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MINOR DEPRESSION--PSYCHOSOCIAL TREATMENT IN PRIMARY CARE

轻度抑郁症——初级保健中的心理社会治疗

基本信息

批准号：
2889858
负责人：
CHARLOTTE BROWN
金额：
$ 11.44万
依托单位：
UNIVERSITY OF PITTSBURGH AT PITTSBURGH
依托单位国家：
美国
项目类别：
财政年份：
1995
资助国家：
美国
起止时间：
1995-09-30 至 2001-04-30
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/2889858
关键词：
behavioral /social science research tag clinical depression clinical trials health care cost /financing human subject human therapy evaluation mental disorder diagnosis nurse practitioners nursing intervention primary care physician problem solving psychometrics psychotherapy therapy compliance

项目摘要

DESCRIPTION (Adapted from the Applicant's Abstract): The program of training and research outlined in this revised application for a Scientist Development Award for Clinicians (SDAC) focuses on developing the candidate's expertise in applying randomized clinical trails methodology to clinical services research in a primary care setting, with Herbert C. Schulberg, Ph.D., Professor of Psychiatry, Psychology, and Medicine, University of Pittsburgh School of Medicine, as Preceptor. The career development plans include training in psychiatric and medical epidemiology, psychometrics, health economics, and biostatistics. Planned tutorials are "Integrating Behavioral Interventions into Primary Health Care" and "Evaluating the Cost-Effectiveness of Psychiatric Treatment in Primary Care." The proposed research evaluates the efficacy of psychosocial treatment and course of recovery in primary care patients with minor depression. There is growing evidence that significant impairment in subjective well- being and functional status, and increased health care utilization are associated with minor depression. Yet, effective and feasible treatment options have received little attention. A randomized, clinical trial conducted at four urban health centers in Pittsburgh, PA is proposed to examine the efficacy of problem-solving therapy (PST) provided by nurse clinicians for primary care patients with minor depression. The outcomes of PST provided by nurse clinicians will be compared to the outcomes experienced by patients receiving usual care from their primary care physician. The integrity of the treatment provided by nurses will be evaluated with a scale to be developed by the candidate during the start-up phase of the study. The efficacy of PST will be assessed through multiple domains, including both symptomatic and functional changes following treatment. It is hypothesized that patients receiving PST will show greater symptomatic and functional improvement than those receiving usual care. Additionally, a pilot study of the cost- effectiveness of PST in primary care patients with minor depression will be undertaken during the award period.

描述(改编自申请者摘要)：程序这份修订后的申请中概述了培训和研究临床医生科学家发展奖(SDAC)专注于候选人在应用随机临床试验方面的专业知识初级保健环境中临床服务研究的方法学，与赫伯特·C·舒尔伯格博士，精神病学、心理学教授，和匹兹堡大学医学院的医学，作为P受体。职业发展计划包括精神病学和医学方面的培训。流行病学、心理计量学、卫生经济学和生物统计学。计划中的教程是：将行为干预融入小学《卫生保健》和《精神病学的成本-效果评价》初级保健中的治疗。“建议的研究评估初级保健中心理社会治疗的效果和康复疗程患有轻度抑郁症的患者。越来越多的证据表明，主观井的显著损害- 生存和功能状态，以及更高的医疗保健利用率与轻微的抑郁症有关。然而，有效和可行的治疗方法期权几乎没有受到关注。一项随机的临床试验在匹兹堡的四个城市健康中心进行，宾夕法尼亚州计划检查护士提供的问题解决疗法(PST)的效果临床医生为轻度抑郁症患者提供初级护理。这个护士临床医生提供的PST的结果将与从初级医院接受常规护理的患者的结局护理医生。护士提供的治疗的完整性将根据应聘者在培训期间制定的量表进行评估研究的启动阶段。将评估PST的疗效通过多个领域，包括症状性和功能性治疗后的变化。据推测，接受治疗的患者 PST在症状和功能上的改善要比接受通常的护理。此外，对成本的初步研究- PST在初级保健轻度抑郁症患者中的疗效在授权期内进行。