Barriers in recognising, diagnosing and managing depressive and anxiety disorders as experienced by Family Physicians; a focus group study
<p>Abstract</p> <p>Background</p> <p>The recognition and treatment of depressive- and anxiety disorders is not always in line with current standards. The results of programs to improve the quality of care, are not encouraging. Perhaps these programs do not match with th...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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BMC
2009-07-01
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| Series: | BMC Family Practice |
| Online Access: | http://www.biomedcentral.com/1471-2296/10/52 |
| _version_ | 1818254501012832256 |
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| author | Zitman Frans van de Lisdonk Eloy van Hout Hein van Rijswijk Eric van Weel Chris |
| author_facet | Zitman Frans van de Lisdonk Eloy van Hout Hein van Rijswijk Eric van Weel Chris |
| author_sort | Zitman Frans |
| collection | DOAJ |
| description | <p>Abstract</p> <p>Background</p> <p>The recognition and treatment of depressive- and anxiety disorders is not always in line with current standards. The results of programs to improve the quality of care, are not encouraging. Perhaps these programs do not match with the problems experienced in family practice. This study aims to systematically explore how FPs perceive recognition, diagnosis and management of depressive and anxiety disorders.</p> <p>Methods</p> <p>focus group discussions with FPs, qualitative analysis of transcriptions using thematic coding.</p> <p>Results</p> <p>The FPs considered recognising, diagnosing and managing depressive- and anxiety disorders as an important task. They expressed serious doubts about the validity and usefulness of the DSM IV concept of depressive and anxiety disorders in family practice especially because of the high frequency of swift natural recovery. An important barrier was that many patients have difficulties in accepting the diagnosis and treatment with antidepressant drugs. FPs lacked guidance in the assessment of patients' burden. The FPs experienced they had too little time for patient education and counseling. The under capacity of specialised mental health care and its minimal collaboration with FPs were experienced as problematic. Valuable suggestions for solving the problems encountered were made</p> <p>Conclusion</p> <p>Next to serious doubts regarding the diagnostic concept of depressive- and anxiety disorders a number of factors were identified which serve as barriers for suitablemental health care by FPs. These doubts and barriers should be taken into account in future research and in the design of interventions to improve mental health care in family practice.</p> |
| first_indexed | 2024-12-12T16:56:58Z |
| format | Article |
| id | doaj.art-fd60b7a3b228406a9f0ed2cf02685cfc |
| institution | Directory Open Access Journal |
| issn | 1471-2296 |
| language | English |
| last_indexed | 2024-12-12T16:56:58Z |
| publishDate | 2009-07-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Family Practice |
| spelling | doaj.art-fd60b7a3b228406a9f0ed2cf02685cfc2022-12-22T00:18:12ZengBMCBMC Family Practice1471-22962009-07-011015210.1186/1471-2296-10-52Barriers in recognising, diagnosing and managing depressive and anxiety disorders as experienced by Family Physicians; a focus group studyZitman Fransvan de Lisdonk Eloyvan Hout Heinvan Rijswijk Ericvan Weel Chris<p>Abstract</p> <p>Background</p> <p>The recognition and treatment of depressive- and anxiety disorders is not always in line with current standards. The results of programs to improve the quality of care, are not encouraging. Perhaps these programs do not match with the problems experienced in family practice. This study aims to systematically explore how FPs perceive recognition, diagnosis and management of depressive and anxiety disorders.</p> <p>Methods</p> <p>focus group discussions with FPs, qualitative analysis of transcriptions using thematic coding.</p> <p>Results</p> <p>The FPs considered recognising, diagnosing and managing depressive- and anxiety disorders as an important task. They expressed serious doubts about the validity and usefulness of the DSM IV concept of depressive and anxiety disorders in family practice especially because of the high frequency of swift natural recovery. An important barrier was that many patients have difficulties in accepting the diagnosis and treatment with antidepressant drugs. FPs lacked guidance in the assessment of patients' burden. The FPs experienced they had too little time for patient education and counseling. The under capacity of specialised mental health care and its minimal collaboration with FPs were experienced as problematic. Valuable suggestions for solving the problems encountered were made</p> <p>Conclusion</p> <p>Next to serious doubts regarding the diagnostic concept of depressive- and anxiety disorders a number of factors were identified which serve as barriers for suitablemental health care by FPs. These doubts and barriers should be taken into account in future research and in the design of interventions to improve mental health care in family practice.</p>http://www.biomedcentral.com/1471-2296/10/52 |
| spellingShingle | Zitman Frans van de Lisdonk Eloy van Hout Hein van Rijswijk Eric van Weel Chris Barriers in recognising, diagnosing and managing depressive and anxiety disorders as experienced by Family Physicians; a focus group study BMC Family Practice |
| title | Barriers in recognising, diagnosing and managing depressive and anxiety disorders as experienced by Family Physicians; a focus group study |
| title_full | Barriers in recognising, diagnosing and managing depressive and anxiety disorders as experienced by Family Physicians; a focus group study |
| title_fullStr | Barriers in recognising, diagnosing and managing depressive and anxiety disorders as experienced by Family Physicians; a focus group study |
| title_full_unstemmed | Barriers in recognising, diagnosing and managing depressive and anxiety disorders as experienced by Family Physicians; a focus group study |
| title_short | Barriers in recognising, diagnosing and managing depressive and anxiety disorders as experienced by Family Physicians; a focus group study |
| title_sort | barriers in recognising diagnosing and managing depressive and anxiety disorders as experienced by family physicians a focus group study |
| url | http://www.biomedcentral.com/1471-2296/10/52 |
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