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Research ArticleOriginal Research

Depression Screening and Treatment in Uninsured Urban Patients

Margaret A. Meyers, Carla J. Groh and Juliann Binienda
The Journal of the American Board of Family Medicine July 2014, 27 (4) 520-529; DOI: https://doi.org/10.3122/jabfm.2014.04.130254
Margaret A. Meyers
the Mercy Primary Care Center, Detroit, MI (MAM); College of Health Professions, McAuley Health Center, Women's and Gender Studies, University of Detroit Mercy, Detroit, MI (CJG); and Department of Family Medicine and Public Health, Wayne State University, Detroit, MI (JB).
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Carla J. Groh
the Mercy Primary Care Center, Detroit, MI (MAM); College of Health Professions, McAuley Health Center, Women's and Gender Studies, University of Detroit Mercy, Detroit, MI (CJG); and Department of Family Medicine and Public Health, Wayne State University, Detroit, MI (JB).
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Juliann Binienda
the Mercy Primary Care Center, Detroit, MI (MAM); College of Health Professions, McAuley Health Center, Women's and Gender Studies, University of Detroit Mercy, Detroit, MI (CJG); and Department of Family Medicine and Public Health, Wayne State University, Detroit, MI (JB).
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    Figure 1.

    Algorithm showing allocation of participants to treatment groups. PHQ-9, 9-item Patient Health Questionnaire; PCP, primary care physician.

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    Table 1. Sociodemographic Characteristics of the Sample
    VariableAll Subjects (n = 674)
    Age (years)
        <45314 (31.8)
        ≥45360 (68.2)
    Race
        African American641 (95.1)
        Other33 (4.9)
    Sex
        Female448 (66.5)
        Male226 (33.5)
    Education
        High school or less432 (64)
        College242 (35.9)
    Income ≥$20,000594 (88.1)
    Employment
        Unemployed340 (50.4)
        Employed334 (49.6)
    • Data are n (%).

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    Table 2. Comparison of Depression Scores over the 24-Week Follow-up Period
    Paired DifferencesUsual CareUsual Care and PsychotherapyUsual Care and EducationUsual Care, Psychotherapy, and Education
    Baseline to 8 weeks4.73*4.55†6.47†3.83*
    8 to 12 weeks0.301.001.091.52
    12 to 24 weeks2.152.49-0.160.61
    Baseline to 24 weeks5.83†6.94†6.35†5.32*
    • ↵* Significant at P = 0.001.

    • ↵† Significant at P = 0.000.

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    Table 3. Analysis of Variance Comparing Depression Scores in 4 Groups over 24 Weeks
    Usual CareUsual Care and PsychotherapyUsual Care and EducationUsual Care, Psychotherapy and EducationP Value
    Mean (SD)No.Mean (SD)No.Mean (SD)No.Mean (SD)No.
    Baseline15.1 (4.8)5114.84 (5.2)5114.3 (4.9)5314.8 (4.8)51.849
    8 Weeks10.8 (7.9)3711.30 (7.6)337.3 (5.4)3611.1 (6.6)35.052
    12 Weeks10.6 (8.2)3711.11 (7.9)377.2 (6.2)419.48 (5.5)40.074
    24 Weeks9.1 (8.0)418.16 (6.7)316.9 (6.7)358.8 (6.7)32.567
    • SD, standard deviation.

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The Journal of the American Board of Family     Medicine: 27 (4)
The Journal of the American Board of Family Medicine
Vol. 27, Issue 4
July-August 2014
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Depression Screening and Treatment in Uninsured Urban Patients
Margaret A. Meyers, Carla J. Groh, Juliann Binienda
The Journal of the American Board of Family Medicine Jul 2014, 27 (4) 520-529; DOI: 10.3122/jabfm.2014.04.130254

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Depression Screening and Treatment in Uninsured Urban Patients
Margaret A. Meyers, Carla J. Groh, Juliann Binienda
The Journal of the American Board of Family Medicine Jul 2014, 27 (4) 520-529; DOI: 10.3122/jabfm.2014.04.130254
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