ArticleCanadian family physician Medecin de famille canadien2006
Managing depression in primary care: community survey.
Article in Canadian family physician Medecin de famille canadien, 2006. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.
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Who cites it
7 citing papers in PubMed, 18 citations in OpenAlex.
- Romanian GPs Involvement in Caring for the Mental Health Problems of the Elderly Population: A Cross-Sectional Study.Frontiers in neurology · 2021Article
- GPs' and child and adolescent psychiatry specialists' experiences of joint consultations in the GP's office: a qualitative study.BMC research notes · 2017Article
- Collaboration between general practitioners (GPs) and mental healthcare professionals within the context of reforms in Quebec.Mental health in family medicine · 2012Article
- Theory in practice: helping providers address depression in diabetes care.The Journal of continuing education in the health professions · 2010Article
- Variables associated with general practitioners taking on patients with common mental disorders.Mental health in family medicine · 2008Article
- Perception and barriers to the use of cognitive-behavioral therapy in the treatment of depression in primary healthcare centers and family medicine clinics in Saudi Arabia.Journal of family & community medicineArticle
- "Not doing it justice": Perspectives of Recent Family Medicine Graduates on Mental Health and Addictions Training in Residency.Journal of medical education and curricular developmentArticle
Corrections and comments
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Authors and funding
5 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveTo investigate family physicians' practice patterns for managing depression and mental health concerns among adolescent and adult patients.
designCross-sectional survey.
settingLondon, Ont, a mid-sized Canadian city.
participantsOne hundred sixty-three family physicians identified through the London and District Academy of Medicine.
main outcome measuresPractice patterns for managing depression, including screening, pharmacotherapy, psychotherapy, shared care, and training needs.
resultsResponse rate was 63%. Family physicians reported spending a substantial portion of their time during patient visits (26% to 50%) addressing mental health issues, with depression being the most common issue (51% to 75% of patients with mental health issues). About 40% of respondents did routine mental health screening, and 60% screened patients with risk factors for depression. Shared care with mental health professionals was common (care was shared for 26% to 50% of patients). Physicians and patients were moderately satisfied with shared care, but were frustrated by long waiting lists and communication barriers. Most physicians provided psychotherapy to patients in the form of general advice. Differences in practice patterns were observed; physicians treated more adults than adolescents with depression, and they reported greater comfort in treating adults. Although 33% of physicians described using cognitive behavioural therapy (CBT), they reported having little training in CBT. Moderate interest was expressed in CBT training, with a preference for a workshop format.
conclusionAlthough 40% of family physicians routinely screen patients for mental health issues, depression is often not detected. Satisfaction with shared care can be increased through better communication with mental health professionals. Physicians' management of adolescent patients can be improved by further medical training, consultation, and collaboration with mental health professionals. Training in evidence-based treatment of depression is particularly warranted given physicians' limited knowledge of CBT.
Indexed as
Identifiers
17273488PMC1781082W1923976877What 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.