Medical patients' attitudes toward emotional problems and their treatment : What do they really want?

Understanding medical patients' attitudes toward emotional problems and their management is crucial to overcoming obstacles to efficient depression treatment. To investigate attitudes toward emotional problems, psychotherapy, antidepressants, alternative treatment approaches, and self-managemen...

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Bibliographic Details
Published in:	Journal of general internal medicine : JGIM Vol. 21; no. 1; pp. 39 - 45
Main Authors:	LÖWE, Bernd, SCHULZ, Ute, GRDFE, Kersfin, WILKE, Stefanie
Format:	Journal Article
Language:	English
Published:	Heidelberg Springer 2006 Blackwell Science Inc
Subjects:	Adult Adult and adolescent clinical studies Affect Ambulatory Care Antidepressive Agents - therapeutic use Biological and medical sciences Cross-Sectional Studies Depression Depressive Disorder - diagnosis Depressive Disorder - therapy Female General aspects Humans Internal Medicine Interviews as Topic Male Medical sciences Miscellaneous Mood disorders Original Patient Satisfaction Psychology. Psychoanalysis. Psychiatry Psychopathology. Psychiatry Psychotherapy Qualitative Research Self Care Surveys and Questionnaires Mood disorder Human Affect affectivity Attitude Depressions Psychotropic Primary health care Psychotherapy Depression Patient Emotion emotionality antidepressants Emotional disorder Medicine Chemotherapy Treatment Preference patient preferences Antidepressant agent primary care
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Summary:	Understanding medical patients' attitudes toward emotional problems and their management is crucial to overcoming obstacles to efficient depression treatment. To investigate attitudes toward emotional problems, psychotherapy, antidepressants, alternative treatment approaches, and self-management techniques in depressed and nondepressed medical outpatients. Cross-sectional interview study, including quantitative and qualitative methods. Eighty-seven depressed subjects (mean age, 41.0 years; 66% female) and 91 nondepressed subjects (mean age, 41.4 years; 67% female) from 7 internal medicine outpatient clinics and 12 family practices (participation rate, 91%). Depression diagnoses were established using a structured diagnostic interview, and patient attitudes were investigated with open-ended interview questions regarding treatment preferences, factors improving and impairing emotional well-being, and patients' self-management to improve well-being. Among the depressed patients, psychotherapy was the most frequently preferred treatment (29%) and the most common factor reported to improve emotional well-being (36%). Twenty-two percent of the depressed patients desired depression treatment within their current medical system, but requested substantially more time to communicate with their physician. Antidepressants were rarely mentioned as a preferred treatment (6%) or factor improving well-being (11%). Thirty-eight percent of the depressed patients attributed their impaired mood to health problems. Compared with the depressed patients, the nondepressed controls preferred significantly less frequent depression-specific therapies. The vast majority of medical outpatients prefer treatment approaches for emotional problems that go beyond antidepressant medication therapy. Health care providers should consider providing sufficient time to communicate with their patients, the strong preference for psychotherapy, and an appropriate treatment of comorbid physical conditions.
Bibliography:	ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-Feature-2 content type line 23
ISSN:	0884-8734 1525-1497
DOI:	10.1111/j.1525-1497.2005.0266.x