cited by 327 · see citing works
Long term outcomes from the IMPACT randomised trial for depressed elderly patients in primary care
Hunkeler, E. M., Katon, W. J., Tang, L., Williams, J. W., Kroenke, K., Lin, E. H. B., Harpole, L. H., Areán, P. A., Levine, S., Grypma, L., et al. (2006) · BMJ · doi:10.1136/bmj.38683.710255.be · Cited by 326 · see citing works
Gaps in accessing treatment for anxiety and depression: challenges for the delivery of care
Collins, K. A., Westra, H. A., Dozois, D. J. A., & Burns, D. D. (2004) · Clinical Psychology Review · doi:10.1016/j.cpr.2004.06.001 · Cited by 322 · see citing works
(2011) · PubMed · Cited by 321 · see citing works
Ell, K., Sanchez, K. M., Vourlekis, B. S., Lee, P.-J., Dwight‐Johnson, M., Lagomasino, I. T., Muderspach, L. I., & Russell, C. A. (2005) · Journal of Clinical Oncology · doi:10.1200/jco.2005.08.041 · Cited by 316 · see citing works
Roy-Byrne, P. P., Craske, M. G., Stein, M. B., Sullivan, G., Bystritsky, A., Katon, W., Golinelli, D., & Sherbourne, C. D. (2005) · Archives of General Psychiatry · doi:10.1001/archpsyc.62.3.290 · Cited by 314 · see citing works
Self-citationEkelund, C. K., Jørgensen, F. S., Petersen, O. B., Sundberg, K., & Tabor, A. (2008) · BMJ · doi:10.1136/bmj.a2547 · Cited by 311 · see citing works
Continuity of Antidepressant Treatment for Adults With Depression in the United States
Ballenger, J. C. (2007) · Yearbook of Psychiatry and Applied Mental Health · doi:10.1016/s0084-3970(08)70480-8 · Cited by 309 · see citing works
Prevalence of mood and anxiety disorders in women with systemic lupus erythematosus
Bachen, E. A., Chesney, M. A., & Criswell, L. A. (2009) · Arthritis Care & Research · doi:10.1002/art.24519 · Cited by 306 · see citing works
Population level of unmet need for mental healthcare in Europe
Alonso, J., Codony, M., Kovess, V., Angermeyer, M. C., Katz, S. J., Haro, J. M., De Girolamo, G., De Graaf, R., Demyttenaere, K., Vilagut, G., et al. (2007) · British Journal of Psychiatry · doi:10.1192/bjp.bp.106.022004 · Cited by 299 · see citing works
Caring for Mental Illness in the United States: A Focus on Older Adults
Klap, R., Unroe, K. T., & Unützer, J. (2003) · The American Journal of Geriatric Psychiatry · doi:10.1097/00019442-200309000-00006 · Cited by 292 · see citing works
Self-citationMental Disorders and the Use of Alternative Medicine: Results From a National Survey
Unützer, J., Klap, R. S., Sturm, R., Young, A. S., Marmon, T., Shatkin, J. P., & Wells, K. B. (2000) · American Journal of Psychiatry · doi:10.1176/appi.ajp.157.11.1851 · Cited by 288 · see citing works
Self-citationKarlin, B. E., & Cross, G. (2014) · American Psychologist · doi:10.1037/a0033888 · Cited by 283 · see citing works
Sharpe, M., Walker, J., Hansen, C. H., Martin, P., Symeonides, S., Gourley, C., Wall, L., Weller, D., & Murray, G. (2014) · The Lancet · doi:10.1016/s0140-6736(14)61231-9 · Cited by 269 · see citing works
Depression and cigarette smoking behavior: a critical review of population-based studies
Weinberger, A. H., Kashan, R. S., Shpigel, D. M., Esan, H., Taha, F., Lee, C. J., Funk, A. P., & Goodwin, R. D. (2017) · The American Journal of Drug and Alcohol Abuse · doi:10.3109/00952990.2016.1171327 · Cited by 263 · see citing works
McGuire, T. G., Alegria, M. M., Cook, B. L., Wells, K. B., & Zaslavsky, A. M. (2006) · Health Services Research · doi:10.1111/j.1475-6773.2006.00583.x · Cited by 263 · see citing works
Self-citationRoy‐Byrne, P., Craske, M. G., & Stein, M. B. (2006) · The Lancet · doi:10.1016/s0140-6736(06)69418-x · Cited by 261 · see citing works
Rhodes, J., Chan, C., Paxson, C., Rouse, C. E., Waters, M., & Fussell, E. (2010) · American Journal of Orthopsychiatry · doi:10.1111/j.1939-0025.2010.01027.x · Cited by 251 · see citing works
Assessing Racial/Ethnic Disparities in Treatment across Episodes of Mental Health Care
Cook, B. L., Zuvekas, S. H., Carson, N. J., Wayne, G. F., Vesper, A., & McGuire, T. G. (2013) · Health Services Research · doi:10.1111/1475-6773.12095 · Cited by 249 · see citing works
Depression in US Hispanics: Diagnostic and Management Considerations in Family Practice
Lewis‐Fernández, R., Das, A. K., Alfonso, C., Weissman, M. M., & Olfson, M. (2005) · The Journal of the American Board of Family Medicine · doi:10.3122/jabfm.18.4.282 · Cited by 249 · see citing works
Unützer, J., Schoenbaum, M., Druss, B. G., & Katon, W. J. (2006) · Psychiatric Services · doi:10.1176/appi.ps.57.1.37 · Cited by 247 · see citing works
Bridging Community Intervention and Mental Health Services Research
Wells, K., Miranda, J., Bruce, M. L., Alegria, M., & Wallerstein, N. (2004) · American Journal of Psychiatry · doi:10.1176/appi.ajp.161.6.955 · Cited by 237 · see citing works
Self-citationFunctional Impact and Health Utility of Anxiety Disorders in Primary Care Outpatients
Stein, M. B., Roy‐Byrne, P., Craske, M. G., Bystritsky, A., Sullivan, G., Pyne, J. M., Katon, W. J., & Sherbourne, C. D. (2005) · Medical Care · doi:10.1097/01.mlr.0000185750.18119.fd · Cited by 235 · see citing works
Self-citationGoetzel, R. Z., Ozminkowski, R. J., Sederer, L. I., & Mark, T. L. (2002) · Journal of Occupational and Environmental Medicine · doi:10.1097/00043764-200204000-00012 · Cited by 230 · see citing works
Depression Treatment in a Sample of 1,801 Depressed Older Adults in Primary Care
Unützer, J., Katon, W., Callahan, C. M., Williams, J. W., Hunkeler, E., Harpole, L., Hoffing, M., Della Penna, R. D., Noel, P. H., Lin, E. H. B., et al. (2003) · Journal of the American Geriatrics Society · doi:10.1046/j.1532-5415.2003.51159.x · Cited by 229 · see citing works
Estimating risk for suicide attempt: Are we asking the right questions?
Baca‐García, E., Pérez-Rodríguez, M. M., Oquendo, M. A., Keyes, K. M., Hasin, D. S., Grant, B. F., & Blanco, C. (2011) · Journal of Affective Disorders · doi:10.1016/j.jad.2011.06.026 · Cited by 225 · see citing works
Raue, P. J., Schulberg, H. C., Heo, M., Klimstra, S., & BRUCE, M. L. (2009) · Psychiatric Services · doi:10.1176/appi.ps.60.3.337 · Cited by 225 · see citing works
Racial and Ethnic Differences in the Mental Health Problems and Use of Mental Health Care
Harris, K. M., Edlund, M. J., & Larson, S. L. (2005) · Medical Care · doi:10.1097/01.mlr.0000170405.66264.23 · Cited by 224 · see citing works
Gunter, R. W., & Whittal, M. L. (2010) · Clinical Psychology Review · doi:10.1016/j.cpr.2009.11.001 · Cited by 224 · see citing works
Five-Year Impact of Quality Improvement for Depression
Wells, K. B., Sherbourne, C. D., Schoenbaum, M., Ettner, S. L., Duan, N., Miranda, J. M., Unützer, J., & Rubenstein, L. V. (2004) · Archives of General Psychiatry · doi:10.1001/archpsyc.61.4.378 · Cited by 221 · see citing works
Self-citationPrevalence and predictors of depression treatment in an international primary care study.
Simon, G., Fleck, M., Lucas, R., & Bushnell, D. (2004) · American Journal of Psychiatry · doi:10.1176/appi.ajp.161.9.1626 · Cited by 211 · see citing works
Bullis, J. R., Boettcher, H., Sauer‐Zavala, S., Farchione, T. J., & Barlow, D. H. (2019) · Clinical Psychology: Science and Practice · doi:10.1111/cpsp.12278 · Cited by 216 · see citing works
Donohue, J. M., & Pincus, H. A. (2007) · PharmacoEconomics · doi:10.2165/00019053-200725010-00003 · Cited by 214 · see citing works
Primary Care Patients’ Involvement in Decision-Making Is Associated With Improvement in Depression
Clever, S. L., Ford, D. E., Rubenstein, L. V., ROST, K. M., Meredith, L. S., Sherbourne, C. D., Wang, N., Arbelaez, J. J., & Cooper, L. A. (2006) · Medical Care · doi:10.1097/01.mlr.0000208117.15531.da · Cited by 210 · see citing works
Self-citationPredictors of Adequacy of Depression Management in the Primary Care Setting
Joo, J. H., Solano, F. X., Mulsant, B. H., Reynolds, C. F., & Lenze, E. J. (2005) · Psychiatric Services · doi:10.1176/appi.ps.56.12.1524 · Cited by 210 · see citing works
Mindfulness Meditation, Anxiety Reduction, and Heart Disease: A Pilot Study
Tacón, A. M., McComb, J., Caldera, Y., & Randolph, P. (2003) · Family & Community Health · doi:10.1097/00003727-200301000-00004 · Cited by 209 · see citing works
Treating minority patients with depression and anxiety: What does the evidence tell us?
Schraufnagel, T. J., Wagner, A. W., Miranda, J., & Roy-Byrne, P. P. (2006) · General Hospital Psychiatry · doi:10.1016/j.genhosppsych.2005.07.002 · Cited by 205 · see citing works
Fann, J. R., Bombardier, C. H., Richards, J. S., Tate, D. G., Wilson, C. S., & Temkin, N. (2011) · Archives of Physical Medicine and Rehabilitation · doi:10.1016/j.apmr.2010.05.016 · Cited by 205 · see citing works
Fiscella, K. A., & Epstein, R. M. (2008) · Archives of Internal Medicine · doi:10.1001/archinte.168.17.1843 · Cited by 203 · see citing works
Disparities in the Adequacy of Depression Treatment in the United States
Harman, J. S., Edlund, M. J., & Fortney, J. C. (2004) · Psychiatric Services · doi:10.1176/appi.ps.55.12.1379 · Cited by 201 · see citing works
Keyes, C. L. M. (2004) · Aging & Mental Health · doi:10.1080/13607860410001669804 · Cited by 200 · see citing works
Unmet Need for Treatment of Major Depression in the United States
Mojtabai, R. (2009) · Psychiatric Services · doi:10.1176/ps.2009.60.3.297 · Cited by 200 · see citing works
Organizational Process: A Missing Link Between Research and Practice
Rosenheck, R. A. (2001) · Psychiatric Services · doi:10.1176/appi.ps.52.12.1607 · Cited by 200 · see citing works
Stockdale, S. E., Lagomasino, I. T., Siddique, J., McGuire, T., & Miranda, J. (2008) · Medical Care · doi:10.1097/mlr.0b013e3181789496 · Cited by 197 · see citing works
Strategies to Improve the Management of Depression in Primary Care
Unützer, J., & Park, M. (2012) · Primary Care Clinics in Office Practice · doi:10.1016/j.pop.2012.03.010 · Cited by 197 · see citing works
Use of General Medical Services by VA Patients With Psychiatric Disorders
Cradock-O'Leary, J., Young, A. S., Yano, E. M., Wang, M., & Lee, M. L. (2002) · Psychiatric Services · doi:10.1176/appi.ps.53.7.874 · Cited by 197 · see citing works
Self-citationThe Public Health Impact of Major Depression: A Call for Interdisciplinary Prevention Efforts
McLaughlin, K. A. (2011) · Prevention Science · doi:10.1007/s11121-011-0231-8 · Cited by 196 · see citing works
Becker, S., Al Zaid, K., & Al Faris, E. (2002) · The International Journal of Psychiatry in Medicine · doi:10.2190/xtdd-8l18-p9e0-jyrv · Cited by 190 · see citing works
Psychotherapy mediated by remote communication technologies: a meta-analytic review
Bee, P. E., Bower, P., Lovell, K., Gilbody, S., Richards, D., Gask, L., & Roach, P. (2008) · BMC Psychiatry · doi:10.1186/1471-244x-8-60 · Cited by 189 · see citing works
“Research has also highlighted the potential value of these approaches in the treatment of dysthymia, phobia and generalized anxiety disorder [6].”
BackgroundInterventions to Improve Chronic Illness Care: Evaluating Their Effectiveness
Bodenheimer, T. (2003) · Disease Management · doi:10.1089/109350703321908441 · Cited by 189 · see citing works
- Authors
- Young, A. S., Klap, R., Sherbourne, C. D., & Wells, K. B.
- Affiliations
- University of California, Los Angeles (US)
- Venue
- Archives of General Psychiatry
- Publisher
- American Medical Association (AMA)
- Published
- 2001-01-01
- Volume
- 58
- Issue
- 1
- Pages
- 55
- ISSN
- 0003-990X (ISSN-L)
- OpenAlex
- W2167477924
- Cited by
- 1,061
- References
- 47
- Citations by year
- 2026: 3 · 2025: 9 · 2024: 12 · 2023: 17 · 2022: 13 · 2021: 24 · 2020: 24 · 2019: 28 · 2018: 36 · 2017: 29 · 2016: 41 · 2015: 41 · 2014: 47 · 2013: 61 · 2012: 55
- FWCI
- 98.00
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Archives of General Psychiatry (publishedVersion)
- PubMed (publishedVersion)
- Funders
- National Institute of Mental Health (P50-MH54623, P50MH054623)
- Topics
- Social Sciences › Psychology › Social Psychology › Mental Health Treatment and Access
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
- Health Sciences › Medicine › Pharmacology › Treatment of Major Depression
- Keywords
- depressive disorders, anxiety disorders, mental health care quality, treatment utilization, primary care, mental health professionals, health insurance, demographic disparities, access to mental health care, United States
- MeSH terms
- Adult, Aged, Aged, 80 and over, Anxiety Disorders, Counseling, Cross-Sectional Studies, Depressive Disorder, Female, Health Services Research, Humans, Male, Mental Health Services, Middle Aged, Psychotropic Drugs, Quality of Health Care, United States, Dysthymic Disorder
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