Illness beliefs about depression among patients seeking depression care and patients seeking cardiac care: an exploratory analysis using a mixed method design

被引:10
作者
Magaard, Julia Luise [1 ]
Loewe, Bernd [2 ]
Bruett, Anna Levke [1 ,3 ]
Kohlmann, Sebastian [2 ]
机构
[1] Univ Med Ctr Hamburg Eppendorf, Dept Med Psychol, Hamburg, Germany
[2] Univ Med Ctr Hamburg Eppendorf, Dept Psychosomat Med & Psychotherapy, Hamburg, Germany
[3] Carl von Ossietzky Univ Oldenburg, Sch Med & Hlth Sci, Dept Hlth Serv Res, Oldenburg, Germany
关键词
Causal beliefs; Coronary heart disease; Depression; Illness representations; CORONARY-HEART-DISEASE; MENTAL-HEALTH; PERCEPTION QUESTIONNAIRE; REPRESENTATIONS; PEOPLE; ASSOCIATION; MODELS; PHQ-9;
D O I
10.1186/s12888-018-1936-z
中图分类号
R749 [精神病学];
学科分类号
100205 ;
摘要
BackgroundTreatment of depression in cardiac patients is difficult. Patients' illness beliefs regarding depression are associated with outcomes. The aim of the mixed-methods study was to test whether patients in routine care for depression differ from patients with depression in routine care for cardiac diseases regarding illness beliefs about depression.MethodsA consecutive sample of n=217 patients with depressive disorder was recruited from routine care for depression (N=148) and routine care for cardiac diseases (N=69). Beliefs about depression were measured by the Brief-Illness Perception Questionnaire. Causal beliefs were categorized using qualitative methods. To investigate differences regarding other illness beliefs, we performed an ANCOVA controlling for sociodemographic and clinical differences by propensity score matching.ResultsPatients in routine care for cardiac diseases attributed their depression more often to physical illnesses (48% vs. 16%) and less often to their self (30% vs. 47%), problems at work (25% vs. 35%), childhood (25% vs. 30%), and negative life events (19% vs. 25%) in contrast to patients in routine care for depression. Patients in routine care for cardiac diseases reported beliefs of lower disability, burden, and treatment-control and of higher self-control in contrast to patients in routine care for depression.ConclusionsIllness beliefs especially causal beliefs differ between patients in routine care for cardiac diseases and routine care for depression. Future research should investigate effects of these illness beliefs. We recommend exploring patients' illness beliefs about depression in routine care for cardiac diseases and routine care for depression.
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页数:9
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