ArticleBMC family practice2009
Barriers in recognising, diagnosing and managing depressive and anxiety disorders as experienced by Family Physicians; a focus group study.
Article in BMC family practice, 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 33 papers, 1 of them a synthesis that pooled it.
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Who cites it
33 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Interventions for treating anxiety after stroke.The Cochrane database of systematic reviews · 2017Pooled it
- Effectiveness of a tailored implementation programme to improve recognition, diagnosis and treatment of anxiety and depression in general practice: a cluster randomised controlled trial.Implementation science : IS · 2015Trial
- Systematic tailoring for the implementation of guideline recommendations for anxiety and depressive disorders in general practice: perceived usefulness of tailored interventions.BMC family practice · 2013Trial
- Randomised controlled trial of tailored interventions to improve the management of anxiety and depressive disorders in primary care.Implementation science : IS · 2011Trial
- Japanese family physicians' attitudes, difficulties, and perceived significance in managing mental health problems: A qualitative study.Journal of general and family medicine · 2025Article
- Person-centered care for common mental disorders in Ontario's primary care patient-centered medical homes: a qualitative study of provider perspectives.BMC primary care · 2024Article
- Preventive treatment options for fear of falling within the Swiss healthcare system : A position paper.Zeitschrift fur Gerontologie und Geriatrie · 2022Review
- Comorbid Anxiety and Depression, Though Underdiagnosed, Are Not Associated with High Rates of Low-Value Care in Patients with Chronic Obstructive Pulmonary Disease.Annals of the American Thoracic Society · 2021Article
- Factors of Specialized Mental Health Care Use in the Netherlands: A Scoping Review Applying Andersen-Newman's Care Utilization Model.Health services insights · 2021Article
- General practitioners' perspectives on barriers to depression care: development and validation of a questionnaire.BMC family practice · 2020Article
- Prevalence and distribution of psychological diagnoses and related frequency of consultations in Norwegian urban general practice.Scandinavian journal of primary health care · 2020Article
- Variables associated with interprofessional collaboration: a comparison between primary healthcare and specialized mental health teams.BMC family practice · 2020Article
- Prioritising physical and psychological symptoms: what are the barriers and facilitators to the discussion of anxiety in the primary care consultation?BMC family practice · 2019Article
- Knowledge, attitudes and practices regarding depression among primary health care providers in Fako division, Cameroon.BMC psychiatry · 2018Article
- Patients with psychological ICPC codes in primary care; a case-control study investigating the decade before presenting with problems.The European journal of general practice · 2017Article
- Observational
- Factors associated with general practitioners' awareness of depression in primary care patients with heart failure: baseline-results from the observational RECODE-HF study.BMC family practice · 2017Observational
- Variables associated with work performance in multidisciplinary mental health teams.SAGE open medicine · 2017Article
- Psychiatrists role in primary health care in Greece: findings from a quantitative study.International journal of mental health systems · 2017Article
- Long-term antidepressant use: a qualitative study on perspectives of patients and GPs in primary care.The British journal of general practice : the journal of the Royal College of General Practitioners · 2016Article
Corrections and comments
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Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe recognition and treatment of depressive- and anxiety disorders is not always in line with current standards. The results of programs to improve the quality of care, are not encouraging. Perhaps these programs do not match with the problems experienced in family practice. This study aims to systematically explore how FPs perceive recognition, diagnosis and management of depressive and anxiety disorders.
methodsfocus group discussions with FPs, qualitative analysis of transcriptions using thematic coding.
resultsThe FPs considered recognising, diagnosing and managing depressive- and anxiety disorders as an important task. They expressed serious doubts about the validity and usefulness of the DSM IV concept of depressive and anxiety disorders in family practice especially because of the high frequency of swift natural recovery. An important barrier was that many patients have difficulties in accepting the diagnosis and treatment with antidepressant drugs. FPs lacked guidance in the assessment of patients' burden. The FPs experienced they had too little time for patient education and counseling. The under capacity of specialised mental health care and its minimal collaboration with FPs were experienced as problematic. Valuable suggestions for solving the problems encountered were made
conclusionNext to serious doubts regarding the diagnostic concept of depressive- and anxiety disorders a number of factors were identified which serve as barriers for suitablemental health care by FPs. These doubts and barriers should be taken into account in future research and in the design of interventions to improve mental health care in family practice.
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