Evidence map›Paper›PMID 30390637›Full record

ArticleBMC family practice2018

Talking about depression during interactions with GPs: a qualitative study exploring older people's accounts of their depression narratives.

Isabel Gordon, Jonathan Ling, Louise Robinson, Catherine Hayes, Ann Crosland

Open access · goldAbstract readMulticenter Study
In one paragraph

Article in BMC family practice, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 1 pooled it
1.8field-weighted citation impact, top 12% of its field
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

3 citing papers in PubMed, 1 synthesis or guideline pooled it, 9 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Observational
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

5 authors at 2 institutions in 2 countries.

Isabel GordonFaculty of Health Sciences and Wellbeing, University of Sunderland, City Campus Chester Road, Sunderland, SR1 3SD, UK. I.Gordon@sunderland.ac.uk.ORCID 0000-0002-3493-2215
Jonathan LingFaculty of Health Sciences and Wellbeing, University of Sunderland, City Campus Chester Road, Sunderland, SR1 3SD, UK.
Louise RobinsonNewcastle University Institute for Ageing and Institute for Health & Society, Newcastle University, Newcastle upon Tyne, NE4 5PL, England.
Catherine HayesFaculty of Health Sciences and Wellbeing, University of Sunderland, City Campus Chester Road, Sunderland, SR1 3SD, UK.
Ann CroslandFaculty of Health Sciences and Wellbeing, University of Sunderland, City Campus Chester Road, Sunderland, SR1 3SD, UK.
University of Sunderland · GBNewcastle Hospitals - Campus for Ageing and Vitality · GB

Funding

Medical Research Council MR/K02325X/1
6 · The paper itself

Abstract

backgroundOlder people can struggle with revealing their depression to GPs and verbalising preferences regarding its management. This contributes to problems for GPs in both detecting and managing depression in primary care. The aim of this study was to explore older people's accounts of how they talk about depression and possible symptoms to improve communication about depression when seeing GPs.

methodsAdopting a qualitative Interpretivist methodological approach, semi-structured interviews were conducted by IG based on the principles of grounded theory and situational analysis. GPs working in north east England recruited patients aged over 65 with depression. Data analysis was carried out with a process of constant comparison, and categories were developed via open and axial coding and situational maps. There were three levels of analysis; the first developed open codes which informed the second level of analysis where the typology was developed from axial codes. The typology derived from second level analysis only is presented here as older people's views are rarely reported in isolation.

resultsFrom the sixteen interviews with older people, it was evident that there were differences in how they understood and accepted their depression and that this influenced what they shared or withheld in their narratives. A typology showing three categories of older people was identified: those who appeared to talk about their depression freely yet struggled to accept aspects of it (Superficial Accepter), those who consolidated their ideas about depression aloud (Striving to Understand) and those who shared minimal detail about their depression and viewed it as part of them rather than a treatable condition (Unable to Articulate). The central finding was that older people's acceptance and understanding of their depression guided their depression narratives.

conclusionsThis study identified differences between older people in ways they understand, accept and share their depression. Recognising that their depression narratives can change and listening for patterns in what older people share or withhold may help GPs in facilitating communication to better understand the patient when they need to implement alternative approaches to patient management.

Indexed as

Attitude of Health PersonnelQualitative ResearchAgedCommunicationDepressionFemaleHumansMalePrimary Health CareCommunicationDepressionNarrativesOlder peoplePrimary careQualitative

Identifiers

PMID30390637
PMCPMC6215358
OpenAlexW2898721485

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

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.