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Q What is the relative cost effectiveness of pharmacotherapy, cognitive behavioural therapy, and community referral for low income minority women with major depression?
Randomised controlled trial.
Follow up period:
Family planning clinics and paediatric related services in four US counties.
267 low income minority women with major depression on Composite International Diagnostic Interview. Exclusions: bereavement; substance abuse; pregnancy; breastfeeding, or currently receiving mental health care.
Pharmacotherapy (paroxetine hydrochloride or bupropion hydrochloride for up to six months); cognitive behaviour therapy (CBT; weekly for 8–16 weeks), or community referral (education about depression and management by community services).
Intervention and health care costs, depression-free days (days on which …
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