Characteristics of insured and noninsured outpatients with depression in STAR*D

Ira M. Lesser, Andrew F. Leuchter, Madhukar H. Trivedi, Lori L. Davis, Stephen R. Wisniewski, G. K. Balasubramani, Timothy Petersen, Diane Stegman, A. John Rush

Research output: Contribution to journalArticle

25 Citations (Scopus)

Abstract

Objective: This study examined data from the first 1,500 patients with major depressive disorder who were entered into the Sequenced Treatment Alternatives to Relieve Depression (STAR*D) and compared baseline characteristics of outpatients on the basis of their insurance status. Methods: We compared the demographic and clinical characteristics and the features of the presenting symptoms of outpatients with private insurance, public insurance, Medicaid and Medicare, or no insurance who were seeking treatment for depression. Results: Valid insurance data were available for 1,452 patients. Compared with patients with private insurance, patients with public or no insurance were more likely to be members of a racial or ethnic minority group, unmarried, less educated, and unemployed. Patients were more likely to attend primary care clinics if they had public insurance (46 percent) compared with private insurance (34 percent) or no insurance (30 percent). Compared with the other groups, patients with public insurance had the greatest number and severity of comorbid medical conditions. In general, compared with patients with private insurance, those with public or no insurance had greater severity of depression, more comorbid psychiatric symptoms, lower life satisfaction scores, and greater functional impairment. These findings remained after the analyses adjusted for gender, employment, comorbid medical conditions, race, and duration of illness. Conclusions: Compared with patients with private insurance, those with public or no insurance had a more chronic, more severe, and more disabling form of depression.

Original languageEnglish (US)
Pages (from-to)995-1004
Number of pages10
JournalPsychiatric Services
Volume56
Issue number8
DOIs
StatePublished - Aug 2005

Fingerprint

Insurance
insurance
Outpatients
Depression
Therapeutics
Minority Groups
Insurance Coverage
Medicaid
Major Depressive Disorder
Medicare
Ethnic Groups
Psychiatry
national minority
Primary Health Care
Demography
illness
Group

ASJC Scopus subject areas

  • Psychiatry and Mental health
  • Public Health, Environmental and Occupational Health
  • Health(social science)
  • Health Professions(all)

Cite this

Lesser, I. M., Leuchter, A. F., Trivedi, M. H., Davis, L. L., Wisniewski, S. R., Balasubramani, G. K., ... Rush, A. J. (2005). Characteristics of insured and noninsured outpatients with depression in STAR*D. Psychiatric Services, 56(8), 995-1004. https://doi.org/10.1176/appi.ps.56.8.995

Characteristics of insured and noninsured outpatients with depression in STAR*D. / Lesser, Ira M.; Leuchter, Andrew F.; Trivedi, Madhukar H.; Davis, Lori L.; Wisniewski, Stephen R.; Balasubramani, G. K.; Petersen, Timothy; Stegman, Diane; Rush, A. John.

In: Psychiatric Services, Vol. 56, No. 8, 08.2005, p. 995-1004.

Research output: Contribution to journalArticle

Lesser, IM, Leuchter, AF, Trivedi, MH, Davis, LL, Wisniewski, SR, Balasubramani, GK, Petersen, T, Stegman, D & Rush, AJ 2005, 'Characteristics of insured and noninsured outpatients with depression in STAR*D', Psychiatric Services, vol. 56, no. 8, pp. 995-1004. https://doi.org/10.1176/appi.ps.56.8.995
Lesser IM, Leuchter AF, Trivedi MH, Davis LL, Wisniewski SR, Balasubramani GK et al. Characteristics of insured and noninsured outpatients with depression in STAR*D. Psychiatric Services. 2005 Aug;56(8):995-1004. https://doi.org/10.1176/appi.ps.56.8.995
Lesser, Ira M. ; Leuchter, Andrew F. ; Trivedi, Madhukar H. ; Davis, Lori L. ; Wisniewski, Stephen R. ; Balasubramani, G. K. ; Petersen, Timothy ; Stegman, Diane ; Rush, A. John. / Characteristics of insured and noninsured outpatients with depression in STAR*D. In: Psychiatric Services. 2005 ; Vol. 56, No. 8. pp. 995-1004.
@article{73e7e7c30d3b455d9813490cc0b869d3,
title = "Characteristics of insured and noninsured outpatients with depression in STAR*D",
abstract = "Objective: This study examined data from the first 1,500 patients with major depressive disorder who were entered into the Sequenced Treatment Alternatives to Relieve Depression (STAR*D) and compared baseline characteristics of outpatients on the basis of their insurance status. Methods: We compared the demographic and clinical characteristics and the features of the presenting symptoms of outpatients with private insurance, public insurance, Medicaid and Medicare, or no insurance who were seeking treatment for depression. Results: Valid insurance data were available for 1,452 patients. Compared with patients with private insurance, patients with public or no insurance were more likely to be members of a racial or ethnic minority group, unmarried, less educated, and unemployed. Patients were more likely to attend primary care clinics if they had public insurance (46 percent) compared with private insurance (34 percent) or no insurance (30 percent). Compared with the other groups, patients with public insurance had the greatest number and severity of comorbid medical conditions. In general, compared with patients with private insurance, those with public or no insurance had greater severity of depression, more comorbid psychiatric symptoms, lower life satisfaction scores, and greater functional impairment. These findings remained after the analyses adjusted for gender, employment, comorbid medical conditions, race, and duration of illness. Conclusions: Compared with patients with private insurance, those with public or no insurance had a more chronic, more severe, and more disabling form of depression.",
author = "Lesser, {Ira M.} and Leuchter, {Andrew F.} and Trivedi, {Madhukar H.} and Davis, {Lori L.} and Wisniewski, {Stephen R.} and Balasubramani, {G. K.} and Timothy Petersen and Diane Stegman and Rush, {A. John}",
year = "2005",
month = "8",
doi = "10.1176/appi.ps.56.8.995",
language = "English (US)",
volume = "56",
pages = "995--1004",
journal = "Psychiatric Services",
issn = "1075-2730",
publisher = "American Psychiatric Association",
number = "8",

}

TY - JOUR

T1 - Characteristics of insured and noninsured outpatients with depression in STAR*D

AU - Lesser, Ira M.

AU - Leuchter, Andrew F.

AU - Trivedi, Madhukar H.

AU - Davis, Lori L.

AU - Wisniewski, Stephen R.

AU - Balasubramani, G. K.

AU - Petersen, Timothy

AU - Stegman, Diane

AU - Rush, A. John

PY - 2005/8

Y1 - 2005/8

N2 - Objective: This study examined data from the first 1,500 patients with major depressive disorder who were entered into the Sequenced Treatment Alternatives to Relieve Depression (STAR*D) and compared baseline characteristics of outpatients on the basis of their insurance status. Methods: We compared the demographic and clinical characteristics and the features of the presenting symptoms of outpatients with private insurance, public insurance, Medicaid and Medicare, or no insurance who were seeking treatment for depression. Results: Valid insurance data were available for 1,452 patients. Compared with patients with private insurance, patients with public or no insurance were more likely to be members of a racial or ethnic minority group, unmarried, less educated, and unemployed. Patients were more likely to attend primary care clinics if they had public insurance (46 percent) compared with private insurance (34 percent) or no insurance (30 percent). Compared with the other groups, patients with public insurance had the greatest number and severity of comorbid medical conditions. In general, compared with patients with private insurance, those with public or no insurance had greater severity of depression, more comorbid psychiatric symptoms, lower life satisfaction scores, and greater functional impairment. These findings remained after the analyses adjusted for gender, employment, comorbid medical conditions, race, and duration of illness. Conclusions: Compared with patients with private insurance, those with public or no insurance had a more chronic, more severe, and more disabling form of depression.

AB - Objective: This study examined data from the first 1,500 patients with major depressive disorder who were entered into the Sequenced Treatment Alternatives to Relieve Depression (STAR*D) and compared baseline characteristics of outpatients on the basis of their insurance status. Methods: We compared the demographic and clinical characteristics and the features of the presenting symptoms of outpatients with private insurance, public insurance, Medicaid and Medicare, or no insurance who were seeking treatment for depression. Results: Valid insurance data were available for 1,452 patients. Compared with patients with private insurance, patients with public or no insurance were more likely to be members of a racial or ethnic minority group, unmarried, less educated, and unemployed. Patients were more likely to attend primary care clinics if they had public insurance (46 percent) compared with private insurance (34 percent) or no insurance (30 percent). Compared with the other groups, patients with public insurance had the greatest number and severity of comorbid medical conditions. In general, compared with patients with private insurance, those with public or no insurance had greater severity of depression, more comorbid psychiatric symptoms, lower life satisfaction scores, and greater functional impairment. These findings remained after the analyses adjusted for gender, employment, comorbid medical conditions, race, and duration of illness. Conclusions: Compared with patients with private insurance, those with public or no insurance had a more chronic, more severe, and more disabling form of depression.

UR - http://www.scopus.com/inward/record.url?scp=23244455967&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=23244455967&partnerID=8YFLogxK

U2 - 10.1176/appi.ps.56.8.995

DO - 10.1176/appi.ps.56.8.995

M3 - Article

C2 - 16088018

AN - SCOPUS:23244455967

VL - 56

SP - 995

EP - 1004

JO - Psychiatric Services

JF - Psychiatric Services

SN - 1075-2730

IS - 8

ER -