January/February Annals of Family Medicine tip sheet

ide and with their ability to serve the needs of their patients.
Physician Conceptions of Responsibility to Individual Patients and Distributive Justice in Health Care
By Mary Catherine Beach, M.D., M.P.H., et al

A primary care depression intervention is more effective for patients with predominantly psychological versus physical symptoms, according to this group-randomized trial involving 200 patients. A two-year ongoing intervention for patients who complained of psychological symptoms improved clinical outcomes while reducing outpatient costs by $980 per patient. In contrast, a two-year ongoing intervention for patients who complained exclusively of physical symptoms failed to improve clinical outcomes beyond usual care, while increasing outpatient costs by $1,378 per patient over two years. The findings suggest a need for developing new intervention approaches for depressed patients who complain of physical symptoms.
RTC of a Care Manager Intervention for Major Depression in Primary Care: 2-Year Costs for Patients with Physical vs Psychological Symptoms
By L. Miriam Dickson, Ph.D., et al

Patients' adherence to maintenance antidepressant therapy varies widely and can be explained by their beliefs about the medications prescribed. In a survey of 81 patients, researchers found that adherence was highest among patients whose perceived need for the medication exceeded their concerns about taking it, and it was lowest for those whose concerns about taking the medication exceeded their perceived need.
Adherence to Maintenance-Phase Antidepressant Medication as a Function of Patient Beliefs About Medication
By James E. Aikens, Ph.D., et al


Contact: Angela Lower
American Academy of Family Physicians

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