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Re: CFS... P.S. » willow

Posted by dj on February 12, 2001, at 21:13:05

In reply to Re: CFS... ..., posted by willow on February 12, 2001, at 13:38:26

Another qoute from around the end of Ch. 1 of "Active Treatment of Depression" which relates to your concern about your former MD's knowledge and attitude.

"A popular response to the difficulty of funding treatment for depression by specialists has been to attempt to treat it in primary care. The NIMH Depression Awareness, Recognition, and Treatment (D/ART) campaign, begun in 1988, was a highly visible effort to educate the public and health care providers about the incidence and treatability of depression. Incredibly enough, no study of the campaign's effectiveness was ever completed (Magruder & Norquist, 1999). NIMH has also sponsored extensive research to investigate how depression can be treated more effectively by the primary care physician. "Enhanced acute-phase treatment," consisting of physician training, patient education, and consultation between physicians and mental health specialists, has been shown to improve compliance with medication regimes and better outcomes shortly after treatment (Katon et al., 1995; Katon et al., 1996). However, at 19 months the effects disappeared; both the treated and untreated groups scored the same on several measures of depression, and were likewise indistinguishable on continuation of medication (Lin et al., 1999). Another study of physicians who participated in a special four-hour training seminar on practice guidelines for depression found that their sensitivity to depressive symptoms was no better than a control group, despite the participants' belief that the seminar was effective in changing their practice (Thompson, 2000). Most primary care physicians have minimal training in providing mental health care and very limited time to work with each patient; those who participate in research studies like these are likely to be a self-selected subgroup with a special interest in mental health; yet their results are no better than this."


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