Managed care and patient ratings of the quality of specialty care among patients with pain or depressive symptoms

Table 2 Health Status at Waiting Room Screen and 6-Month Follow-Up: Unadjusted Descriptive Statistics and Change Scores

	Patients with Pain Seeing Specialists for Pain	Patients with Depressive Symptoms Seeing Mental Health Specialists	Patients with Pain and Depressive Symptoms Seeing Mental Health or Pain Specialists
Depression Outcomes (Averages)		(n = 184)	(n = 317–321)
SCL Depression Score
Waiting room screen		2.0	1.7
6-Month follow-up		1.1	1.0
Change score**		0.9*	0.7*
Restricted Activity Days Due to Emotional Health
Waiting room screen		8.0	6.9
6-Month follow-up		4.2	3.5
Change score		3.8*	3.4*
Pain Outcomes (Averages)	(n = 416–459)		(n = 318–319)
Pain Interference (n = 459)
Waiting room screen	4.7		6.2
6-Month follow-up	2.1		3.4
Change score	2.6*		2.8*
Pain Bothersomeness (n = 458)
Waiting room screen	6.7		7.5
6-Month follow-up	3.0		4.1
Change score	3.7*		3.4*
Restricted Activity Days Due to Physical Health (n = 416)
Waiting room screen	4.8		10.0
6-Month follow-up	2.6		7.3
Change score	2.2*		2.7*

* Difference between averages is significant (p < .001)
** Difference in SCL change scores between the patients with depressive symptoms only vs. patients with pain and depressive symptoms is significant (p = .002). All other cohort comparisons of change scores are not statistically significant (p > .05).

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