Patient Self-Management in the Primary Care Treatment of Depression

被引：0
作者：
John Bachman
Sara Swenson
M. Elizabeth Reardon
Doriane Miller
机构：
[1] National Program Office,Communication Consultant, Robert Wood Johnson Foundation’s “Depression in Primary Care”
[2] University of California,Robert Wood Johnson Foundation’s “Depression in Primary Care” initiative and a research fellow in the Division of General Internal Medicine
[3] Office of Vermont Health Access,The Robert Wood Johnson Foundation’s national program on the Co
[4] American Hospital Association,Management Learning Network and Senior Director for Quality and Clinical Research at the Health Research and Educational Trust
来源：
Administration and Policy in Mental Health and Mental Health Services Research | 2006年 / 33卷
关键词：
depression; primary care; patient activation; self-management;
D O I：
暂无
中图分类号：
学科分类号：
摘要：
Efforts to improve primary care treatment of depression incorporate elements of the chronic illness care model, including patient self-management strategies. Case studies, focus groups and the literature suggest six key components of depression self-management programs: (1) implement behavioral change interventions, (2) plan for crisis and relapse prevention, (3) re-establish personal meaning, (4) attend to patients’ experience, context and community, (5) build a patient–clinician partnership and (6) create an integrated, self-management support structure. Successful implementation of these components is facilitated by (1) the care system’s collective and empathic understanding of the disease itself; (2) sufficient time; (3) adequate funding and (4) robust clinical information systems.
引用
收藏
页码：76 / 85
页数：9
相关论文
共 59 条
[1]  
Adelsheim S.(2001)Developing school mental health in a rural state: The New Mexico School Mental Health Initiative Child and Adolescent Psychiatric Clinics of North America 10 151-159
[2]  
Carrillo K.(2003)Effectiveness of disease management programs in depression: A systematic review American Journal of Psychiatry 160 2080-2090
[3]  
Coletta E.(2004)Community models of mental care warrant more governmental support British Medical Journal 329 1140-1141
[4]  
Badamgarav E.(2002a)Patient self-management of chronic disease in primary care JAMA 288 2469-2475
[5]  
Weingarten S. R.(2002b)Improving primary care for patients with chronic illness JAMA 288 1775-1779
[6]  
Henning J. M.(1986)The patient-centered clinical method. 2. Definition and application Family Practice 3 75-79
[7]  
Battersby M. W.(2004)Building concordant relationships with patients starting antidepressant medication Patient Education and Counseling 55 241-246
[8]  
Bodenheimer T.(2004)Becoming a self-therapist: using cognitive-behavioral therapy for recurrent depression and/or dysthymia after completing therapy Psychology and Psychotherapy 77 335-351
[9]  
Lorig K.(2001)Chronic disease self-management program: 2-year health status and health care utilization outcomes Medical Care 39 1217-1223
[10]  
Holman H.(2003)Behavioural factors associated with symptom outcomes in a primary care-based depression prevention intervention trial Psychological Medicine 33 1061-1070
123456