Attitudes to depression and its treatment in primary care
Weich, Scott, Morgan, Louise, King, Michael and Nazareth, Irwin. (2007) Attitudes to depression and its treatment in primary care. Psychological Medicine, Vol.37 (No.9). pp. 1239-1248. ISSN 0033-2917
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Official URL: http://dx.doi.org/10.1017/S0033291707000931
Background Undertreatment of depression in primary care is common. Efforts to address this tend to overlook the role of patient attitudes. Our aim was to validate and describe responses to a questionnaire about attitudes to depression and its treatment in a sample with experience of moderate and severe depressive episodes.
Method Cross-sectional survey of 866 individuals with a confirmed history of an ICD-10 depressive episode in the 12 months preceding interview, recruited from 7271 consecutive general practitioner (GP) attendees in 36 general practices in England and Wales. Attitudes to and beliefs about depression were assessed using a 19-item self-report questionnaire.
Results Factor analysis resulted in a three-factor solution: factor 1, depression as a disabling, permanent state; factor 2, depression as a medical condition responsive to support; and factor 3, antidepressants are addictive and ineffective. Participants who received and adhered to antidepressant medication and disclosed their depression to family and friends had significantly lower scores on factors 1 and 3 but higher scores on factor 2.
Conclusions People with moderate or severe depressive episodes have subtle and divergent views about this condition, its outcome, and appropriate help. Such beliefs should be considered in primary care as they may significantly impact on help seeking and adherence to treatment.
|Item Type:||Journal Article|
|Subjects:||B Philosophy. Psychology. Religion > BF Psychology|
|Divisions:||Faculty of Medicine > Warwick Medical School|
|Library of Congress Subject Headings (LCSH):||Primary care (Medicine), Depression, Mental -- Diagnosis, Depression, Mental -- Treatment, Mental health surveys -- Great Britain, Mental health -- Great Britain|
|Journal or Publication Title:||Psychological Medicine|
|Publisher:||Cambridge University Press|
|Official Date:||11 June 2007|
|Page Range:||pp. 1239-1248|
|Access rights to Published version:||Open Access|
Anderson, C. M., Robins, C. S., Greeno, C. G., Cahalane, H., Copeland, V. C. & Andrews, R. M. (2006). Why lower income mothers do not engage with the formal mental health care system: perceived barriers to care. Qualitative Health Research 16, 926–943.
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