Evidence map›Paper›PMID 30277313›Full record

ArticleEarly intervention in psychiatry2019

General practitioners' views towards diagnosing and treating depression in five southeastern European countries.

Predrag Duric, Sanja Harhaji, Fiona O'May, Larisa Boderscova, Jana Chihai, Ariel Como, Georgi L Hranov, Adriana Mihai, Eugjen Sotiri

Abstract readComparative Study
In one paragraph

Article in Early intervention in psychiatry, 2019. 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

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.

2 · The registry

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.

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

9 authors.

Predrag DuricInstitute for Global Health and Development, Queen Margaret University Edinburgh, Musselburgh, UK.
Sanja HarhajiInstitute of Public Health of Vojvodina/Faculty of Medicine, University of Novi Sad, Novi Sad, Vojvodina, Serbia.
Fiona O'MayInstitute for Global Health and Development, Queen Margaret University Edinburgh, Musselburgh, UK.
Larisa BoderscovaWHO Country Office, Chisinau, Moldova.
Jana ChihaiMedical Psychology and Narcology Department, State Medical and Pharmaceutical University Nicolae Testemitanu, Chisinau, Moldova.
Ariel ComoTirana University Hospital Centre, Tirana, Albania.
Georgi L HranovSecond Psychiatric Clinic, University Multi-profile Hospital for Active Treatment in Neurology and Psychiatry St. Naum, Sofia, Bulgaria.
Adriana MihaiPsychiatric Department, University of Medicine and Pharmacy, Targul Mures, Romania.
Eugjen SotiriTirana University Hospital Centre, Tirana, Albania.

Funding

Research Training: Socio-Economics of Mental Health Service Delivery in SE EuropeD43TW009122 · FIC · UNIVERSITY OF CALIFORNIA BERKELEY · PI SCHEFFLER, RICHARD M · 2011 to 2015
$1.1M
FIC NIH HHS D43 TW009122National Institute of Health Fogarty International Center ID43TW009122-01World Health Organization 001
6 · The paper itself

Abstract

aimTo assess and compare general practitioners' (GPs') views of diagnosing and treating depression in five southeastern European countries.

methodsA cross-sectional study was conducted in Albania, Bulgaria, Moldova, Romania, and Serbia. The sample included 467 GPs who completed a hard-copy self-administered questionnaire, consisting of self-assessment questions related to diagnosing and treating depression.

resultsThe most common barriers to managing depression in general practice reported by GPs were: patients' unwillingness to discuss depressive symptoms (92.3%); appointment time too short to take an adequate history (91.9%), barriers for prescribing appropriate treatment (90.6%); and patients' reluctance to be referred to a psychiatrist (89.1%). Most GPs (78.4%) agreed that recognizing depression was their responsibility, 71.7% were confident in diagnosing depression, but less than one-third (29.6%) considered that they should treat it.

conclusionsImprovements to the organization of mental healthcare in all five countries should consider better training for GPs in depression diagnosis and treatment; the availability of mental healthcare specialists at primary care level, with ensured equal and easy access for all patients; and the removal of potential legal barriers for diagnosis and treatment of depression.

Indexed as

General PractitionersAdolescentAlbaniaAttitude of Health PersonnelBulgariaChildCross-Sectional StudiesDepressionFamily PracticeFemaleHumansMaleMoldovaPrimary Health CarePsychiatryRomania

Identifiers

PMID30277313
PMCPMC6445789

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Registered trials

None linked

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.