title: Depression treatment preferences after traumatic brain injury.
abstract: OBJECTIVE
  To determine preferences for depression treatment modalities and settings among persons with traumatic brain injury (TBI).
  
  
  METHODS
  Telephone survey. Depression status was determined using the Patient Health Questionnaire-9.
  
  
  METHODS
  Harborview Medical Center, Seattle, Washington, the level I trauma center serving Washington, Idaho, Montana, and Alaska.
  
  
  METHODS
  One hundred forty-five adults, English-speaking consecutive patients admitted with complicated mild to severe TBI.
  
  
  METHODS
  Telephone survey within 12 months post-TBI ascertaining preferences for depression treatment modalities and settings.
  
  
  RESULTS
  More patients favored physical exercise or counseling as a depression treatment than other treatment modalities. Group therapy was the least favored modality. Patients favored speaking with a clinician in the clinic or over the telephone and were less likely to communicate with a clinician over the Internet. Subjects with probable major depression or a history of antidepressant use or outpatient mental health treatment were more likely to express a preference for antidepressants for treatment of depression.
  
  
  CONCLUSIONS
  This study underscores the importance of understanding patient preferences and providing patient education in selecting a treatment for depression after TBI. Future studies should examine psychotherapy and alternative treatment modalities and delivery models for the management of depression in this vulnerable population.
authors.affiliation: Departments of Psychiatry & Behavioral Sciences, School of Public Health and Community Medicine, University of Washington, Seattle, USA. fann@u.washington.edu <fann@u.washington.edu>
authors.forename: Jesse R
authors.initials: JR
authors.lastname: Fann
authors.forename: Audrey L
authors.initials: AL
authors.lastname: Jones
authors.forename: Sureyya S
authors.initials: SS
authors.lastname: Dikmen
authors.forename: Nancy R
authors.initials: NR
authors.lastname: Temkin
authors.forename: Peter C
authors.initials: PC
authors.lastname: Esselman
authors.forename: Charles H
authors.initials: CH
authors.lastname: Bombardier
mesh_terms: D000328:Adult; D000928:Antidepressive Agents / Q000627:therapeutic use; D001294:Attitude to Health; D001930:Brain Injuries / Q000523:psychology*; D002755:Choice Behavior; D000529:Complementary Therapies; D003376:Counseling; D003863:Depression / Q000523:psychology / Q000628:therapy*; D015444:Exercise; D005260:Female; D006126:Group Processes; D006801:Humans; D020407:Internet; D007407:Interviews as Topic; D008297:Male; D017060:Patient Satisfaction; D011613:Psychotherapy; D012720:Severity of Illness Index
chemical_list: D000928:Antidepressive Agents