TREATMENT OF DEPRESSION IN DISADVANTAGED GYNECOLOGY PATI

这项研究比较了两种已有的治疗方法的有效性 重度抑郁症、抗抑郁药物与短期认知功能 公共部门妇科患者的行为治疗。他们学习 这些女性是因为抑郁症在年轻女性中最常见， 在那些经常使用医疗服务的人中。年轻的女性 经常使用医疗服务的人经常去看妇科医生 而不是初级保健环境。在他们对205名公众进行的初步研究中 部门妇科患者，21%符合主要疾病标准 抑郁症，然而在抑郁症患者中只有19%的人 治疗。这项研究将确定两种方法的有效性 为年轻的非裔美国人建立了抑郁症的治疗方法， 马里兰州乔治王子郡的拉丁裔女性和白人女性 区妇科诊所。我们将确定精神病患者的比例 精神障碍，以及身体和性侵犯，在一个样本中 3886名女性接受了这项研究的筛查。此外，他们还将 确定抑郁症、身体攻击史、 以及这些年轻人在使用医疗服务方面的性侵犯史 女人。共有450名妇女(非洲裔、拉丁裔和 怀特)符合DSM-IV标准的重度抑郁症患者将被随机 被分配到药物治疗，认知行为团体治疗，或 妇科照常看病。评估将在招生时进行，后 治疗后随访6个月。假设那些收到的人 药物治疗或团体治疗将减少抑郁情绪 治疗后的症状和改善的功能状态 与平时照常照顾的女性相比。他们将研究 关于后续医疗利用的治疗。此外，他们还将 确定攻击病史是否影响抑郁症的治疗 结果。终于来了。他们将研究这两种方案的成本效益。 治疗，结果包括抑郁症状和 功能状态。

This study compares the effectiveness of two established treatments for major depression, anti-depressant medication and short-term cognitive behavioral therapy in public sector gynecology patients. They study these women because depression is most common among young women and among those who frequently use medical services. Young women who are frequent users of medical services are often seen by gynecologists rather than primary care setting. In their pilot study of 205 public sector gynecology patients, 21 percent met criteria for major depression, yet only 19 percent of those who are depressed had obtained treatment. This study will determine the effectiveness of two established treatments for depression for young African American, Latina, and White women seen in Prince George's county , Maryland public sector gynecology clinics. We will determine the rates of psychiatric disorders, as well as physical and sexual assault, among a sample of 3,886 women being screened for the study. In addition, they will determine the relationship of depression, history of physical assault, and history of sexual assault on use of medical services by these young women. A total of 450 women (150 each African-American, Latina and White) who meet DSM-IV criteria for major depression will be randomly assigned to pharmaco-therapy, cognitive behavioral group therapy, or gynecological care as usual. Evaluations will occur at intake, post- treatment, and 6 months follow-up. The hypothesize that those receiving pharmacotherapy or group therapy will report less depressive symptomalogy and improved functional status following treatment as compared with the care as usual women. They will examine the impact of treatments on subsequent medical utilization. In addition, they will determine whether history of assault impacts on depression treatment outcomes. Finally. they will examine the cost-effectiveness of the two treatments, with outcomes including both depressive symptomalogy and functional status.