CLINICAL PRESENTATIONS OF MAJOR DEPRESSION BY AFRICAN-AMERICANS AND WHITES IN PRIMARY MEDICAL-CARE PRACTICE

This study compared the psychiatric history and presenting clinical ch aracteristics of 119 African American and 153 white patients assessed for and participating in a randomized control trial of treatments for major depression in primary care practice. African Americans and white s participated equally in the assessment process, and both groups pres ented with similar psychiatric treatment histories, severity of depres sion, level of psychosocial functioning, and severity of medical illne ss. However, racial differences were evident in the comorbidity of psy chiatric disorders, severity of somatic symptoms, self-reported physic al functioning, life stress, and health beliefs. Implications for the recognition of depression in African American primary care patients ar e discussed.