ArticlePatient education and counseling2011
Relational barriers to depression help-seeking in primary care.
Article in Patient education and counseling, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 35 papers, 3 of them syntheses that pooled it.
What it found
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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.
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Who cites it
35 citing papers in PubMed, 3 syntheses or guidelines pooled it.
- Brief interventions for suicidal ideation in primary care: a systematic review.BMC primary care · 2025Pooled it
- Barriers to Professional Mental Health Help-Seeking Among Chinese Adults: A Systematic Review.Frontiers in psychiatry · 2020Pooled it
- Promoting patient participation in healthcare interactions through communication skills training: A systematic review.Patient education and counseling · 2017Pooled it
- Screening for opioid use disorder and co-occurring depression and post-traumatic stress disorder in primary care in New Mexico.Addiction science & clinical practice · 2023Trial
- Ethical and methodological challenges slowing progress in primary care-based suicide prevention: Illustrations from a randomized controlled trial and guidance for future research.Journal of psychiatric research · 2022Trial
- Tailored Activation of Middle-Aged Men to Promote Discussion of Recent Active Suicide Thoughts: a Randomized Controlled Trial.Journal of general internal medicine · 2020Trial
- Trial
- Targeted versus tailored multimedia patient engagement to enhance depression recognition and treatment in primary care: randomized controlled trial protocol for the AMEP2 study.BMC health services research · 2013Trial
- Direct Outreach Meetings Increase Primary Care Utilization of Psychiatry Access Programs.The journal of behavioral health services & research · 2025Article
- The impact of socioeconomic inequality on access to health care for patients with advanced cancer: A qualitative study.Asia-Pacific journal of oncology nursing · 2024Article
- Article
- Patient and Provider Views on Psychosocial Screening in a Comprehensive Diabetes Center.Journal of clinical psychology in medical settings · 2023Article
- Liberalization and Governance in the Geographical Distribution of Pharmacies in Spain.International journal of environmental research and public health · 2021Article
- Reducing the Impacts of Mental Health Stigma Through Integrated Primary Care: An Examination of the Evidence.Journal of clinical psychology in medical settings · 2021Review
- Access to Psychological Support for Young People Following Stoma Surgery: Exploring Patients' and Clinicians' Perspectives.Qualitative health research · 2021Article
- Insecure Attachment and Other Help-Seeking Barriers among Women Depressed Postpartum.International journal of environmental research and public health · 2020Article
- A Prospective Study on Structural and Attitudinal Barriers to Professional Help-Seeking for Currently Untreated Mental Health Problems in the Community.The journal of behavioral health services & research · 2020Article
- Stakeholder views regarding a planned primary care office-based interactive multimedia suicide prevention tool.Patient education and counseling · 2019Article
- Registered nurses experiences of managing depressive symptoms at care centres for older people: a qualitative descriptive study.BMC nursing · 2019Article
- Patient-perceived barriers to a screening program for depression: a patient opinion survey of hemodialysis patients.Clinical kidney journal · 2017Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
9 authors.
Funding
Abstract
objectiveTo identify attitudinal and interpersonal barriers to depression care-seeking and disclosure in primary care and in so doing, evaluate the primary care paradigm for depression care in the United States.
methodsFifteen qualitative focus group interviews in three cities. Study participants were English-speaking men and women aged 25-64 with first-hand knowledge of depression. Transcripts were analyzed iteratively for recurring themes.
resultsParticipants expressed reservations about the ability of primary care physicians (PCPs) to meet their mental health needs. Specific barriers included problems with PCP competence and openness as well as patient-physician trust. While many reflected positively on their primary care experiences, some doubted PCPs' knowledge of mental health disorders and believed mental health concerns fell outside the bounds of primary care. Low-income participants in particular shared stories about the essentiality, and ultimate fragility, of patient-PCP trust.
conclusionPatients with depression may be deterred from care-seeking or disclosure by relational barriers including perceptions of PCPs' mental health-related capabilities and interests. PRACTICE IMPLICATIONS: PCPs should continue to develop their depression management skills while supporting vigorous efforts to inform the public that primary care is a safe and appropriate venue for treatment of common mental health conditions.
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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.