Evidence map›Paper›PMID 22423029›Full record

ArticleCanadian family physician Medecin de famille canadien2012

Treatment and follow-up of anxiety and depression in clinical-scenario patients: survey of Saskatchewan family physicians.

Julie Kosteniuk, Debra Morgan, Carl D'Arcy

Abstract read
In one paragraph

Article in Canadian family physician Medecin de famille canadien, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from 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.

2 · The registry

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3 · Its place in the literature

Who cites it

6 citing papers in PubMed.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors.

Julie KosteniukCanadian Centre for Health and Safety in Agriculture, University of Saskatchewan, 103 Wiggins Rd, Saskatoon, SK S7N 0W8. julie.kosteniuk@usask.ca
Debra Morgan
Carl D'Arcy

Funding

Canadian Institutes of Health Research
6 · The paper itself

Abstract

objectiveTo explore family physicians' recommendations for treatment of, and number of weeks to first follow-up visit for, clinical-scenario patients presenting with symptoms of either a major depressive episode (MDE) or generalized anxiety disorder (GAD), as well as physicians' perceived barriers to optimal care for these patients.

designCross-sectional survey.

settingSaskatchewan.

participantsA total of 331 family physicians practising in Saskatchewan as of December 2007.

main outcome measuresType of treatment and number of weeks to first follow-up visit recommended for clinical-scenario patients, as well as family physicians' barriers to providing optimal care.

resultsThe response rate was 49.7% (331 of 666 surveys returned). Most physicians recommended treatment of the GAD-scenario patient (93.7%) and the MDE-scenario patient (90.1%). Most physicians recommended immediate (65.6%) rather than delayed (28.1%) treatment of the GAD-scenario patient, and immediate (55.6%) rather than delayed (34.5%) treatment of the MDE-scenario patient. Pharmacotherapy alone (26.3%) was the most commonly recommended immediate treatment of the GAD-scenario patient; combination pharmacotherapy and counseling (15.8%) was the most commonly recommended immediate treatment of the MDE-scenario patient. Most physicians recommended that the first follow-up visit occur within 2 weeks for the GAD (79.4%) and the MDE (82.5%) clinical-scenario patients. Physicians were more likely to identify themselves rather than patients and the health care system as barriers to providing optimal care to the GAD (39.4%) and the MDE (39.8%) clinical-scenario patients.

conclusionMost family physicians recommend immediate treatment and early follow-up for patients presenting with symptoms of GAD or MDE. Physician-related barriers outweigh patient and health system barriers to providing optimal care to patients with common psychiatric disorders.

Indexed as

Family PracticeAdultAnxietyCounselingCross-Sectional StudiesDiagnosis, DifferentialFemaleHumansMajor Depressive DisorderMaleMiddle AgedReferral and ConsultationSaskatchewanSurveys and QuestionnairesTime Factors

Identifiers

PMID22423029
PMCPMC3303668

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Registered trials

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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.