Physicians' attitudes, diagnostic process and barriers regarding depression diagnosis in primary care: A systematic review of qualitative studies

Family Practice

Volumn 29, Issue 3, 2012, Pages 255-263

  Schumann, Isabelle ^a   Schneider, Antonius ^a   Kantert, Claudia ^a   Löwe, Bernd ^b   Linde, Klaus ^a  

^a TECHNICAL UNIVERSITY OF MUNICH   (Germany)

^b UNIVERSITY MEDICAL CENTER HAMBURG EPPENDORF   (Germany)

Author keywords

Depression; Diagnosis; Primary care; Qualitative research; Systematic review; Thematic synthesis

Indexed keywords

ALGORITHM; ARTICLE; DEPRESSION; DIAGNOSTIC PROCEDURE; DOCTOR PATIENT RELATION; GENERAL PRACTICE; HEALTH CARE PERSONNEL; HEALTH CARE QUALITY; HEALTH PERSONNEL ATTITUDE; HUMAN; KNOWLEDGE; PRIMARY MEDICAL CARE; QUALITATIVE RESEARCH; QUALITY CONTROL; SYSTEMATIC REVIEW;

ATTITUDE OF HEALTH PERSONNEL; DEPRESSION; FAMILY PRACTICE; HEALTH KNOWLEDGE, ATTITUDES, PRACTICE; HUMANS; PRIMARY HEALTH CARE; QUALITATIVE RESEARCH;

EID: 84861766574     PISSN: 02632136     EISSN: 14602229     Source Type: Journal    
DOI: 10.1093/fampra/cmr092     Document Type: Article

References (40)

1. Demyttenaere K, Bruffaerts R, Posada-Villa J et al. Prevalence, severity, and unmet need for treatment of mental disorders in the World Health Organization World Mental Health Surveys. JAMA 2004; 291: 2581-90.
2. Bijl RV, Ravelli A. Psychiatric morbidity, service use, and need for care in the general population: results of The Netherlands Mental Health Survey and Incidence Study. Am J Public Health 2000; 90: 602-7.
3. Mitchell AJ, Vaze A, Rao S. Clinical diagnosis of depression in primary care: a meta-analysis. Lancet 2009; 374: 609-19.
4. Kendrick T. Why can't GPs follow guidelines on depression? We must question the basis of the guidelines themselves. BMJ 2000; 320: 200-1.
5. Lin EH, Katon WJ, Simon GE et al. Achieving guidelines for the treatment of depression in primary care: is physician education enough? Med Care 1997; 35: 831-42.
6. Thompson C, Kinmonth AL, Stevens L et al. Effects of a clinicalpractice guideline and practice-based education on detection and outcome of depression in primary care: Hampshire Depression Project randomised controlled trial. Lancet 2000; 355: 185-91.
7. Lucassen P, van Rijswijk E, van Weel-Baumgarten E, Dowrick C. Making fewer depression diagnoses: beneficial for patients? Mental Health Fam Med 2008; 5: 161-5.
8. Hegarty K, Gunn J, Blashki G et al. How could depression guidelines be made more relevant and applicable to primary care? A quantitative and qualitative review of national guidelines. Br J Gen Pract 2009; 59: 149-56.
9. Schwenk TL, Coyne JC, Fechner-Bates S. Differences between detected and undetected patients in primary care and depressed psychiatric patients. Gen Hosp Psychiatry 1996; 18: 407-15.
10. Simon GE, Maier W, Ustun TB, Linden M, Boyer P. Research diagnosis of current depressive disorder: a comparison of methods using current symptoms and lifetime history. J Psychiatr Res 1995; 29: 457-65.
11. Williamson PS, Yates WR. The initial presentation of depression in family practice and psychiatric outpatients. Gen Hosp Psychiatry 1989; 11: 188-93.
12. Kroenke K, Price RK. Symptoms in the community. Prevalence, classification, and psychiatric comorbidity. Arch Intern Med 1993; 153: 2474-80.
13. Lowe B, Spitzer RL, Williams JB et al. Depression, anxiety and somatization in primary care: syndrome overlap and functional impairment. Gen Hosp Psychiatry 2008; 30: 191-9.
14. Boulton M, Fitzpatrick R, Swinburn C. Qualitative research in health care: II. A structured review and evaluation of studies. J Eval Clin Pract 1996; 2: 171-9.
15. Cobb AK, Hagemaster JN. Ten criteria for evaluating qualitative research proposals. J Nurs Educ 1987; 26: 138-43.
16. Mays N, Pope C. Qualitative research in health care. Assessing quality in qualitative research. BMJ 2000; 320: 50-2.
17. Thomas J, Harden A. Methods for the thematic synthesis of qualitative research in systematic reviews. BMC Med Res Methodol 2008; 8: 45.
18. Baik SY, Bowers BJ, Oakley LD, Susman JL. The recognition of depression: the primary care clinician's perspective. Ann Fam Med 2005; 3: 31-7.
19. Baik SY, Bowers BJ, Oakley LD, Susman JL. What comprises clinical experience in recognizing depression?: the primary care clinician's perspective. J Am Board Fam Med 2008; 21: 200-10.
20. Becker N, Streng M, Sielk M. Intuition and professionalism- concepts of German general practitioners (GPs) on depressed patients-a qualitative interview study. ZFA 2008; 85: 31-9.
21. Carney PA, Rhodes LA, Eliassen MS et al. Variations in approaching the diagnosis of depression: a guided focus group study. J Fam Pract 1998; 46: 73-82.
22. Chew-Graham CA, Mullin S, May CR, Hedley S, Cole H. Managing depression in primary care: another example of the inverse care law? Fam Pract 2002; 19: 632-7.
23. Clarke DM, Cook K, Smith GC, Piterman L. What do general practitioners think depression is? A taxonomy of distress and depression for general practice. Med J Aust 2008; 188: 110-3.
24. Susman JL, Crabtree BF, Essink G. Depression in rural family practice. Easy to recognize, difficult to diagnose. Arch Fam Med 1995; 4: 427-31.
25. Thomas-MacLean R, Stoppard JM. Physicians' constructions of depression: inside/outside the boundaries of medicalization. Health (London) 2004; 8: 275-93.
26. Thomas-MacLean R, Stoppard J, Miedema BB, Tatemichi S. Diagnosing depression: there is no blood test. Can Fam Physician 2005; 51: 1102-3.
27. van Rijswijk E, van Hout H, van de Lisdonk E, Zitman F, van Weel C. Barriers in recognising, diagnosing and managing depressive and anxiety disorders as experienced by family physicians; a focus group study. BMC Fam Pract 2009; 20: 52.
28. Andersson SJ, Troein M, Lindberg G. Conceptions of depressive disorder and its treatment among 17 Swedish GPs. A qualitative interview study. Fam Pract 2001; 18: 64-70.
29. Johnston O, Kumar S, Kendall K et al. Qualitative study of depression management in primary care: GP and patient goals, and the value of listening. Br J Gen Pract 2007; 57: 872-9.
30. Maxwell M. Women's and doctors' accounts of their experiences of depression in primary care: the influence of social and moral reasoning on patients' and doctors' decisions. Chronic Illn 2005; 1: 61-71.
31. McPherson S, Armstrong D. Negotiating 'depression' in primary care: a qualitative study. Soc Sci Med 2009; 69: 1137-43.
32. Rogers A, May C, Oliver D. Experiencing depression, experiencing the depressed: the separate worlds of patients and doctors. J Ment Health 2001; 10: 317-33.
33. Miller WL, McDaniel RR, Jr, Crabtree BF, Stange KC. Practice jazz: understanding variation in family practices using complexity science. J Fam Pract 2001; 50: 872-8.
34. Posternak MA, Miller I. Untreated short-term course of major depression: a meta-analysis of outcomes from studies using waitlist control groups. J Affect Disord 2001; 66: 139-46.
35. Simon GE, VonKorff M. Recognition, management, and outcomes of depression in primary care. Arch Fam Med 1995; 4: 99-105.
36. Tiemens BG, Ormel J, Simon GE. Occurrence, recognition, and outcome of psychological disorders in primary care. Am J Psychiatry 1996; 153: 636-44.
37. Heneghan C, Glasziou P, Thompson M et al. Diagnostic strategies used in primary care. BMJ 2009; 20: 338.
38. Dowrick C, Leydon GM, McBride A et al. Patients' and doctors' views on depression severity questionnaires incentivised in UK quality and outcomes framework: qualitative study. BMJ 2009; 19: 338.
39. National Institute for Health and Clinical Excellence. Depression: The Treatment and Management of Depression in Adults (update), Clinical Guideline CG90. London: National Institute for Health and Clinical Excellence, 2009, www.nice.org.uk.
40. National Institute for Health and Clinical Excellence. The Treatment and Management of Depression in Adults with Chronic Physical Health Problems (partial update of CG23). London: National Institute for Health and Clinical Excellence, 2009, www.nice.org.uk