Review ArticleThe management of depression in primary health careAraya, R.Author Information Department of Psychiatry, Faculty of Medicine, University of Chile, Avda. La Paz 1003, Santiago, Chile Correspondence to Dr R. Araya, Associate Professor, Department of Psychiatry, Faculty of Medicine, University of Chile, Avda. La Paz 1003, Santiago, Chile E-mail: firstname.lastname@example.org Current Opinion in Psychiatry: January 1999 - Volume 12 - Issue 1 - p 103-107 Buy Abstract Depression is common and disabling in primary health care. Treatment of this condition with simple and inexpensive approaches such as screening or physician education alone do not appear to produce any significant or lasting benefit. Evidence of the effectiveness of therapeutic interventions for cases of mild severity is limited but quite encouraging for major depressive episodes. Both pharmacological and psychological interventions appear almost equally effective. Evidence is accumulating that, irrespective of the active components of treatment, more intensive and organized treatment of depression in primary health care is needed in order to improve clinical and functional outcomes. However these intensive approaches are more expensive and a careful cost-benefit analysis of treatment packages and intervention components is needed to guide further management decisions in this field. © 1999 Lippincott Williams & Wilkins, Inc.