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Table 2 Primary care visits and mental health care received over two years in those with and without depressed mood

From: A prospective study of mental health care for comorbid depressed mood in older adults with painful osteoarthritis

Visits - Full Sample

Overall

N = 2,005

Mental health score ≥ 60

N = 1,429

Mental health score < 60

N = 576

p-value*

Visits to a primary care physician

    

   % (CI†) with at least one visit

95.2 (94.2 - 96.1)

94.5 (93.4 - 95.7)

96.7 (95.2 - 98.2)

0.05

   Total number of visits to a primary care physician in the first 2 years: median (inter-quartile range)

13 (7-23)

13 (7-21)

16 (9-26)

< 0.0001

Mental health visits to a primary care physician

    

   % (CI†)with at least one mental health visit

28.9 (26.9 - 30.9)

24.8 (22.5 - 27.0)

39.1 (35.1 - 43.1)

< 0.0001

   Number of visits, for those who had at least one visit:

    

   median (inter-quartile range)

2 (1-3)

1 (1-3)

2 (1-4)

0.0007

Visits to a psychiatrist

    

   % (CI†) with at least one visit

5.3 (4.3 - 6.3)

3.4 (2.4 - 4.3)

10.1 (7.6 - 12.5)

< 0.0001

   Number of visits, for those who had at least one visit:

    

   median (inter-quartile range)

3 (1-13)

3 (1-10)

5 (2-20)

0.11

Visits to a PCP and/or psychiatrist

    

   % (CI†) with at least one visit

30.8 (28.8 - 32.8)

26.1 (23.8 - 28.4)

42.5 (38.5 - 46.6)

< 0.0001

   Number of visits, for those who had at least one visit:

2 (1-4)

2 (1-3)

2 (1-6)

< 0.0001

   median (inter-quartile range)

    

Visits - Those aged 65+ years at baseline

Overall

N = 1,425

Mental health score ≥ 60

N = 1,049

Mental health score < 60

N = 376

p-value*

Visits to a primary care physician

    

   % (CI†) with at least one visit

95.1 (94.0 - 96.2)

94.3 (92.9 - 95.7)

97.3 (95.7 - 99.0)

0.018

   Total number of visits to a primary care physician in the first 2 years: median (inter-quartile range)

14 (8-23)

13 (7-22)

17 (9-27)

< 0.0001

Mental health visits to a primary care physician

    

   % (CI†)with at least one mental health visit

28.1 (25.7 - 30.4)

24.9 (22.3 - 27.5)

37.0 (32.1 - 41.9)

< 0.0001

   Number of visits, for those who had at least one visit:

2 (1-3)

1 (1-3)

2 (1-4)

0.0087

   median (inter-quartile range)

    

Visits to a psychiatrist

    

   % (CI†) with at least one visit

4.6 (3.5 - 5.7)

3.2 (2.1 - 4.2)

8.8 (5.9 - 11.6)

< 0.0001

   Number of visits, for those who had at least one visit:

3 (1-10)

3 (1-9)

4 (1-15)

0.23

   median (inter-quartile range)

    

Any mental health care visit (to a PCP or psychiatrist)

    

   % (CI†) with at least one visit

30.0 (27.6 - 32.3)

26.1 (23.5 - 28.8)

40.7 (35.7 - 45.7)

< 0.0001

   Number of visits, for those who had at least one visit:

2 (1-4)

2 (1-3)

2 (1-6)

0.0024

   median (inter-quartile range)

    

Prescriptions for antidepressants

    

   % (CI†) who filled at least one prescription

23.1 (20.9 - 25.3)

18.4 (16.1 - 20.7)

36.2 (31.3 - 41.0)

< 0.0001

   Number of prescriptions filled, for those who filled at

6 (2-11)

6 (2-10)

7 (2-12)

0.064

   least one: median (inter-quartile range)

    

Any mental health care

    

   % (CI†) with at least one mental health visit to a PCP or at least one visit to a psychiatrist or filling at least one prescription for an antidepressant

40.6 (38.1 - 43.2)

34.9 (32.0 - 37.8)

56.7 (51.6 - 61.7)

< 0.0001

  1. *P values comparing depressed and non-depressed people. Wilcoxon rank sum tests were used to compare the numbers of visits; a Fisher's Exact test was used to compare the percentage of people having at least one mental health visit.
  2. †CI = 95% confidence interval
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BMC Psychiatry

ISSN: 1471-244X

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