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Depression--medical utilization and somatization.

W Katon, A O Berg, A J Robins

    The Western Journal of Medicine
    |May 1, 1986
    PubMed
    Summary
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    Patients with depression utilized healthcare services more frequently, experiencing increased physician visits and medical evaluations compared to those without depression. This highlights a significant link between depression and higher healthcare utilization in primary care settings.

    Area of Science:

    • Primary Care Medicine
    • Psychiatry
    • Health Services Research

    Background:

    • Depression is a common condition in primary care.
    • Undiagnosed depression can lead to increased healthcare utilization.
    • Understanding the impact of depression on primary care is crucial for effective patient management.

    Purpose of the Study:

    • To investigate the healthcare utilization patterns of primary care patients diagnosed with depression.
    • To compare the frequency of medical visits and evaluations between depressed and non-depressed patients.
    • To identify symptom patterns associated with depression in a primary care setting.

    Main Methods:

    • Screening of 147 primary care patients for depression using validated rating scales and psychiatric interviews.

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  • Prospective follow-up for one year to track healthcare interactions.
  • Comparison of healthcare utilization and symptom reporting between depressed and control groups.

    • Main Results:

    • Patients with depression had significantly more physician visits and phone calls than the control group.
    • Depressed patients were more likely to present with nonspecific complaints and psychophysiologic or depressive symptoms.
    • Family physicians were more prone to diagnose psychophysiologic problems in patients with depression.

    Conclusions:

    • Depression in primary care is associated with increased healthcare utilization and nonspecific somatic complaints.
    • Early screening and diagnosis of depression are essential to manage patient care effectively and potentially reduce healthcare costs.
    • Primary care physicians should consider depression when patients present with vague or psychophysiologic symptoms.