title: Clinical presentations of major depression by African Americans and whites in primary medical care practice.
abstract: This study compared the psychiatric history and presenting clinical characteristics of 119 African American and 153 white patients assessed for and participating in a randomized control trial of treatments for major depression in primary care practice. African Americans and whites participated equally in the assessment process, and both groups presented with similar psychiatric treatment histories, severity of depression, level of psychosocial functioning, and severity of medical illness. However, racial differences were evident in the comorbidity of psychiatric disorders, severity of somatic symptoms, self-reported physical functioning, life stress, and health beliefs. Implications for the recognition of depression in African American primary care patients are discussed.
authors.affiliation: Western Psychiatric Institute and Clinic, University of Pittsburgh School of Medicine, PA 15213, USA.
authors.forename: C
authors.initials: C
authors.lastname: Brown
authors.forename: H C
authors.initials: HC
authors.lastname: Schulberg
authors.forename: M J
authors.initials: MJ
authors.lastname: Madonia
mesh_terms: D000293:Adolescent; D000328:Adult; D001741:Black or African American / Q000523:psychology*; D000929:Antidepressive Agents, Tricyclic / Q000627:therapeutic use; D001294:Attitude to Health; D015897:Comorbidity; D003866:Depressive Disorder / Q000175:diagnosis / Q000208:ethnology* / Q000523:psychology / Q000628:therapy; D005260:Female; D006801:Humans; D007389:Internal-External Control; D008016:Life Change Events; D008297:Male; D001523:Mental Disorders / Q000175:diagnosis / Q000208:ethnology / Q000523:psychology / Q000628:therapy; D008875:Middle Aged; D009661:Nortriptyline / Q000627:therapeutic use; D010348:Patient Care Team; D010555:Personality Inventory; D011320:Primary Health Care; D011613:Psychotherapy; D013001:Somatoform Disorders / Q000175:diagnosis / Q000208:ethnology / Q000523:psychology / Q000628:therapy; D044465:White People / Q000523:psychology*
chemical_list: D000929:Antidepressive Agents, Tricyclic; D009661:Nortriptyline