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The Natural Course of Adolescent Depression Treatment in the Primary Care Setting.

Authors
  • Stafford, Allison McCord
  • Garbuz, Tamila
  • Etter, Dillon J
  • Adams, Zachary W
  • Hulvershorn, Leslie A
  • Downs, Stephen M
  • Aalsma, Matthew C
Type
Published Article
Journal
Journal of pediatric health care : official publication of National Association of Pediatric Nurse Associates & Practitioners
Publication Date
Jan 01, 2020
Volume
34
Issue
1
Pages
38–46
Identifiers
DOI: 10.1016/j.pedhc.2019.07.002
PMID: 31548140
Source
Medline
Keywords
Language
English
License
Unknown

Abstract

Little is known about how adolescents receive depression follow-up in primary care. The purpose of this study was to describe the rates of symptom assessment and depression treatment over time in a group of adolescents screening positive for moderate or severe depression in the primary care setting. Retrospective chart reviews were conducted to gather information related to symptom reassessments, antidepressant prescriptions, psychotherapy referrals, and treatment discontinuation. Descriptive statistics were calculated, and a qualitative content analysis was conducted to determine the reasons for treatment discontinuation. Eighty records were reviewed (mean age = 15.3, 73% female, 59% Black). Treatment was initiated for 83% (n = 66) of patients, and 45% (n = 30) of patients discontinued treatment during the review period for a variety of reasons. To improve adolescents' adherence to depression treatment, providers should address factors that contribute to treatment discontinuation and use tools to manage depression follow-up care. Copyright © 2019 National Association of Pediatric Nurse Practitioners. Published by Elsevier Inc. All rights reserved.

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