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Patients' requests for antidepressants can influence physician evaluation of depression

n the patient's medical record and the provision of minimally acceptable initial depression care.

Findings also showed that physicians obtained more extensive depression-related history from patients who portrayed major depression with carpal tunnel syndrome compared to those who portrayed an adjustment disorder accompanied by low back pain (6.7 questions compared to 5.2 questions).

Patient requests for medication did not appear to distract physician attention from treating the coexisting musculoskeletal conditions presented by patients in the study, and the researchers found no evidence to support the assertion that requests reflecting direct-to-consumer advertising distract the physician from taking a complete medical history. Instead, the research team concludes that a patient request for medication serves to increase the thoroughness of depression history-taking, including inquiries about suicide.

"Patients should be educated advocates for their own quality health care, but if they become over-focused on wanting a particular treatment rather than the most appropriate treatment in general, the result may be missed opportunities and diminished quality of care," Feldman added.


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Contact: Vanessa deGier
vdegier@pubaff.ucsf.edu
415-476-2557
University of California - San Francisco
8-Dec-2006


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