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    Collaborative treatment may improve depression outcomes



    Women who are treated for depression at an ob/gyn clinic with a collaborative care approach may have improved outcomes, according to a recent study in Obstetrics & Gynecology.

    Researchers at the University of Washington performed a two-site, randomized controlled trial, which included screen-positive women (Patient Health Questionnaire-9, with a score of at least 10) who had met criteria for major depression, dysthymia, or both.  Participants were an average of 39 years old; 44% were not white; and 56% suffered from posttraumatic stress disorder. They were randomized to either receive collaborative depression management (n = 102) or usual care (n = 103) for 12 months. Outcomes at 6, 12, and 18 months were compared.

    The primary outcome was change from baseline to 12 months in depressive symptoms and functional status. Quality of care, treatment satisfaction, global improvement, and at least a 50% decrease and remission in depressive symptoms were the secondary outcomes.



    Miranda Hester
    Ms. Hester is Content Specialist with Contemporary OB/GYN and Contemporary Pediatrics.


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