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June 16, 2004

Interventions for Treatment of Depression in Primary Care

Author Affiliations

Letters Section Editor: Stephen J. Lurie, MD, PhD, Senior Editor.

JAMA. 2004;291(23):2814. doi:10.1001/jama.291.23.2815-a

To the Editor: Dr Bruce and colleagues1 reported that a community-based intervention reduced suicidal ideation and depression severity among a heterogeneous sample of older depressed patients. We believe that such studies are critical first steps in establishing the effectiveness of multidimensional interventions for depression in primary care settings. I am concerned, however, that such management programs may not be sustainable given current economic realities of primary care practice, especially when combined with the prevalence of clinically significant depression among older patients in primary care settings.

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