Trial reportThe British journal of general practice : the journal of the Royal College of General Practitioners1999
Sex and attitude: a randomized vignette study of the management of depression by general practitioners.
Trial report in The British journal of general practice : the journal of the Royal College of General Practitioners, 1999. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers, 3 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
25 citing papers in PubMed, 3 syntheses or guidelines pooled it, 59 citations in OpenAlex.
- Cognitive biases associated with medical decisions: a systematic review.BMC medical informatics and decision making · 2016Pooled it
- Patient gender affects the referral and recommendation for total joint arthroplasty.Clinical orthopaedics and related research · 2011Pooled it
- Vignette studies of medical choice and judgement to study caregivers' medical decision behaviour: systematic review.BMC medical research methodology · 2008Pooled it
- Mind the Gate: General Practitioner's Attitudes Towards Depressed Patients with Diverse Migration Backgrounds.Community mental health journal · 2022Article
- Assessing Provider Bias in General Practitioners' Assessment and Referral of Depressive Patients with Different Migration Backgrounds: Methodological Insights on the Use of a Video-Vignette Study.Community mental health journal · 2020Article
- "Every structure we're taught goes out the window": General practitioners' experiences of providing help for patients with emotional concerns'.Health & social care in the community · 2020Article
- Primary care physicians' perceived barriers on the management of depression in China primary care settings.Asian journal of psychiatry · 2018Article
- Factors contributing to the recognition of anxiety and depression in general practice.BMC family practice · 2018Article
- Evidence of a gap in understanding obesity among physicians.Obesity science & practice · 2018Article
- The development and psychometric properties of a measure of clinicians' attitudes to depression: the revised Depression Attitude Questionnaire (R-DAQ).BMC psychiatry · 2015Article
- How equitable are psychological therapy services in South East London now? A comparison of referrals to a new psychological therapy service with participants in a psychiatric morbidity survey in the same London borough.Social psychiatry and psychiatric epidemiology · 2014Article
- Psychotherapy for depression in primary care: a panel survey of general practitioners' opinion and prescribing practice.Social psychiatry and psychiatric epidemiology · 2014Article
- Primary care physicians' perspective on the management of anxiety and depressive disorders: a cross-sectional survey in Emilia Romagna Region.BMC family practice · 2013Article
- Adaptation and psychometric evaluation of the Italian version of the depression attitude questionnaire (DAQ).Epidemiology and psychiatric sciences · 2013Article
- Attitudes toward depression among Japanese non-psychiatric medical doctors: a cross-sectional study.BMC research notes · 2012Article
- Article
- Do general practitioners and psychiatrists agree about defining cure from depression? The DEsCRIBE™ survey.BMC psychiatry · 2011Article
- [Attitudes and opinions of family doctors on depression: application of the Depression Attitudes Questionnaire (DAQ)].Atencion primaria · 2011Article
- Beliefs and attitudes of French family practitioners toward depression: the impact of training in mental health.International journal of psychiatry in medicine · 2011Article
- Complexity of GPs' explanations about mental health problems: development, reliability, and validity of a measure.The British journal of general practice : the journal of the Royal College of General Practitioners · 2008Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
5 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe management and detection of depression varies widely, and the causes of variation are incompletely understood.
aimsTo describe and explain general practitioners' (GPs') current practice in the recognition and management of depression in young adults, their attitudes towards depression, and to investigate associations of GP characteristics and patient sex with management.
methodAll GP principals in the Greater Glasgow Health Board were randomized to receive questionnaires with vignettes describing increasingly severe symptoms of depression in either male or female patients, and asked to indicate which clinical options they would be likely to take. The Depression Attitude Questionnaire was used to elicit GP attitudes.
resultsAs the severity of vignette symptoms increased, GPs responded by changing their prescribing and referral patterns. For the most severe vignette, the majority of GPs would prescribe drugs (76.4%) and refer the patient for further help (73.7%). Male and female patients were treated differently: GPs were less likely to ask female patients than male patients to attend a follow-up consultation (odds ratio [OR] = 0.55), and female GPs were less likely to refer female patients (OR = 0.33). GPs with a pessimistic view of depression, measured using the 'inevitable course of depression' attitude scale, were less willing to be actively involved in its treatment, being less likely to discuss a non-physical cause of symptoms (OR = 0.77) or to explore social factors in moderately severe cases (OR = 0.68).
conclusionsAccepting the limitations of the method, GPs appear to respond appropriately to increasingly severe symptoms of depression, although variation in management exists. Educational programmes should be developed with the aim of enhancing GP attitudes towards depression, and the effects on detection and management of depression should be rigorously evaluated.
Indexed as
Identifiers
10622010PMC1313311W1582409309What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.