Models for treating depression in specialty medical settings: A narrative review

Jessica Y. Breland, Joseph Mignogna, Lea Kiefer, Laura Marsh

Research output: Contribution to journalArticle

Abstract

Objective: This review answered two questions: (a) what types of specialty medical settings are implementing models for treating depression, and (b) do models for treating depression in specialty medical settings effectively treat depression symptoms? Method: We searched Medline/Pubmed to identify articles, published between January 1990 and May 2013, reporting on models for treating depression in specialty medical settings. Included studies had to have adult participants with comorbid medical conditions recruited from outpatient, nonstandard primary care settings. Studies also had to report specific, validated depression measures. Results: Search methods identified nine studies (six randomized controlled trials, one nonrandomized controlled trial and two uncontrolled trials), all representing integrated care for depression, in three specialty settings (oncology, infectious disease, neurology). Most studies (N= 7) reported greater reductions in depression among patients receiving integrated care compared to usual care, particularly in oncology clinics. Conclusions: Integrated care for depression in specialty medical settings can improve depression outcomes. Additional research is needed to understand the effectiveness of incorporating behavioral and/or psychological treatments into existing methods. When developing or selecting a model for treating depression in specialty medical settings, clinicians and researchers will benefit from choosing specific components and measures most relevant to their target populations.

Original languageEnglish (US)
Pages (from-to)315-322
Number of pages8
JournalGeneral Hospital Psychiatry
Volume37
Issue number4
DOIs
StatePublished - Jul 1 2015
Externally publishedYes

Keywords

  • Cancer
  • Depression
  • HIV/AIDS
  • Integrated care
  • Multiple sclerosis

ASJC Scopus subject areas

  • Psychiatry and Mental health

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