Treatment preferences in patients with first episode depression

被引:55
作者
Houle, Janie [1 ]
Villaggi, Benjamin [1 ]
Beaulieu, Marie-Dominique [2 ]
Lesperance, Francois [3 ]
Rondeau, Gilles [4 ]
Lambert, Jean [5 ]
机构
[1] Univ Quebec Montreal, Dept Psychol, Ctr Ville Branch, Montreal, PQ H3C 3P8, Canada
[2] Univ Montreal, Dept Family Med, Montreal, PQ H3C 3J7, Canada
[3] Univ Montreal, Dept Psychiat, Montreal, PQ H3C 3J7, Canada
[4] Univ Montreal, Sch Social Work, Montreal, PQ H3C 3J7, Canada
[5] Univ Montreal, Dept Social & Prevent Med, Montreal, PQ H3C 3J7, Canada
基金
加拿大健康研究院;
关键词
Depression; Preferences; Antidepressants; Psychotherapy; Illness representations; MENTAL-HEALTH-SERVICES; PRIMARY-CARE; DECISION-MAKING; GENERAL-PRACTITIONERS; MAJOR DEPRESSION; HELP-SEEKING; ADHERENCE; PHYSICIAN; DISORDER; BARRIERS;
D O I
10.1016/j.jad.2012.10.016
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
Background: Treatment preferences of patients suffering from depression may affect adherence and clinical outcomes. This study examines associations between patients' treatment preferences, their characteristics and illness representations of depression. Methods: Illness representations of depression (IPQ-R), treatment acceptability and preferences were assessed in 88 newly diagnosed patients with first episode depression. Other measures recorded: gender, age, education level, income, psychiatric comorbidity, depressive symptomatology (PHQ-9), a family history of depression, and current treatment of depression. Multiple logistic regression was used to identify factors associated with a preference for psychotherapy. Results: Psychotherapy was preferred by 41% of participants, while 31% favored antidepressants. Acceptability was strongly associated with preference. Patients preferring psychotherapy perceived that their depression has more serious consequences than those preferring medication and were more likely to attribute their depression to social causes than psychological or physical causes. Participants who preferred psychotherapy were more likely to be female, have a university degree and have a family history of depression. Limitations: The cross-sectional design precludes causal interpretations. Conclusions: Preferences vary according to gender, level of education, family history and illness representations. It may be important to provide accurate information on both treatments and discuss patients' preferences before prescribing treatment. (C) 2012 Elsevier B.V. All rights reserved.
引用
收藏
页码:94 / 100
页数:7
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