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Depression Severity Similar Among Primary Care and Psychiatric Clinics

(PSYCHIATRIC TIMES) - MedPage Today Action Points

o Point out to interested patients that patients in primary care setting who have symptoms of major depressive disorder may need further evaluation and, if appropriate, aggressive treatment.

CHAPEL HILL, N.C., March 27 -- Major depression severity is much the same in a psychiatric clinic as it is in the practice of a generalist, reported investigators.

"Conventional wisdom has held that depressed patients in primary care settings are less severely depressed, experience a milder course of illness, have a distinct symptom profile with more complaints of fatigue and somatic symptoms, and are more likely to have accompanying physical complaints than depressed patients seeking psychiatric specialty care," wrote Bradley N. Gaynes, M.D., M.P.H., of the University of North Carolina here, and colleagues in the STAR*D study.

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