Homme, Human, Hombre, Trouble humeur, Mood disorder, Trastorno humor, Enfant, Child, Niño, Etat dépressif, Depression, Estado depresivo, Médecin généraliste, General practitioner, Medico general, Poste, Postal service, Correos, Pédiatrie, Pediatrics, Pediatría, Soin santé primaire, Primary health care, Cuidados salud primaria, Spécialité médicale, Medical specialty, Especialidad medical, Surveillance, Vigilancia, Sciences biologiques et medicales, Biological and medical sciences, Sciences medicales, Medical sciences, Psychopathologie. Psychiatrie, Psychopathology. Psychiatry, Etude clinique de l'enfant, Child clinical studies, Troubles de l'humeur, Mood disorders, Psychologie. Psychanalyse. Psychiatrie, Psychology. Psychoanalysis. Psychiatry, PSYCHOPATHOLOGIE. PSYCHIATRIE, Genetics, and Génétique
Objective. To provide a self-described assessment ofpediatricians' and family physicians' management of childhood depression. Design. Mail survey of 595 general pediatricians and 557 family physicians in North Carolina. Results. The response rate was 66%. Most primary care physicians used referral (65%) and counseling (61%) for management of childhood depression. Family physicians used medications more commonly (18% vs 9%), and pediatricians referred patients more commonly (77% vs 48%). In logistic regression analysis, physicians comfortable with management of depression (odds ratio [OR], 4.8: 2.7-8.4), physicians who believed that antidepressants are more effective than counseling (OR, 2.6: 1.4-4.8), and family physicians (OR, 2.2: 1.9-4.1) were more likely to have used medications for childhood depression. Conclusions. Most primary care physicians refer pediatric patients with depression; however, practice patterns vary by specialty and other factors. Future studies must consider the role of primary care and evaluate how interspecialty variations affect costs and outcomes of childhood depression.