Treatment Effectiveness for Anxiety and Depression

描述(由申请者提供)：这项指导以患者为中心的研究 职业发展奖将支持候选人的职业发展 在初级指导下的精神健康服务研究领域 加州大学圣地亚哥分校的罗伯特·卡普兰博士。这个地区是新的。 该奖项将为候选人提供必要的培训和指导 让她发展成为一名独立的精神健康服务研究员。这个 培训计划包括(1)流行病学方法的课程作业， 卫生服务、先进的统计技术和负责任的行为 研究，(2)每周服务业研究研讨会，(3)定期咨询 并与这一领域经验丰富的研究人员进行定向阅读，以及(4) 有开展服务研究的指导经验。 拟议的研究既是为了建立在候选人过去的基础上 体验和整合新知识。这项研究将研究 心理健康干预在两个初级保健机构中的效果 阶段。在第一阶段，简短的认知-行为测试的结果 对焦虑和抑郁共同出现的症状的干预将是 与通常在初级保健中接受的护理的结果相比。 衡量的结果将包括精神症状、健康和功能 状态、生活质量、患者满意度和成本。第二阶段 研究将包括试点研究和准备研究项目赠款。 (RO1)应用程序以测试此干预措施的普适性 由非专业临床医生进行管理的社区环境。

DESCRIPTION (provided by applicant): This Mentored Patient-Oriented Research Career Development Award will support the career development of the candidate in the area of mental health service research under the primary mentorship of Dr. Robert Kaplan at the University of California San Diego. This area is new to the candidate, and this award will provide training and mentorship necessary for her to develop into an independent mental health services researcher. The training plan includes (1) coursework in epidemiological methods, issues in health services, advanced statistical techniques and responsible conduct of research, (2) weekly seminars in services research, (3) regular consultation and directed readings with experienced researchers in this area, and (4) supervised experience in carrying out services research. The proposed research is intended to both build on the candidate's past experience and integrate new knowledge. The research will be to study the effectiveness of mental health intervention in the primary care setting in two phases. In the first phase, the outcomes of a brief cognitive-behavioral intervention for co-occurring symptoms of anxiety and depression will be compared to outcomes from the care that is normally received in primary care. Measured outcomes will include psychiatric symptoms, health and functional status, quality of life, patient satisfaction, and cost. The second phase of research will involve pilot studies and preparation of a research project grant (RO1) application to test the generalizability of this intervention to community settings with administration by non-expert clinicians.