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Annals of Family Medicine: Psychotherapy and Pharmacotherapy are More Effective in Treating Depression when Paired Together in Primary Care


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ANN ARBOR, Mich., May 11, 2021 /PRNewswire/ Most patients with depression are treated in primary care, and the majority of those patients prefer psychotherapy over treatment that includes medication (i.e., pharmacotherapy). Primary care physicians, however, are more likely to prescribe antidepressants to their patients suffering from depression.
Although studies have shown the effectiveness of psychotherapy in primary care patients, researchers haven t yet examined the effects of psychotherapy compared with pharmacotherapy, combined treatment, and other clinical scenarios in primary care.
A network meta-analysis of 58 randomized control trials showed that psychotherapy, when combined with pharmacotherapy, was more effective in Primary Care than either on its own. ....

New Zealand , Noord Holland , Pim Cuijpers , Vrije Universiteit , Development Psychology At Vrije Universiteit , Department Of Clinical , Amsterdam Public Health Research Institute , A Network Meta , Family Medicine , Development Psychology , Combined Treatment , Primary Care , Universiteit Amsterdam , Developmental Psychology , புதியது ஜீலாந்து , நூற்த் ஹாலண்ட் , துறை ஆஃப் மருத்துவ , ஆம்ஸ்டர்டாம் பொது ஆரோக்கியம் ஆராய்ச்சி நிறுவனம் , குடும்பம் மருந்து , வளர்ச்சி உளவியல் , ப்ரைமரீ பராமரிப்பு ,

May/June 2021 Annals of Family Medicine tip sheet


Greater Presence of Family Physicians, Midwives May Be Key Component to Decreasing Cesarean Delivery Rates
Surgical cesarean births can expose new mothers to a range of health complications, including infection, blood clots and hemorrhage. As part of Healthy People 2020 and other maternal health objectives, the state of California exerted pressure to reduce cesarean deliveries, and statewide organizations established quality initiatives in partnership with those goals. In this study, researchers from Stanford University and the University of Chicago examined unit culture and provider mix differences on hospital and delivery units to identify characteristics of units that successfully reduced their cesarean delivery rates. The mixed-methods study surveyed and interviewed labor and delivery teams from 37 California hospitals that were participating sites in the California Maternal Quality Care Collaborative s Supporting Vaginal Birth initiative. Respondents at successful hospita ....

New York , United States , New Zealand , University Of Chicago , North Carolina , Stanford University , Albany Medical College , Noord Holland , Tufts University , University Of North Carolina , University School , Takashi Chinen , Janelle Davis , Melissab Hill , Elena Rosenbaum , Emilyc White Vangompel , Robertl Phillips , Randi Sokol , Anna Perera , Pim Cuijpers , Aphrodite Papadakis , Robertl Phillips Jr , Vrije Universiteit , Amy Russell , Martijnjl Verhulst , Deborahj Cohen ,

Combination of psychotherapy and pharmacotherapy more effective in treating depression


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Most patients with depression are treated in primary care, however, relatively few clinical trials for treating depression have focused on primary care. Researchers at the Vrije University Amsterdam examined the effects of the two major approaches to treating depression: psychotherapy and pharmacotherapy, as well as combined treatment and care-as-usual. The study integrated the results of 58 randomized controlled trials with a total of 9,301 patients. Results concluded that both psychotherapy and pharmacotherapy were significantly more effective than care-as-usual or waitlist control. However, they found no significant difference between psychotherapy and pharmacotherapy as stand-alone treatments. Combined treatment, particularly in studies that included cognitive behavioral therapy, was better than either pharmacotherapy or psychotherapy alone. Treatment in primary care should be organized to accommodate any of these treatments in response to patients preferences an ....

Noord Holland , Pim Cuijpers , Department Of Clinical , Vrije University , Vrije University Amsterdam , Amsterdam Public Health Research Institute , A Network Meta , Combined Treatment , Primary Care , Network Meta Analysis , Developmental Psychology , நூற்த் ஹாலண்ட் , துறை ஆஃப் மருத்துவ , ஆம்ஸ்டர்டாம் பொது ஆரோக்கியம் ஆராய்ச்சி நிறுவனம் , ப்ரைமரீ பராமரிப்பு , வலைப்பின்னல் மெட்டா பகுப்பாய்வு , வளர்ச்சி உளவியல் ,