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Q What is the effect of guideline concordant care (ie antidepressant medication or cognitive behavioural therapy) compared with community care for depression in low income minority women?
METHODS
Design:
Randomised controlled trial.
Allocation:
Concealed.
Blinding:
Single blind (outcome assessors blinded).
Follow up period:
Six months.
Setting:
Four suburban county health and welfare services, Washington, DC, USA; March 1997 to May 2002.
Patients:
267 low income women (117 black and 16 white women born in the USA, 134 Latina women born in Latin America) diagnosed with major depressive disorder using the Composite International Diagnostic Interview. Exclusions: bereavement, substance abuse, pregnancy or planning pregnancy in next 6 months, breast feeding, and current mental health care.
Intervention:
Antidepressant medication for 6 months (paroxetine 10–50 mg per day, or buproprion for participants not tolerating paroxetine or …
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