This study will compare a brief form of counseling to usual care for the treatment of minor
depression in the primary care setting.
Minor depression is one of the most common types of depressive disorders seen in primary
care. The effectiveness and tolerability of antidepressants in patients with minor
depression is unclear, and the development of alternative treatments is necessary.
In the first phase of this study, participants are observed for 4 weeks to identify those
most in need of depression-specific treatment. Participants are then exposed to the
Problem-Solving Treatment for Primary Care (PST-PC), a six-session behavioral treatment for
depression. After 4 weeks, patients who do not respond adequately to the treatment are
randomly assigned to either continued PST-PC or to usual care for 9 weeks. Participants are
followed for 6 months after the study.
- Primary care patient at Dartmouth-Hitchcock Medical Center (DHMC)
- Hamilton Depression Score >= 10 and minor depression at time of entry and after 4
weeks of observation
- Psychosis, Obsessive Compulsive Disorder (OCD), or Post Traumatic Stress Disorder
- Active substance abuse
- Receiving treatment for depression