Attitudes, confidence, barriers and current practice of managing depression in patients with COPD in Saudi Arabia: a national cross-sectional survey
Objective To investigate physicians’ perceptions and current practices of identifying and managing depression in patients with chronic obstructive pulmonary disease (COPD).Design A cross-sectional online survey was employed between March and September 2022.Settings Saudi Arabia.Participants 1015 phy...
| Main Authors: | , , , , , , , , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
BMJ Publishing Group
2023-05-01
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| Series: | BMJ Open |
| Online Access: | https://bmjopen.bmj.com/content/13/5/e069670.full |
| _version_ | 1797334647121641472 |
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| author | Saeed M Alghamdi Jaber S Alqahtani Yousef S Aldabayan Abdullah A Alqarni Munyra Alhotye Ahmed Alrajeh Rayan A Siraj Abdulelah Mastour Aldhahir Bashaer O Banakher Saleh S Algarni Shahad K Khormi Hussam S Alghamdi Faisal F Alotaibi Mushabbab A Alahmari |
| author_facet | Saeed M Alghamdi Jaber S Alqahtani Yousef S Aldabayan Abdullah A Alqarni Munyra Alhotye Ahmed Alrajeh Rayan A Siraj Abdulelah Mastour Aldhahir Bashaer O Banakher Saleh S Algarni Shahad K Khormi Hussam S Alghamdi Faisal F Alotaibi Mushabbab A Alahmari |
| author_sort | Saeed M Alghamdi |
| collection | DOAJ |
| description | Objective To investigate physicians’ perceptions and current practices of identifying and managing depression in patients with chronic obstructive pulmonary disease (COPD).Design A cross-sectional online survey was employed between March and September 2022.Settings Saudi Arabia.Participants 1015 physicians, including general practitioners and family, internal and pulmonary medicine specialists.Primary outcome measures Physicians’ perceptions, confidence, practices and barriers to recognising and managing depression in patients with COPD.Results A total of 1015 physicians completed to the online survey. Only 31% of study participants received adequate training for managing depression. While 60% of physicians reported that depression interferes with self-management and worsens COPD symptoms, less than 50% viewed the importance of regular screening for depression. Only 414 (41%) physicians aim to identify depression. Of whom, 29% use depression screening tools, and 38% feel confident in discussing patients’ feelings. Having adequate training to manage depression (OR: 2.89; 95% CI: 2.02 to 3.81; p<0.001) and more years of experience (OR: 1.25; 95% CI: 1.08 to 1.45; p=0.002) were associated with the intention to detect depression in COPD patients. The most common barriers linked to recognising depression are poor training (54%), absence of standard procedures (54%) and limited knowledge about depression (53%).Conclusion The prevalence of identifying and confidently managing depression in patients with COPD is suboptimal, owing to poor training, the absence of a standardised protocol and inadequate knowledge. Psychiatric training should be supported in addition to adopting a systematic approach to detect depression in clinical practice. |
| first_indexed | 2024-03-08T08:25:09Z |
| format | Article |
| id | doaj.art-100365b5733c41c4b441500ff610c14a |
| institution | Directory Open Access Journal |
| issn | 2044-6055 |
| language | English |
| last_indexed | 2024-03-08T08:25:09Z |
| publishDate | 2023-05-01 |
| publisher | BMJ Publishing Group |
| record_format | Article |
| series | BMJ Open |
| spelling | doaj.art-100365b5733c41c4b441500ff610c14a2024-02-02T04:50:08ZengBMJ Publishing GroupBMJ Open2044-60552023-05-0113510.1136/bmjopen-2022-069670Attitudes, confidence, barriers and current practice of managing depression in patients with COPD in Saudi Arabia: a national cross-sectional surveySaeed M Alghamdi0Jaber S Alqahtani1Yousef S Aldabayan2Abdullah A Alqarni3Munyra Alhotye4Ahmed Alrajeh5Rayan A Siraj6Abdulelah Mastour Aldhahir7Bashaer O Banakher8Saleh S Algarni9Shahad K Khormi10Hussam S Alghamdi11Faisal F Alotaibi12Mushabbab A Alahmari132 National Heart and Lung Institute, Imperial College London, London, UKDepartment of Respiratory Care, Prince Sultan Military College of Health Sciences, Dammam, Saudi ArabiaDepartment of Respiratory Care, College of Applied Medical Sciences, King Faisal University, Al-Ahasa, Saudi ArabiaDepartment of Respiratory Therapy, Faculty of Medical Rehabilitation Sciences, King Abdulaziz University, Jeddah, Saudi ArabiaDepartment of Respiratory Sciences, University of Leicester, Leicester, UKDepartment of Respiratory Care, College of Applied Medical Sciences, King Faisal University, Al-Ahasa, Saudi Arabia1 Department of Respiratory Care, King Faisal University, Al-Ahasa, Saudi ArabiaDepartment of Respiratory Therapy, Jazan University, Jazan, Saudi ArabiaDepartment of Respiratory Therapy, Maternity and Children’s Specialized Hospital, Jeddah, Saudi ArabiaDepartment of Respiratory Therapy, College of Applied Medical Sciences, King Saud bin Abdulaziz University for Health Sciences, Riyadh, Saudi ArabiaDepartment of Respiratory Therapy, King Abdul Aziz Specialist Hospital, Taif, Saudi ArabiaFamily Medicine, King Fahd Military Medical Complex, Dhahran, Saudi ArabiaPublic Security, Medical Service, Ministry of Interior, Dhahran, Saudi ArabiaDepartment of Respiratory Therapy, College of Applied Medical Sciences, University of Bisha, Bisha, Saudi ArabiaObjective To investigate physicians’ perceptions and current practices of identifying and managing depression in patients with chronic obstructive pulmonary disease (COPD).Design A cross-sectional online survey was employed between March and September 2022.Settings Saudi Arabia.Participants 1015 physicians, including general practitioners and family, internal and pulmonary medicine specialists.Primary outcome measures Physicians’ perceptions, confidence, practices and barriers to recognising and managing depression in patients with COPD.Results A total of 1015 physicians completed to the online survey. Only 31% of study participants received adequate training for managing depression. While 60% of physicians reported that depression interferes with self-management and worsens COPD symptoms, less than 50% viewed the importance of regular screening for depression. Only 414 (41%) physicians aim to identify depression. Of whom, 29% use depression screening tools, and 38% feel confident in discussing patients’ feelings. Having adequate training to manage depression (OR: 2.89; 95% CI: 2.02 to 3.81; p<0.001) and more years of experience (OR: 1.25; 95% CI: 1.08 to 1.45; p=0.002) were associated with the intention to detect depression in COPD patients. The most common barriers linked to recognising depression are poor training (54%), absence of standard procedures (54%) and limited knowledge about depression (53%).Conclusion The prevalence of identifying and confidently managing depression in patients with COPD is suboptimal, owing to poor training, the absence of a standardised protocol and inadequate knowledge. Psychiatric training should be supported in addition to adopting a systematic approach to detect depression in clinical practice.https://bmjopen.bmj.com/content/13/5/e069670.full |
| spellingShingle | Saeed M Alghamdi Jaber S Alqahtani Yousef S Aldabayan Abdullah A Alqarni Munyra Alhotye Ahmed Alrajeh Rayan A Siraj Abdulelah Mastour Aldhahir Bashaer O Banakher Saleh S Algarni Shahad K Khormi Hussam S Alghamdi Faisal F Alotaibi Mushabbab A Alahmari Attitudes, confidence, barriers and current practice of managing depression in patients with COPD in Saudi Arabia: a national cross-sectional survey BMJ Open |
| title | Attitudes, confidence, barriers and current practice of managing depression in patients with COPD in Saudi Arabia: a national cross-sectional survey |
| title_full | Attitudes, confidence, barriers and current practice of managing depression in patients with COPD in Saudi Arabia: a national cross-sectional survey |
| title_fullStr | Attitudes, confidence, barriers and current practice of managing depression in patients with COPD in Saudi Arabia: a national cross-sectional survey |
| title_full_unstemmed | Attitudes, confidence, barriers and current practice of managing depression in patients with COPD in Saudi Arabia: a national cross-sectional survey |
| title_short | Attitudes, confidence, barriers and current practice of managing depression in patients with COPD in Saudi Arabia: a national cross-sectional survey |
| title_sort | attitudes confidence barriers and current practice of managing depression in patients with copd in saudi arabia a national cross sectional survey |
| url | https://bmjopen.bmj.com/content/13/5/e069670.full |
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