Citation

Schmaling KB. Psychiatr. Serv. 2019; ePub(ePub): appips201900100.

Affiliation

Department of Psychology, Washington State University, Vancouver, Washington.

Copyright

(Copyright © 2019, American Psychiatric Association)

DOI

10.1176/appi.ps.201900100

PMID

31401909

Abstract

OBJECTIVE: The purpose of this study was to conduct a secondary analysis of data from trials of problem-solving therapy in primary care (PST-PC) to examine differential outcomes by gender or race-ethnicity.

METHODS: The participants were 352 patients with depression treated with PST-PC in multiple primary care sites in the United States.

RESULTS: Women's depressive symptoms improved more over time than men's. Hopkins Symptom Checklist depression scale scores decreased significantly (t=-10.12, df=692, p<0.001) (estimate=-0.02, 95% confidence interval=-0.03, -0.02). Although patients from racial-ethnic minority groups had more depressive symptoms over time than patients from nonminority groups, there was no evidence of differential change by racial-ethnic group.

CONCLUSIONS: These data add to the literature supporting the usefulness of PST-PC without evidence of differential effects for patients from racial-ethnic minority or nonminority groups.

Language: en

Keywords

Behavior therapy; Depression; Ethnicity; Gender; Primary care; Problem-solving therapy