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Cited by 116Psychotherapy Techniques and ApplicationsMental Health Treatment and AccessTreatment of Major Depression

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Psychosocial and pharmacological interventions for depressed adults in primary care: A critical review

Wolf, Nicole J., Hopko, Derek R.·2008·Clinical Psychology Review
DOI 10.1016/j.cpr.2007.04.004
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Abstract

Primary care settings are the principal context for treating clinical depression, with researchers beginning to explore the efficacy of psychosocial and pharmacological treatments for depression within this infrastructure. Feasibility and process variables also are being assessed, including issues of cost-effectiveness, viability of collaborative care models, predictors of treatment outcome, and effectiveness of treatment providers without specialized mental health training. The Agency for Health Care Policy and Research and American Psychiatric Association initially released guidelines for the treatment of depression in primary care [American Psychiatric Association, 1993. Practice Guidelines for major depressive disorder in adults. American Journal of Psychiatry, 150, 1-26., American Psychiatric Association, 2000. Practice Guideline for the treatment of patients with major depressive disorder (revision). American Journal of Psychiatry, 157, 1-45], however, a vast literature has accumulated over the past several years, calling for a systematic re-evaluation of the status of depression treatment in primary care. The present study provides a contemporary review of outcome data for psychosocial and pharmacological interventions in primary care and extends beyond AHCPR guidelines insofar as focusing on feasibility and process variables, including the training and proficiency of primary care treatment providers, cost-effectiveness of primary care interventions, and predictors of…

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Sorted by citations

Metadata

Authors
Wolf, N. J., & Hopko, D. R.
Affiliations
University of Tennessee at Knoxville (US)
Corresponding author
Hopko, Derek R.
Venue
Clinical Psychology Review
Publisher
Elsevier BV
Published
2008-01
Volume
28
Issue
1
Pages
131-161
ISSN
0272-7358 (ISSN-L)
DOI
10.1016/j.cpr.2007.04.004
OpenAlex
W2062400541
Cited by
116
References
35
Citations by year
2026: 2 · 2024: 1 · 2023: 5 · 2022: 3 · 2021: 3 · 2020: 2 · 2019: 2 · 2018: 4 · 2017: 6 · 2016: 5 · 2015: 10 · 2014: 5 · 2013: 12 · 2012: 10
FWCI
1.68
Type
journal article
Language
en
Open access
closed
Licence
Locations
  • Clinical Psychology Review (publishedVersion)
  • PubMed (publishedVersion)
Topics
  • Social Sciences › Psychology › Clinical Psychology › Psychotherapy Techniques and Applications
  • Health Sciences › Medicine › Psychiatry and Mental health › Mental Health Treatment and Access
  • Health Sciences › Medicine › Pharmacology (medical) › Treatment of Major Depression
Keywords
major depressive disorder, primary care, psychosocial interventions, pharmacotherapy, problem-solving therapy, interpersonal psychotherapy, cognitive behavioral therapy, cognitive therapy, collaborative care, cost-effectiveness, treatment outcome predictors, relapse, primary care provider training, usual care comparison
MeSH terms
Adolescent, Adult, Aged, Antidepressive Agents, Combined Modality Therapy, Counseling, Major Depressive Disorder, Female, Humans, Interpersonal Relations, Male, Middle Aged, Monoamine Oxidase Inhibitors, Primary Health Care, Problem Solving, Psychotherapy, Cognitive Behavioral Therapy, Randomized Controlled Trials as Topic, Treatment Outcome

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