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Table 4 Treatment for 12-mo MDD among individuals receiving antidepressants and/or psychotherapy over the past 12 months, by clinical severity; São Paulo Metropolitan Area, Brazil

From: Towards measuring effective coverage: critical bottlenecks in quality- and user-adjusted coverage for major depressive disorder in São Paulo metropolitan area, Brazil

 

12-mo DSM-IV MDD and contact coverage

F (p-value)

Severe (n = 90)

Mild/moderate (n = 74)

Any severity (n = 164)

n

% (SE)

n

% (SE)

n

% (SE)

Among those with 12-mo MDD, receiving antidepressant medicationa

47

47.2 (6.7)

26

40.1 (7.7)

73

43.9 (5.2)

0.51 (0.48)

 At least partially adequate pharmacotherapy1

37

81.0 (7.6)

23

95.5 (3.1)

60

87.1 (5.1)

4.13 (0.05)*

 Adequate pharmacotherapy2

21

48.3 (12.0)

11

56.7 (12.8)

32

51.8 (9.0)

0.23 (0.63)

Among those with 12-mo MDD, receiving any psychotherapya

39

47.3 (6.5)

22

33.0 (6.2)

61

40.7 (5.0)

2.98 (0.10)

 At least partially adequate psychotherapy3

32

79.3 (8.5)

19

93.6 (4.6)

51

84.6 (5.7)

2.16 (0.15)

 Adequate psychotherapy4

30

75.0 (9.2)

19

93.6 (4.6)

49

81.9 (6.2)

3.17 (0.09)

  1. MDD, major depressive disorder; SE, standard error
  2. Unweighted numbers (n) and weighted percentages (%) are shown
  3. *Significant at the 0.05 level, two-sided test
  4. aData from Table 3 in row
  5. 1Partially adequate pharmacotherapy for antidepressants, defined as having 2 of the 3 (appropriate medication—antidepressant), appropriate medication control (4 or more visits to an MD) for antidepressants, and adherence to treatment (defined as < = 3 days of not taking medication in a typical month) for anti-depressants
  6. 2Adequate pharmacotherapy for antidepressants, defined as having all 3: appropriate medication (antidepressant), and appropriate medication control (4 or more visits to an MD) for the antidepressant, and adherence to treatment (defined as < = 3 days of not taking medication in a typical month) for antidepressants
  7. 3Partially adequate psychotherapy: seeing (a psychiatrist for 5 or more visits to a Psychiatrist AND on average 30 or more minutes) OR (5 or more visits to any other MH provider) OR (2 or more visits to psychiatrist AND on average 30 or more minutes AND still in treatment) or (2 or more visits to any other MH provider AND still in treatment)
  8. 4Adequate psychotherapy: seeing (a psychiatrist for 8 or more visits to a Psychiatrist AND on average 30 or more minutes) OR (8 or more visits to any other MH provider) OR (2 or more visits to a psychiatrist AND on average 30 or more minutes AND still in treatment) or (2 or more visits to any other MH provider AND still in treatment)
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International Journal of Mental Health Systems

ISSN: 1752-4458