Impact of emergency department visit on disease self-management in adults with depression

Neeraj Bhandari*, Yunfeng Shi, Larry R. Hearld, Megan McHugh

*Corresponding author for this work

Research output: Contribution to journalArticle

1 Scopus citations


Unexpected health-endangering events that lead to an emergency department visit may be perceived as “wake-up calls” and induce significant changes in health-related behavior (“health shock” effect). This study uses two waves of a survey of 826 adults with depression and finds that having an emergency department visit(s) increased medication adherence by 7.6 percentage points (p < 0.05) relative to non-emergency department visitors but had no significant effect on counseling attendance (0.02% points, p = 0.380). Emergency department visits may provide an opportune teachable moment to initiate targeted interventions for positive behavioral change in adults with depression.

Original languageEnglish (US)
Pages (from-to)588-597
Number of pages10
JournalJournal of Health Psychology
Issue number4
StatePublished - Mar 1 2018



  • adherence
  • chronic illness
  • depression
  • emergency department
  • health behavior

ASJC Scopus subject areas

  • Applied Psychology

Cite this