PMID- 31218602
OWN - NLM
STAT- MEDLINE
DCOM- 20210526
LR  - 20210526
IS  - 1573-3572 (Electronic)
IS  - 1068-9583 (Linking)
VI  - 27
IP  - 3
DP  - 2020 Sep
TI  - A Retrospective Examination of Symptom Improvements in Primary Care Patients 
      Receiving Behavior Therapy With and Without Concurrent Pharmacotherapy.
PG  - 582-592
LID - 10.1007/s10880-019-09642-2 [doi]
AB  - Primary care providers are the biggest prescribers of psychopharmacological 
      medications. In this non-randomized retrospective examination, we asked whether 
      primary care patients receiving behavioral health interventions with and without 
      concurrent pharmacological treatments showed differential symptom improvement. 
      Participants (79.4% women, 61.5% Hispanic, M age = 41.68, SD = 13.50) were 431 
      primary care patients referred to behavioral health with a primary concern of 
      depression at one of three federally qualified health centers. Thirty-three 
      percent of patients initiated or had an increase in pharmacotherapy concurrently 
      with behavioral therapy; 26.9% had no change in medication during the episode of 
      care, and 39.7% had no concurrent psychotropic medication prescribed during the 
      episode of care. One-way analyses of variance revealed patients in the no 
      medication group had higher global functioning, as measured by Global Assessment 
      of Functioning (GAF) scores, than patients who were taking medication, or who 
      initated or had an increase in medication. There was a significant main effect of 
      time, where patients had significantly higher GAF scores during their last 
      session in comparison to the first session. All three patient groups experienced 
      comparable improvements in GAF scores, but patients in the initiated/increased 
      medication group were significantly more likely to terminate behavioral health 
      treatment prematurely. Results suggest primary care patients experience 
      improvements in functioning across an episode of behavioral health care, even 
      without concurrent psychotropic medication use.
FAU - Bridges, Ana J
AU  - Bridges AJ
AUID- ORCID: 0000-0001-9836-9946
AD  - Department of Psychological Science, University of Arkansas, Fayetteville, AR, 
      USA. abridges@uark.edu.
FAU - Ledesma, Roselee J
AU  - Ledesma RJ
AD  - Department of Psychological Science, University of Arkansas, Fayetteville, AR, 
      USA.
FAU - Dueweke, Aubrey R
AU  - Dueweke AR
AD  - Department of Psychological Science, University of Arkansas, Fayetteville, AR, 
      USA.
FAU - Hernandez Rodriguez, Juventino
AU  - Hernandez Rodriguez J
AD  - Department of Psychological Science, University of Arkansas, Fayetteville, AR, 
      USA.
FAU - Anastasia, Elizabeth A
AU  - Anastasia EA
AD  - Department of Psychological Science, University of Arkansas, Fayetteville, AR, 
      USA.
FAU - Rojas, Sasha M
AU  - Rojas SM
AD  - Department of Psychological Science, University of Arkansas, Fayetteville, AR, 
      USA.
LA  - eng
PT  - Journal Article
PT  - Research Support, U.S. Gov't, P.H.S.
PL  - United States
TA  - J Clin Psychol Med Settings
JT  - Journal of clinical psychology in medical settings
JID - 9435680
SB  - IM
MH  - Adult
MH  - *Behavior Therapy
MH  - Female
MH  - Humans
MH  - Male
MH  - Middle Aged
MH  - Patients
MH  - *Primary Health Care
MH  - Retrospective Studies
OTO - NOTNLM
OT  - Integrated care
OT  - Medication
OT  - Primary care behavioral health
OT  - Treatment outcomes
EDAT- 2019/06/21 06:00
MHDA- 2021/05/27 06:00
CRDT- 2019/06/21 06:00
PHST- 2019/06/21 06:00 [pubmed]
PHST- 2021/05/27 06:00 [medline]
PHST- 2019/06/21 06:00 [entrez]
AID - 10.1007/s10880-019-09642-2 [pii]
AID - 10.1007/s10880-019-09642-2 [doi]
PST - ppublish
SO  - J Clin Psychol Med Settings. 2020 Sep;27(3):582-592. doi: 
      10.1007/s10880-019-09642-2.