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| Publications [#140735] of John D Hamilton
Papers Published
- JD Hamilton, J Bridge, Outcome at 6 months for 50 adolescents with major depression treated in a health maintenance organization.,
Journal of the American Academy of Child and Adolescent Psychiatry, UNITED STATES, vol. 38 no. 11
(November, 1999),
pp. 1340-6, ISSN 0890-8567
(last updated on 2007/12/26)
Abstract:
OBJECTIVE: To examine the short-term outcome of adolescents with major depressive disorder treated in a health maintenance organization (HMO) setting. METHOD: Fifty consecutive adolescents meeting DSM-IV criteria for major depressive disorder at intake to an HMO clinic completed a Beck Depression Inventory (BDI), Columbia Impairment Scale, and Youth Self-Report (YSR), and a parent completed a Child Behavior Checklist at intake and 2, 4, and 6 months later. RESULTS: Thirty-three percent, 40.6%, and 33% of reporting subjects showed improved mood (defined as BDI score < 9), with 78%, 64%, and 72% reporting (defined as completing a BDI) at 2, 4, and 6 months, respectively. Initial level of impairment correlated with BDI score at 2 months (p = .02) and 4 months (p = .01). Attention problems at intake as measured by the YSR correlated with BDI score at 2 months (p = .002) and 6 months (p = .003). CONCLUSIONS: A minority of adolescents treated with limited, nonspecific psychotherapy and selective serotonin reuptake inhibitors have a BDI score of less than 9 at 2, 4, or 6 months. Self-report of attention problems at intake correlates with ongoing depressive symptomatology.
Keywords:
Adolescent • Adolescent Psychiatry • Affect • Depressive Disorder • Female • Health Maintenance Organizations • Humans • Male • Outcome Assessment (Health Care) • Psychotherapy* • Serotonin Uptake Inhibitors • statistics & numerical data* • therapeutic use* • therapy*
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