[en] BACKGROUND: This study aimed to document the outcome dimensions that physicians see as important in defining cure from depression. The study also aimed to analyse physicians' attitudes about depression and to find out whether they affect their prescribing practices and/or the outcome dimensions that they view as important in defining cure. METHODS: A 51-item questionnaire based on six validated scales was used to rate the importance of several depression outcome dimensions. Physicians' attitudes about depression were also assessed using the Depression Attitude Scale. Overall, 369 Belgian physicians (264 general practitioners [GPs]; 105 psychiatrists) participated in the DEsCRIBE survey. RESULTS: GPs and psychiatrists strongly agreed that functioning and depressive symptomatology were most important in defining cure; anxious and somatic symptomatology was least important. GPs and psychiatrists differed in their attitudes about depression (p <0.001). Logistic regression revealed that the attitudes of GPs - but not psychiatrists - were significantly associated with their rates of antidepressant prescription (p < 0.001) and that certain attitudes predicted which outcome dimensions were seen as important in defining cure. CONCLUSIONS: Belgian GPs and psychiatrists strongly agreed on which criteria were important in defining cure from depression but differed in their attitudes about depression. The outcome dimensions that were considered important in defining cure were influenced by physicians' attitudes - this was more pronounced in GPs than in psychiatrists.
Disciplines :
Psychiatry
Author, co-author :
Demyttenaere, Koen
Ansseau, Marc ; Université de Liège - ULiège > Département des sciences cliniques > Psychiatrie et psychologie médicale
Constant, Eric
Albert, Adelin ; Université de Liège - ULiège > Département des sciences de la santé publique > Informatique médicale et biostatistique
Van Gassen, Geert
van Heeringen, Kees
Language :
English
Title :
Do general practitioners and psychiatrists agree about defining cure from depression? The DEsCRIBE (TM) survey
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Bibliography
Insel TR, Scolnick EM. Cure therapeutics and strategic prevention: raising the bar for mental health research. Mol Psychiatry 2006, 11:11-17. 10.1038/sj.mp.4001777, 1586099, 16355250.
Demyttenaere K, Reed C, Quail D, Bauer M, Dantchev N, Montejo AL, Monz B, Perahia D, Tylee A, Grassi L. Presence and predictors of pain in depression: results from the FINDER study. J Affect Disord 2010, 125:53-60. 10.1016/j.jad.2010.02.106, 20188422.
Fava M, Rush AJ, Alpert JE, Balasubramani GK, Wisniewski SR, Carmin CN, Biggs MM, Zisook S, Leuchter A, Howland R, Warden D, Trivedi MH. Difference in treatment outcome in outpatients with anxious versus nonanxious depression: a STAR*D report. Am J Psychiatry 2008, 165:342-351. 10.1176/appi.ajp.2007.06111868, 18172020.
Keller MB. Past, present, and future directions for defining optimal treatment outcome in depression: remission and beyond. JAMA 2003, 289:3152-3160. 10.1001/jama.289.23.3152, 12813121.
Brown C, Schulberg HC. Diagnosis and treatment of depression in primary medical care practice: the application of research findings to clinical practice. J Clin Psychol 1998, 54:303-314. 10.1002/(SICI)1097-4679(199804)54:3<303::AID-JCLP2>3.0.CO;2-Q, 9545168.
Löwe B, Spitzer RL, Williams JB, Mussell M, Schellberg D, Kroenke K. Depression, anxiety and somatization in primary care: syndrome overlap and functional impairment. Gen Hosp Psychiatry 2008, 30:191-199. 10.1016/j.genhosppsych.2008.01.001, 18433651.
Demyttenaere K, Desaiah D, Petit C, Croenlein J, Brecht S. Patient-assessed versus physician-assessed disease severity and outcome in patients with nonspecific pain associated with major depressive disorder. Prim Care Comp J Clin Psychiatry 2009, 11:8-15.
Zimmerman M, McGlinchey J, Posternak M, Friedman M, Attiullah N, Boerescu D. How should remission from depression be defined? The depressed patient's perspective. Am J Psychiatry 2006, 163:148-150. 10.1176/appi.ajp.163.1.148, 16390903.
Zimmerman M, McGlinchey JB, Posternak MA, Friedman M, Boerescu D, Attiullah N. Remission in depressed outpatients: more than just symptom resolution. J Psychiatr Res 2008, 42:797-801. 10.1016/j.jpsychires.2007.09.004, 17986389.
Demyttenaere K, de Fruyt J, Huygens R. Measuring quality of life in depression. Curr Opin Psychiatry 2002, 15:89-92.
Reed C, Monz BU, Perahia DG, Gandhi P, Bauer M, Dantchev N, Demyttenaere K, Garcia-Cebrian A, Grassi L, Quail D, Tylee A, Montejo AL. Quality of life outcomes among patients with depression after 6 months of starting treatment: results from FINDER. J Affect Dis 2009, 113:296-302. 10.1016/j.jad.2008.05.021, 18603303.
Tylee A. Depression in the community: physician and patient perspective. J Clin Psychiatry 1999, 60(Suppl 7):12-16.
Kerr M, Blizard R, Mann A. General practitioners and psychiatrists: comparison of attitudes to depression using the depression attitudes questionnaire. Br J Gen Pract 1995, 45:89-92. 1239142, 7702889.
Botega N, Mann A, Blizard R, Wilkinson G. General practitioners and depression - first use of the depression attitude questionnaire. Int J Methods Psychiatr Res 1992, 2:169-180.
Bair MJ, Robinson RL, Eckert GJ, Stang PE, Croghan TW, Kroenke K. Impact of pain on depression treatment response in primary care. Psychosom Med 2004, 66:17-22. 10.1097/01.PSY.0000106883.94059.C5, 14747633.
Demyttenaere K, Bonnewyn A, Bruffaerts R, De Girolamo G, Gasquet I, Kovess V, Haro JM, Alonso J. Clinical factors influencing the prescription of antidepressants and benzodiazepines: results from the European study of the epidemiology of mental disorders (ESEMeD). J Affect Disord 2008, 110:84-93. 10.1016/j.jad.2008.01.011, 18329721.
Frank E, Prien RF, Jarrett RB, Keller MB, Kupfer DJ, Lavori PW, Rush AJ, Weissman MM. Conceptualization and rationale for consensus definitions of terms in major depressive disorder. Remission, recovery, relapse, and recurrence. Arch Gen Psychiatry 1991, 48:851-855.
Trivedi MH, Rush AJ, Wisniewski SR, Nierenberg AA, Warden D, Ritz L, Norquist G, Howland RH, Lebowitz B, McGrath PJ, Shores-Wilson K, Biggs MM, Balasubramani GK, Fava M. Evaluation of outcomes with citalopram for depression using measurement-based care in STAR*D: implications for clinical practice. Am J Psychiatry 2006, 163:28-40. 10.1176/appi.ajp.163.1.28, 16390886.
Schrank B, Slade M. Recovery in psychiatry. Psychiatric Bulletin 2007, 31:321-325.
McGoey L. Profitable failure: antidepressant drugs and the triumph of flawed experiments. Hist Human Sci 2010, 23:58-78. 10.1177/0952695109352414, 20518153.
Backs-Dermott BJ, Dobson KS, Jones SL. An evaluation of an integrated model of relapse in depression. J Affect Disord 2010, 124:60-67. 10.1016/j.jad.2009.11.015, 20004476.
Cuffel BJ, Azocar F, Tomlin M, Greenfield SF, Busch AB, Croghan TW. Remission, residual symptoms, and nonresponse in the usual treatment of major depression in managed clinical practice. J Clin Psychiatry 2003, 64:397-402. 10.4088/JCP.v64n0406, 12716239.
Reimherr FW, Strong RE, Marchant BK, Hedges DW, Wender PH. Factors affecting return of symptoms 1 year after treatment in a 62-week controlled study of fluoxetine in major depression. J Clin Psychiatry 2001, 22:16-23.
Liu SI, Lu RB, Lee MB. Non-psychiatric physicians' knowledge, attitudes and behaviour toward depression. J Formos Med Assoc 2008, 107:921-931. 10.1016/S0929-6646(09)60015-2, 19129052.
Ross S, Moffat K, McConnachie A, Gordon J, Wilson P. Sex and attitude: a randomized vignette study of the management of depression by general practitioners. Br J Gen Pract 1999, 49:17-21. 1313311, 10622010.
Dowrick C, Gask L, Perry R, Dixon C, Usherwood T. Do general practitioners' attitudes towards depression predict their clinical behaviour?. Psychol Med 2000, 30:413-419. 10.1017/S0033291799001531, 10824661.
Richards JC, Ryan P, McCabe MP, Groom G, Hickie IB. Barriers to the effective management of depression in general practice. Aust N Z J Psychiatry 2004, 38:795-803. 10.1080/j.1440-1614.2004.01464.x, 15369538.
Botega NJ, Silveira GM. General practitioners' attitudes towards depression: a study in primary care setting in Brazil. Int J Soc Psychiatry 1996, 42:230-237.
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