Mobilizing Resources

Treating Depression in Primary Care
  • Susan H. McDaniel
  • Thomas L. Campbell
  • David B. Seaburn


Depression is among the most common problems of patients seen in primary care. A majority of all psychiatric conditions are treated in primary care and depression heads the list (1). One study indicated that 27% of patients coming to a primary care setting were depressed, but none of them indicated that depression was the reason for their visit (2). Because somatic complaints mask depression, the diagnosis can often be overlooked or missed.


Depressive Symptom Depressed Patient Antidepressant Medication Marital Relationship Depressed Individual 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.


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  1. 1.
    Rosenbaum JF, Polack MH: Anxiety, in Hacket TP, Cassem NJ (eds.): Massachusetts General Hospital’s Handbook of General Hospital Psychiatry. Littleton, MA, PSG Publishing Co., 1987, pp 154–183.Google Scholar
  2. 2.
    Duer S, Schwenk TL, Coyne JC: Medical and psychosocial correlates of self-reported depressive symptoms in family practice. J Fam Pract 1988; 27 (6): 609–614.PubMedGoogle Scholar
  3. 3.
    Coyne JC: Depression, biology, marriage and marital therapy. Fam Process 1987; 13 (4): 393–407.Google Scholar
  4. 4.
    Clarkin JF, Haas GL: Assesment of affective disorders and their interpersonal contexts, in Clarkin JF, Haas GL, Glick ID (eds.): Affective Disorders and the Family. New York, The Guilford Press, 1988, pp 29–50.Google Scholar
  5. 5.
    Bromet EJ, May S: Family environments of depressed outpatients. Acta Psychiatr Scand 1984; 69: 197–200.PubMedCrossRefGoogle Scholar
  6. 6.
    Coyne JC: Toward an interactional description of depression. Psychiatry 1976; 39: 28–40.PubMedGoogle Scholar
  7. 7.
    Vaughn CE, Leff JP: The influence of family and social factors on the course of psychiatric illness. A comparison of schizophrenic and depressed neurotic patients. Br J Psychiatry 1976; 129: 125–137.PubMedCrossRefGoogle Scholar
  8. 8.
    Hooley JM, Orley J, Teasdale JD: Levels of expressed emotion and relapse in depressed patients. Br J Psychiatry 1986; 148: 642–647.PubMedCrossRefGoogle Scholar
  9. 9.
    Rousanville BJ, Weissman MW, Prusoff BA, Heraey-Baron RL: Marital disputes and treatment outcome in depressed women. Compr Psych 1979; 20: 483–490.CrossRefGoogle Scholar
  10. 10.
    Coyne JC: Strategic Therapy, in Clarkin JF’, Haas GL, Glick ID (eds.): Affective Disorders and the Family. New York, The Guilford Press, 1988, pp 89–113.Google Scholar
  11. 11.
    Wittenborn JR, Buhlev MS: Somatic discomforts among depressed women. Arch Gen Psychiatry 1979; 36: 465–471.PubMedCrossRefGoogle Scholar
  12. 12.
    Roy MJ, Weinman ML, Mirabi M: Physical symptoms of depression. Br J Psychiatry 1981; 139: 293–296.CrossRefGoogle Scholar
  13. 13.
    Rodin G, Voshart K: Depression in the medically ill: An overview. Am J Psychiatry 1986; 143 (6): 696–705.PubMedGoogle Scholar
  14. 14.
    Widmer RB, Cadoret RJ: Depression in family practice: Changes in pattern of visits and complaints during subsequent developing depression. J Fam Prac 1979; 9 (6): 1017–1021.Google Scholar
  15. 15.
    American Psychiatric Association: Diagnostic and Statistical Manual of Mental Disorders (rev. 3rd ed. ). Washington, DC, APA, 1987.Google Scholar
  16. 16.
    Beck AT, Ward CH, Mendelson M: An inventory for measuring depression. Arch Gen Psychiatry 1961; 4: 561–571.PubMedCrossRefGoogle Scholar
  17. 17.
    Weissman MM, Prusoff BA, DiMascio A, Neu C, Gorklaney M, Klerman GL: The efficacy of drugs and psychotherapy in the treatment of acute depressive episodes. Am J Psychiatry 1979; 136: 555–558.PubMedGoogle Scholar
  18. 18.
    Hinchliffe M, Hooper D, Roberts FJ, Vaughan PM: A study of the interaction between depressed patients and their spouses. Brit J Psychiatry 1975; 126: 164–172.CrossRefGoogle Scholar
  19. 19.
    Coyne JC, Kahn J, Gotlib IM: Depression, in Jacob T (ed.): Family Interaction and Psychotherapy. New York, Plenum, 1987, pp 509–534.Google Scholar
  20. 20.
    Watzlawick P, Weakland JH, Fisch R. Change: Principles of Problem Formation and Problem Resolution. New York: WW. Norton and Co., 1974.Google Scholar
  21. 21.
    O’Neil MK, Lancee WJ, Freeman SJJ: Psychosocial factors and depressive symptoms. J Nery Mental Dis 1986; 174 (1): 15–23CrossRefGoogle Scholar
  22. 22.
    Davis JM: Antidepressant drugs, in Kaplan HI, Freedman AM, Sadock BJ (eds.): Comprehensive Textbook of Psychiatry (3rd ed, vol 3 ). Baltimore, MD, Williams and Wilkins, 1980, pp 213–225.Google Scholar
  23. 23.
    Epstein NB, Keitner GI, Bishop DS, Miller IW: Combined use of pharmaculogical and family therapy, in Clarkin JF, Haas GL, Glick ID (eds.): Affective Disorders and the Family. New York, The Guilford Press, 1988, pp 153–172.Google Scholar
  24. 24.
    Nielsen AC, Williams TA: Depression in ambulatory medical patients: Prevalence by self-report questionnaire and recognition by nonpsychiatric physicians. Arch Gen Psychiatry 1980; 37: 999–1004.PubMedCrossRefGoogle Scholar
  25. 25.
    Salkind MR: Beck depression inventory in general pratice. J R Coll Gen Pract 1969; 18: 267–271.PubMedGoogle Scholar
  26. 26.
    Guttmacher LB: Concise Guide to Somatic Therapies in Psychiatry. Washington, DC, American Psychiatric Press, 1988.Google Scholar

Copyright information

© Springer Science+Business Media New York 1990

Authors and Affiliations

  • Susan H. McDaniel
    • 1
  • Thomas L. Campbell
    • 1
  • David B. Seaburn
    • 1
  1. 1.School of Medicine and Highland Hospital, Jacob B. Holler Family Medicine CenterUniversity of RochesterRochesterUSA

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