Is hyperglycemia associated with anxious-depressive symptoms? An Italian study in primary care setting

Aims:Worldwide data are extensively lacking in regard to patients with depressive symptoms under therapy with antidepressants in the primary care setting. We hypothesized that the magnitude of pain reduction under treatment with venlafaxine differently relates to regional origin of patients.Methods:We conducted a prospective naturalistic observational trial on 420 pain sufferers with depressive symptoms from all over Switzerland who were treated with venlafaxine by 122 physicians in primary care. Previous and additional antidepressant medication was not taken into account. Physicians rated illness severity using the Clinical Global Impression severity scale and pain intensity by means of visual analogue scales.Results:Compared with Middle European patients (ME), those from Eastern Europe (EE), and Southern Europe (SE) were younger and presented more intense overall pain mainly affecting the head, extremities and back. In addition, SE patients suffered more intense thoracic pain than ME patients, and EE patients suffered less frequently from abdominal pain compared to their ME and SE counterparts. Furthermore, 3 months after study entry, ME patients were found to profit more from treatment with venlafaxine in terms of overall illness severity and pain intensity than patients from EE and SE.

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Measuring depressive symptoms in the naturalistic primary-care setting

International Journal of Clinical Practice ◽

10.1111/j.1742-1241.2007.01448.x ◽

2007 ◽

Vol 61 (8) ◽

pp. 1278-1282 ◽

Cited By ~ 1

Author(s):

R. S. McIntyre ◽

J. Z. Konarski ◽

S. H. Kennedy ◽

S. E. Dickens ◽

R. M. Bagby

Keyword(s):

Primary Care ◽

Depressive Symptoms ◽

Care Setting ◽

Primary Care Setting

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Effective Patient-Provider Communication For Newly Diagnosed Patients In A Primary Care Setting: A Quantitative Study

Journal of Student Research ◽

10.47611/jsr.vi.512 ◽

2018 ◽

Author(s):

Ralston R Lockett ◽

Myra Michelle DeBose, PhD, MSN, MSEd, RN

Keyword(s):

Primary Care ◽

Depressive Symptoms ◽

Health Outcomes ◽

Care Setting ◽

Graduate Program ◽

Primary Care Setting ◽

Depression Scale ◽

Provider Communication ◽

Newly Diagnosed ◽

Primary Care Settings

Ralston Lockett, BSN, RN - FNP StudentMyra Michelle DeBose, PhD, MSN, MSEd, RN - Faculty AdvisorPrairie View A & M University - College of Nursing - Graduate Program - Houston, TXBackground: There are newly diagnosed patients in primary care settings with depressive symptomsdue to lack of communication from providers. The aim of this proposed study is to assess newlydiagnosed patients who may express depressive symptomology. Establishing a sound relationshipbetween patients and providers is essential for a trusting relationship. Patient-centeredcommunication increases better health outcomes in primary care settings. There is reason to believethat missed opportunities between patient-providers can decrease patient compliance and increasedepression.Research Hypothesis: Newly diagnosed patients that receive effective provider communication willhave a decrease in depressive symptoms as compared to newly diagnosed patients who do not receiveeffective communication.Methodology: This study uses a longitudinal, quasi-experimental research design, conveniencesampling. Up to 80 newly diagnosed patients who did not receive effective communication will beevaluated for approximately six months. The primary setting will be 2 urban area clinics in Houston,Texas. The Center for Epidemiologic Studies Depression Scale (CES-D), will be used within 30 days afterthe initial healthcare provider visit to assess depressive symptoms.Results: Depressive symptoms will be measured using the (CES-D) assessment tool of 20 – items. Thetool assesses how frequently an individual experienced depressive symptoms within a week. Inaddition, a 45 min post visit survey regarding provider communication will be sent after 30 days.Sample analysis will include diagnosis and literacy level. Participants will be asked to identify preferredmethods of communicating with their provider.Significance: There is a correlation between depressive symptoms and lack of effective communicationwith patients in a primary care setting. Poor identification of patient’s mental health status andengagement in plan of care can lead to poor patient health outcomes, increase health care costs, anddisparities to under-privilege communities.

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