Either combined clinical diagnostic criteria or

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either combined clinical diagnostic criteria or testing with other psychological disorders, such as anxiety, while my study focuses solely on major depression and specific effects. The studies on primary care were too small and there is a need for more studies to examine the intervention methods of primary care clinicians and the frequency in which those standards are being utilized. Moreover, studies need to be conducted in the referral system of care and the transition effort of primary care physicians in referring to mental health professionals. Another identifiable gap in the literature focusing on primary care physicians would be their propensity to distribute psychotropic medications with disregard to referral to mental health professionals or consultation with psychiatrists. Another gap in the literature was the further explanation of causality of depression. Multiple literature articles suggested problems that are associated with depression but none of them ventured to explain the causality of depression.Area of Original Contribution:The purpose of this study is to identify the positively screened portion of the elderly population (> 64 years of age) within a nationally representative sample population and identify whether or not the elderly or more susceptible to major depression if they have experienced the following: a death of a close family member or friend in the last 12 months, a serious illness or injury of a close family member or friend in the last 12 months, or a combination of the two measurements. Additionally, the study will aim to determine if an elderly person having each of the instances or both of the instances happen is either more or less likely to suffer from major depression. There are significant contributing factors associated with this study. First, the study follows a medical model approach by utilizing the exact criteria from the DSM-IV to identify those elderly persons who suffer from major depression (Table 1). This is quite different from the subjective questioning of the patient given that the exact diagnostic criteria determine the patient’s diagnosis and not the
Journal of Business and Behavioral SciencesTwentieth Anniversary Issue 144 subjective response of the patient. The study will provide medically significant intervention rationale if an increase likelihood is identified by proving in a nationally representative sample that elderly are, in fact, more likely to suffer from major depression if they experience serious death, illness, or injury from either a close friend or family member.METHODS Data Source and Study Population This study utilized the National Epidemiological Survey on Alcohol and related Conditions (NESARC) secondary data set covering the periods between 2001-2002. The survey is sponsored by the National Institute on Alcohol Abuse and Alcoholism (NIAAA). The NESARC data set is longitudinal in nature and was administered to a nationally representative sample (n=43,093) of non-

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