Racial and ethnic differences in receipt of antidepressants and psychotherapy by veterans with chronic depression

Ana Quinones, Stephen M. Thielke, Kristine A. Beaver, Ranak B. Trivedi, Emily C. Williams, Vincent S. Fan

Research output: Contribution to journalArticle

20 Citations (Scopus)

Abstract

Objective: This study characterized racial-ethnic differences in treatment of veterans with chronic depression by examining antidepressant and psychotherapy use among non-Hispanic black, non-Hispanic white, Hispanic, Asian and American Indian-Alaska Native (AI/AN) veterans. Methods: Logistic regression models were estimated with data from the U.S. Department of Veterans Affairs (VA) medical records for a sample of 62,095 chronically depressed patients. Data (2009-2010) were from the VA External Peer Review Program. Three primary outcome measures were used: receipt of adequate antidepressant therapy (≥80% medications on hand), receipt of adequate psychotherapy (at least six sessions in six months), and receipt of guideline-concordant treatment (either of these treatments). Results: Compared with whites, nearly all minority groups had lower odds of adequate antidepressant use and guidelineconcordant care in unadjusted and adjusted models (antidepressant adjusted odds ratio [AOR] range=.53-.82, p

Original languageEnglish (US)
Pages (from-to)193-200
Number of pages8
JournalPsychiatric Services
Volume65
Issue number2
DOIs
StatePublished - Feb 1 2014

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Veterans
Psychotherapy
Antidepressive Agents
Depression
Logistic Models
Minority Groups
United States Department of Veterans Affairs
Peer Review
Asian Americans
North American Indians
Therapeutics
Hispanic Americans
Medical Records
Hand
Odds Ratio
Outcome Assessment (Health Care)
Guidelines

ASJC Scopus subject areas

  • Psychiatry and Mental health
  • Medicine(all)

Cite this

Racial and ethnic differences in receipt of antidepressants and psychotherapy by veterans with chronic depression. / Quinones, Ana; Thielke, Stephen M.; Beaver, Kristine A.; Trivedi, Ranak B.; Williams, Emily C.; Fan, Vincent S.

In: Psychiatric Services, Vol. 65, No. 2, 01.02.2014, p. 193-200.

Research output: Contribution to journalArticle

Quinones, Ana ; Thielke, Stephen M. ; Beaver, Kristine A. ; Trivedi, Ranak B. ; Williams, Emily C. ; Fan, Vincent S. / Racial and ethnic differences in receipt of antidepressants and psychotherapy by veterans with chronic depression. In: Psychiatric Services. 2014 ; Vol. 65, No. 2. pp. 193-200.
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