Table 5Summary of results for key question 1a: studies examining health outcomes of screening results feedback among screen-identified depressed patients in primary care.

Study settingApproach to intervention beyond screening results feedbackSample characteristics (N, gender, proportion of sample currently or recently treated for depression)Length of follow-up% depressed at follow-up
*p<0.05**
p<0.01
Scale score decrease from baseline
*p<0.05**
p<0.01
IVUCIVUC
General adult populations
Bergus et al, 2005113
Rural
NoneN=59
Female: 67% (calc)
Age: 41 (calc)
38% on meds for depression or anxiety
10-wk
6-mo
46%
48%
(all NS)
63%
62%
a
a
5.8
5.7
(all NS)
5.8
5.0
h
Jarjoura et al, 2004114
Urban, indigent
Improve quality of PCP care; Logistical support for PCP; Other staff provide some dep. careN=61
Female: 69% (calc)
Age: 45 (calc)
0% currently treated
6-mo
12-mo


7.6*
6.5*
0*
0*
i
Wells et al, 2000110
Wells et al 2004118
Sherbourne et al189
Multi-site, urban, rural
Improve quality of PCP care; Logistical support for PCP; Other staff provide some dep. careN=1,356
Female: 71%
Age: 44
% treated NR
6-mo
12-mo
57-mo

24-mo
40%**||
42%**
38%IG1*
36%IG2
39%IG1
31%IG2
50%**
51%**
44%*
44%
34%
34%
b
b
b
b
c
c








Rost et al, 2001109
Rost et al, 2000190
Multi-site, urban, rural
Prev. known cases
Improve quality of PCP care; Logistical support for PCP; Other staff provide some dep. careN=243
Female: 84%§
Age: 43§
100% recently treated
6-mo14.5
(NS)
11.0j
Rost et al, 2001109
Rost et al, 2000190
Rost et al, 2002191
Newly identified cases
Improve quality of PCP care; Logistical support for PCP; Other staff provide some dep. careN=189
Female: 84%§
Age: 43§
0% recently treated
6-mo
24-mo

26%*

59%

d
21.7*
13.5*
j
Older Adult Population
Bosmans et al, 2006115
Urban, the Netherlands
Improve quality of PCP careN=145
Female: 60%
Age: 65 (calc)
0% currently treated, 83% history of depression
12-mo57%
(NS)
52%e7.8
(NS)
7.2k
Whooley et al, 2000111
Urban
Improve quality of PCP care; Other staff provide some dep. care(minimally implemented)N=331
Female: 61%
Age: 76 (calc)
20% on antidepressant past 12 months
24-mo42%
(NS)
50%f1.8
(NS)
2.2l
Callahan et al, 1994112
Urban
Improve quality of PCP care; Logistical support for PCPN=175
Female: 76%
Age: 65
11.4% on antidepressant
6-mo
9-mo
87%

(all NS)
88%
g


(all NS)

j
j
Rubenstein et al, 2007116
Urban VA
Logistical support for PCP; Other staff provide some dep. careN=792 (n=206 screening positive for depression)
Female: 3.2%
Age: 74
% treated NR
12-mo[vert, dbl bar (over)]3.7*2.7*l

calc-calculated; NS-not significant; IG-intervention group; NR-not reported; IG1=Psychotherapy, IG2=Medication Support

Diagnostic Methods: a: PHQ ≥ 6; b: CIDI 2-item; c=CIDI full interview; d=CESD ≥ 15; e=PRIME-MD; f=GDS≥ 6; g=HAM-D≥ 16

Scale Score Instrument: h=PHQ-9; i= BDI, standardized on control group change; j= CESD; k= MADRS; l= GDS

§

These statistics refer to the entire study sample. Total sample=479, data presented on the 432 shown in this table.

||

Results for the two intervention groups were reported combined at 6- and 12-month follow-ups, and reported separately at 24- and 57-month follow-ups.

Reported that groups did not differ at 6 or 9 months but did not provide exact scores

[vert, dbl bar (over)]

Results only for subgroup that screened positive for depression

Diagnostic Methods: a: PHQ ≥ 6; b: CIDI 2-item; c=CIDI full interview; d=CESD ≥ 15; e=PRIME-MD; f=GDS≥ 6; g=HAM-D≥ 16

Scale Score Instrument: h=PHQ-9; i= BDI, standardized on control group change; j= CESD; k= MADRS; l= GDS

These statistics refer to the entire study sample. Total sample=479, data presented on the 432 shown in this table.

Results for the two intervention groups were reported combined at 6- and 12-month follow-ups, and reported separately at 24- and 57-month follow-ups.

Reported that groups did not differ at 6 or 9 months but did not provide exact scores

Results only for subgroup that screened positive for depression

From: 3, Results

Cover of Screening for Depression in Adults and Older Adults in Primary Care
Screening for Depression in Adults and Older Adults in Primary Care: An Updated Systematic Review [Internet].
Evidence Syntheses, No. 75.
O'Connor EA, Whitlock EP, Gaynes B, et al.

PubMed Health. A service of the National Library of Medicine, National Institutes of Health.