Depressive Symptom Deterioration among Predominantly Hispanic Diabetes Patients in Safety Net Care
作者： Kathleen Ell , Wayne Katon , Pey-Jiuan Lee , Suad Kapetanovic , Jeffrey Guterman
DOI: 10.1016/J.PSYM.2011.12.009
关键词:
摘要: Objective: This study examines clinical predictors of symptom deterioration (relapse/recurrence) at the completion a intervention trial depressed, lowincome, predominantly Hispanic diabetes patients who were randomized to socio-culturally adapted collaborative depression treatment or usual care and no longer met clinically significant criteria 12 months post-trial baseline. Methods: A sub-cohort 193 with major symptoms baseline, 12-month (INT) (problem-solving therapy and/or pharmacotherapy, telephone monitoring/ relapse prevention, behavioral activation patient navigation support) enhanced (EUC), did not meet subsequently observed over 18 24 months. Results: Post-trial was similar between INT (35.2%) EUC (35.3%) groups. Among combined groups,
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