Treating depression in general practice: Factors affecting patients' treatment preferences

Trent Institute for Health Services Research.
British Journal of General Practice (Impact Factor: 2.29). 12/2000; 50(460):905-6.
Source: PubMed


We performed a cross-sectional survey of general practice attenders to determine their preferences regarding treatment for depression and characteristics associated with such preferences. Counselling was more popular than drug therapy (antidepressants), particularly among women, those who believed antidepressants are addictive, and those who had received such treatment in the past.

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    • "Given the limitations of current effective therapies, and the recent emphasis on patient-centered care [20], there is an increasing need for an alternative treatment for insomnia symptoms. It has been shown that patient preference for nonpharmacological treatment was over three times greater than prescription medications [21]. Thus many would prefer a non-pharmaceutical approach if an effective one were available [11]. "

    Medicamundi 06/2014; 54(2):89-93.
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    • "Although studies have tended to find that patients prefer psychotherapy over pharmacotherapy,46,52,56–58 many patients prefer to be seen in a primary care setting, and rates of antidepressant use have increased over the last several decades, whereas psychotherapy rates are decreasing.58,70 Increased accessibility to psychotherapeutic services, particularly in a primary care setting, may increase the likelihood of patients receiving their preferred treatment. "
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    ABSTRACT: Patient treatment preferences are of growing interest to researchers, clinicians, and patients. In this review, an overview of the most commonly recommended treatments for depression is provided, along with a brief review of the evidence supporting their efficacy. Studies examining the effect of patient treatment preferences on treatment course and outcome are summarized. Existing literature on what treatment options patients tend to prefer and believe to be helpful, and what factors may affect these preferences, is also reviewed. Finally, clinical implications of research findings on patient preferences for depression management are discussed. In summary, although our knowledge of the impact of patient preferences on treatment course and outcome is limited, knowing and considering those preferences may be clinically important and worthy of greater study for evidence-based practice.
    Patient Preference and Adherence 10/2013; 7:1047-1057. DOI:10.2147/PPA.S52746 · 1.68 Impact Factor
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    • "Using this information, patients may, 'propose a diagnosis, rather than an ailment, when they consult' a doctor (Jutel 2009: 294). However, others have suggested that many patients seeking medical help for emotional distress do not anticipate a diagnosis of depression (Pollack 2009), with patients' resistance to antidepressants having been well documented (Chilvers et al. 2001, Churchill et al. 2000, Grime and Pollock 2003). Blazer comments that although relieving the burden of depressive symptoms is a central challenge for healthcare providers, 'the boundaries of major depression are far more fuzzy than those of more established medical diagnoses' (2005: 9). "
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    ABSTRACT: The diagnosis of depression in the clinical context is extremely controversial and is subject to criticism of over-medicalisation and pharmaceuticalisation. Depression can be conceptualised across the entire spectrum of lay and medical belief, from the 'normal' highs and lows of the human condition to its inclusion in the dominant Diagnostic and Statistical Manual of Mental Disorders classificatory system, as a form of serious mental illness. In this context, a better understanding of how people describe, experience, negotiate and participate in the process of diagnosis is needed. This article draws on qualitative interviews to explore lay accounts of being diagnosed with depression. The findings reveal that lay accounts of depression vacillate in and out of the medicalised discourse of depression, highlighting the limitations of the biomedical approach to diagnosis and treatment.
    Sociology of Health & Illness 08/2012; 35(3). DOI:10.1111/j.1467-9566.2012.01486.x · 1.88 Impact Factor
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