TY - JOUR
KW - Adult
KW - Antidepressive Agents/therapeutic use
KW - Cross-Sectional Studies
KW - Depression/therapy
KW - Female
KW - France
KW - General Practitioners
KW - Humans
KW - Interviews as Topic
KW - Male
KW - Middle Aged
KW - Physician's Practice Patterns/statistics & numerical data
KW - Primary Health Care/organization & administration
KW - Psychotherapy
KW - Questionnaires
AU - H. Verdoux
AU - S. Cortaredona
AU - H. Dumesnil
AU - R. Sebbah
AU - P. Verger
A1 - 
AB - PURPOSE: Psychotherapy is recommended as first-line treatment in patients presenting with mild-to-moderate depression. Although this disorder is mostly managed in primary care, little is known about General Practitioners' (GPs) practice of prescribing psychotherapy. The objectives were to explore GPs' opinion on psychotherapy for depression, and the personal and professional characteristics associated with reported strategies for prescribing psychological therapy and/or an antidepressant in mild-to-moderate depression. METHODS: A cross-sectional survey was carried out among participants in a panel of randomly selected GPs (2,114/2,496 participated: 84.7%). GPs were interviewed using a standardized questionnaire covering their professional and personal characteristics, their practices and opinions in the area of depression management. A multi-model averaging approach was used to explore the characteristics associated with practice of prescribing psychological therapy in mild-to-moderate depression. RESULTS: Most GPs had a favourable opinion regarding the efficacy of psychotherapy in depression. Slightly more than one out of four reported prescribing psychological therapy alone often/very often in mild-to-moderate depression. These GPs were more likely to be female (OR = 1.56, 95% CI 1.24; 1.97), to have a personal history of psychotherapy (OR = 1.76, 95% CI 1.31; 2.38), no history of depression in someone close (OR = 0.80, 95% CI 0.65; 0.99), and to consider that antidepressants are over-prescribed (OR = 2.02, 95% CI 1.63; 2.49). No association was found with professional characteristics. CONCLUSIONS: GPs' personal experience has a greater impact on psychological therapy prescription than professional characteristics. This finding suggests that educational efforts are required for providing GPs decision-making skills regarding psychological therapy prescription, based upon evidence-based medicine rather than subjective factors.
BT - Social psychiatry and psychiatric epidemiology
C5 - Education & Workforce
CP - 1
CY - Germany
DO - 10.1007/s00127-013-0717-8
IS - 1
JF - Social psychiatry and psychiatric epidemiology
N2 - PURPOSE: Psychotherapy is recommended as first-line treatment in patients presenting with mild-to-moderate depression. Although this disorder is mostly managed in primary care, little is known about General Practitioners' (GPs) practice of prescribing psychotherapy. The objectives were to explore GPs' opinion on psychotherapy for depression, and the personal and professional characteristics associated with reported strategies for prescribing psychological therapy and/or an antidepressant in mild-to-moderate depression. METHODS: A cross-sectional survey was carried out among participants in a panel of randomly selected GPs (2,114/2,496 participated: 84.7%). GPs were interviewed using a standardized questionnaire covering their professional and personal characteristics, their practices and opinions in the area of depression management. A multi-model averaging approach was used to explore the characteristics associated with practice of prescribing psychological therapy in mild-to-moderate depression. RESULTS: Most GPs had a favourable opinion regarding the efficacy of psychotherapy in depression. Slightly more than one out of four reported prescribing psychological therapy alone often/very often in mild-to-moderate depression. These GPs were more likely to be female (OR = 1.56, 95% CI 1.24; 1.97), to have a personal history of psychotherapy (OR = 1.76, 95% CI 1.31; 2.38), no history of depression in someone close (OR = 0.80, 95% CI 0.65; 0.99), and to consider that antidepressants are over-prescribed (OR = 2.02, 95% CI 1.63; 2.49). No association was found with professional characteristics. CONCLUSIONS: GPs' personal experience has a greater impact on psychological therapy prescription than professional characteristics. This finding suggests that educational efforts are required for providing GPs decision-making skills regarding psychological therapy prescription, based upon evidence-based medicine rather than subjective factors.
PP - Germany
PY - 2014
SN - 1433-9285; 0933-7954
SP - 59
EP - 68
EP - 
T1 - Psychotherapy for depression in primary care: a panel survey of general practitioners' opinion and prescribing practice
T2 - Social psychiatry and psychiatric epidemiology
TI - Psychotherapy for depression in primary care: a panel survey of general practitioners' opinion and prescribing practice
U1 - Education & Workforce
U2 - 23771250
U3 - 10.1007/s00127-013-0717-8
VL - 49
VO - 1433-9285; 0933-7954
Y1 - 2014
ER -