The Resource Evidence synthesis for determining the responsiveness of depression questionnaires and optimal treatment duration for antidepressant medications, investigators, John W. Williams Jr. ... [et al.], (electronic book)
Evidence synthesis for determining the responsiveness of depression questionnaires and optimal treatment duration for antidepressant medications, investigators, John W. Williams Jr. ... [et al.], (electronic book)
Resource Information
The item Evidence synthesis for determining the responsiveness of depression questionnaires and optimal treatment duration for antidepressant medications, investigators, John W. Williams Jr. ... [et al.], (electronic book) represents a specific, individual, material embodiment of a distinct intellectual or artistic creation found in Sydney Jones Library, University of Liverpool.This item is available to borrow from 1 library branch.
Resource Information
The item Evidence synthesis for determining the responsiveness of depression questionnaires and optimal treatment duration for antidepressant medications, investigators, John W. Williams Jr. ... [et al.], (electronic book) represents a specific, individual, material embodiment of a distinct intellectual or artistic creation found in Sydney Jones Library, University of Liverpool.
This item is available to borrow from 1 library branch.
- Summary
- In 2000, the U.S. economic burden of depressive disorders was estimated to be 83.1 billion dollars. This included 31% direct medical costs, 7% suicide-related mortality costs, and 62% workplace costs. A variety of strategies have been tested to improve patient outcomes. Among these, integrated care models have emerged as both effective and cost effective. A recent systematic review identifies symptom monitoring as a key element of these integrated care models. However, the review did not identify the standardized depression scales that are responsive to clinically important change. A separate but important issue raised by Veterans Administration (VA) Stakeholders is how long to continue antidepressant medication for patients who respond to acute phase treatment. Clinical guidelines recommend continuation treatment for 4-6 months for uncomplicated major depression and some national performance measures are linked to these guidelines. However, clinical guidelines for longer-term maintenance phase treatment are more variable and performance indicators (e.g., Healthcare Effectiveness Data and Information Set, HEDIS) do not address maintenance phase treatment. A better understanding of the evidence for long-term treatment efficacy with antidepressants would inform guidelines and performance measurement. The Key Questions (KQ) were: KQ1: In patients with major depressive disorder treated in primary care settings, what assessment tools are responsive to change? This review should specifically address instruments that are feasible for the primary care setting. KQ2: In primary care patients with major depressive disorder who remit with antidepressant medication, what is the minimum treatment duration to decrease the risk of relapse or recurrence? This review will focus on patients without comorbid substance abuse, PTSD, psychosis or other conditions where guidelines would recommend specialty based care
- Language
-
- eng
- eng
- Note
- "Prepared for: Department of Veterans Affairs, Veterans Health Administration, Health Services Research & Development Service, Washington, DC 20420. Prepared by: Durham Veterans Affairs Medical Center/Duke Evidence-based Practice Center, Durham, NC."
- Label
- Evidence synthesis for determining the responsiveness of depression questionnaires and optimal treatment duration for antidepressant medications
- Title
- Evidence synthesis for determining the responsiveness of depression questionnaires and optimal treatment duration for antidepressant medications
- Statement of responsibility
- investigators, John W. Williams Jr. ... [et al.]
- Subject
-
- Antidepressive Agents -- therapeutic use
- Depressive Disorder, Major -- diagnosis
- Depressive Disorder, Major -- drug therapy
- Dose-Response Relationship, Drug
- Drug Administration Schedule
- Humans
- Primary Health Care
- Psychiatric Status Rating Scales
- Questionnaires
- Randomized Controlled Trials as Topic
- Recurrence -- prevention & control
- Time Factors
- Treatment Outcome
- United States
- Language
-
- eng
- eng
- Summary
- In 2000, the U.S. economic burden of depressive disorders was estimated to be 83.1 billion dollars. This included 31% direct medical costs, 7% suicide-related mortality costs, and 62% workplace costs. A variety of strategies have been tested to improve patient outcomes. Among these, integrated care models have emerged as both effective and cost effective. A recent systematic review identifies symptom monitoring as a key element of these integrated care models. However, the review did not identify the standardized depression scales that are responsive to clinically important change. A separate but important issue raised by Veterans Administration (VA) Stakeholders is how long to continue antidepressant medication for patients who respond to acute phase treatment. Clinical guidelines recommend continuation treatment for 4-6 months for uncomplicated major depression and some national performance measures are linked to these guidelines. However, clinical guidelines for longer-term maintenance phase treatment are more variable and performance indicators (e.g., Healthcare Effectiveness Data and Information Set, HEDIS) do not address maintenance phase treatment. A better understanding of the evidence for long-term treatment efficacy with antidepressants would inform guidelines and performance measurement. The Key Questions (KQ) were: KQ1: In patients with major depressive disorder treated in primary care settings, what assessment tools are responsive to change? This review should specifically address instruments that are feasible for the primary care setting. KQ2: In primary care patients with major depressive disorder who remit with antidepressant medication, what is the minimum treatment duration to decrease the risk of relapse or recurrence? This review will focus on patients without comorbid substance abuse, PTSD, psychosis or other conditions where guidelines would recommend specialty based care
- Cataloging source
- DNLM
- http://bibfra.me/vocab/relation/checktag
- bWsWsauV6K8
- Government publication
- federal national government publication
- Illustrations
- illustrations
- Index
- no index present
- Literary form
- non fiction
- Nature of contents
-
- dictionaries
- surveys of literature
- technical reports
- http://library.link/vocab/relatedWorkOrContributorName
-
- Williams, John W.
- United States
- Durham VA Medical Center
- Duke University Evidence-based Practice Center
- Series statement
- Evidence-based sysnthesis program
- http://library.link/vocab/subjectName
-
- Depressive Disorder, Major
- Dose-Response Relationship, Drug
- Psychiatric Status Rating Scales
- Questionnaires
- Recurrence
- Depressive Disorder, Major
- Antidepressive Agents
- Treatment Outcome
- Drug Administration Schedule
- Primary Health Care
- Randomized Controlled Trials as Topic
- Time Factors
- Humans
- United States
- Label
- Evidence synthesis for determining the responsiveness of depression questionnaires and optimal treatment duration for antidepressant medications, investigators, John W. Williams Jr. ... [et al.], (electronic book)
- Note
- "Prepared for: Department of Veterans Affairs, Veterans Health Administration, Health Services Research & Development Service, Washington, DC 20420. Prepared by: Durham Veterans Affairs Medical Center/Duke Evidence-based Practice Center, Durham, NC."
- Bibliography note
- Includes bibliographical references
- Carrier category
- online resource
- Carrier category code
-
- cr
- Carrier MARC source
- rdacarrier
- Color
- black and white
- Content category
- text
- Content type code
-
- txt
- Content type MARC source
- rdacontent
- Control code
- 1542138
- Dimensions
- unknown
- Form of item
- online
- Media category
- computer
- Media MARC source
- rdamedia
- Media type code
-
- c
- Specific material designation
- remote
- Label
- Evidence synthesis for determining the responsiveness of depression questionnaires and optimal treatment duration for antidepressant medications, investigators, John W. Williams Jr. ... [et al.], (electronic book)
- Note
- "Prepared for: Department of Veterans Affairs, Veterans Health Administration, Health Services Research & Development Service, Washington, DC 20420. Prepared by: Durham Veterans Affairs Medical Center/Duke Evidence-based Practice Center, Durham, NC."
- Bibliography note
- Includes bibliographical references
- Carrier category
- online resource
- Carrier category code
-
- cr
- Carrier MARC source
- rdacarrier
- Color
- black and white
- Content category
- text
- Content type code
-
- txt
- Content type MARC source
- rdacontent
- Control code
- 1542138
- Dimensions
- unknown
- Form of item
- online
- Media category
- computer
- Media MARC source
- rdamedia
- Media type code
-
- c
- Specific material designation
- remote
Subject
- Antidepressive Agents -- therapeutic use
- Depressive Disorder, Major -- diagnosis
- Depressive Disorder, Major -- drug therapy
- Dose-Response Relationship, Drug
- Drug Administration Schedule
- Humans
- Primary Health Care
- Psychiatric Status Rating Scales
- Questionnaires
- Randomized Controlled Trials as Topic
- Recurrence -- prevention & control
- Time Factors
- Treatment Outcome
- United States
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<div class="citation" vocab="http://schema.org/"><i class="fa fa-external-link-square fa-fw"></i> Data from <span resource="http://link.liverpool.ac.uk/portal/Evidence-synthesis-for-determining-the/iCHoPNSB0ho/" typeof="Book http://bibfra.me/vocab/lite/Item"><span property="name http://bibfra.me/vocab/lite/label"><a href="http://link.liverpool.ac.uk/portal/Evidence-synthesis-for-determining-the/iCHoPNSB0ho/">Evidence synthesis for determining the responsiveness of depression questionnaires and optimal treatment duration for antidepressant medications, investigators, John W. Williams Jr. ... [et al.], (electronic book)</a></span> - <span property="potentialAction" typeOf="OrganizeAction"><span property="agent" typeof="LibrarySystem http://library.link/vocab/LibrarySystem" resource="http://link.liverpool.ac.uk/"><span property="name http://bibfra.me/vocab/lite/label"><a property="url" href="http://link.liverpool.ac.uk/">Sydney Jones Library, University of Liverpool</a></span></span></span></span></div>