Depression Attention for Women Now (The DAWN Study) (DAWN)
Depressive Disorder
About this trial
This is an interventional treatment trial for Depressive Disorder focused on measuring mood disorders, depressive disorder, women, depression
Eligibility Criteria
Inclusion Criteria:
- PHQ-9 score ≥10 for Major Depressive Disorder (with 1 cardinal symptom) and/or ≥10 for Dysthymia (with 1 cardinal symptom)
- MINI confirmation of PHQ-9 diagnoses
- Access to a telephone
- English-speaking
Exclusion Criteria:
- High suicide risk (PHQ-9 response)
- ≥2 prior suicide attempts
- Lifetime history of schizophrenia or bipolar disorder (MINI response)
- Substance abuse/dependence within the previous 3 months (CAGE-AID)
- Current severe intimate partner violence
- Currently seeing a psychiatrist
Sites / Locations
- Women's Clinic at Harborview Medical Center
- Women's Health Care Center at University of Washington Medical Center (Roosevelt Clinic)
Arms of the Study
Arm 1
Arm 2
Experimental
No Intervention
Intervention
Usual Care
The intervention will integrate care between a depression care manager, consulting study team (psychiatry, psychology, OB-GYN researchers) and OB-GYN clinic providers. The 3-part intervention includes: enhanced education of patients and providers engagement of patients depression care management with patient choice of initial antidepressant medication or Problem-Solving Treatment-Primary Care and behavioral activation.
Patients randomized to Usual Care Arm will be informed of their diagnosis and encouraged to inform her OB-GYN provider about her depression diagnosis. Patients will be encouraged to proceed with care using any primary care or specialty services normally available to them inside/outside their OB-GYN clinic. All treatment decision for Usual Care Arm patients are left to the OB-GN provider.