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For many, depression persists after routine treatment

atients received at least two six-month sessions of treatment. Of those patients, 261 people remained depressed and 181 had recovered from depression 18 to 24 months after the study started.

Patients with persistent depression were more likely than those who recovered to report side effects from their medication, to be in worse mental and physical health at the start of the study and to have sought prior treatment for depression. Patients who recovered were more likely to prefer counseling at the start of the study.

Those with persistent depression were also more likely to say they received less care from their doctors than they wanted. When asked why they did not seek further help, many said they didnt think they could be helped or said they were too embarrassed or afraid to bring up the issue with their health care provider, Sherbourne says.


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Contact: Catherine Sherbourne
cathy_sherbourne@rand.org
Center for the Advancement of Health
5-May-2004


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