Diagnosis and Treatment of Depression and Anxiety in Rural and Nonrural Primary Care: National Survey Results

ASU Author/Contributor (non-ASU co-authors, if there are any, appear on document)
Ph.D. John Paul Jameson, Associate Professor (Creator)
Institution
Appalachian State University (ASU )
Web Site: https://library.appstate.edu/

Abstract: Objective: Data from the 2006 National Ambulatory Medical Care Survey were examined for differences in the diagnosis and treatment of depressive and anxiety disorders in rural and nonrural primary care settings.Methods: A sample of 11,658 patient visits to primary care providers was examined. ICD-9-CM codes were used to identify prevalence rates of depressive and anxiety disorder diagnoses. Treatments also were examined with criteria from American Psychiatric Association practice guidelinesResults: No rural-nonrural differences were found in diagnosis rates for depression (about 3%) or anxiety disorders (about 1.5%). Approximately 67%of individuals with a depressive disorder and 36% of those with an anxiety disorder received a recommended treatment during the visit, with no rural-nonrural differences. Conclusions: Although few differences were found be-tween rural and nonrural primary care visits, these data support the notion that anxiety and depression are underdiagnosed in primary care. Moreover, recognition and diagnosis often do not trans-late into adequate treatment in both rural and nonrural primary care settings.

Additional Information

Publication
John Paul Jameson & Michael B. Blank (2010) "Diagnosis and Treatment of Depression and Anxiety in Rural and Nonrural Primary Care: National Survey Results" Psychiatric Services #61, pp. 620-623. [DOI LINK [http://dx.doi.org/10.1176/ps.2010.61.6.624]] Version of Record Available from (journals.psychiatryonline.org)
Language: English
Date: 2010
Keywords
Rural, Nonrural Primary Care, stress, anxiety, metropolitan living

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