[Beliefs about Treatment of Depression - A Qualitative Analysis of Treatment Beliefs about Psychotherapy and Primary Care among People with Depression]

Psychiatr Prax. 2019 Jul;46(5):268-273. doi: 10.1055/a-0787-6956. Epub 2018 Dec 3.
[Article in German]

Abstract

Objective: We aimed to identify treatment beliefs about psychotherapy and primary care for depression among people with depressive disorders.

Methods: We conducted semi-structured interviews among 21 people with depression and different experiences with health care. Interviews were recorded, transcribed, and analyzed using content analysis.

Results: We identified beliefs about treatment outcome, processes, structural aspects and impacts. Beliefs about treatment processes concerned health care provider-patient-relationship, role of patients and health care providers. Respondents doubted GPs' diagnostic and treatment skills, perceived lack of GPs' and therapists time for treatment.

Conclusion: More information about depression treatment including availability of treatment, side effects, primary care, GPs' competencies as well as the process of psychotherapy need to be provided.

ZIEL: Identifikation subjektiver Vorstellungen von Betroffenen über Psychotherapie und hausärztliche Versorgung von depressiven Störungen.

Methodik: 21 leitfadengestützte Interviews mit Betroffenen, ausgewertet anhand der qualitativen Inhaltsanalyse nach Mayring.

Ergebnisse: Ergebnis- und Prozesserwartungen sowie Vorstellungen über strukturelle Aspekte und Auswirkungen wurden identifiziert.

Schlussfolgerung: Befürchtungen über unerwünschte Ergebnisse, hausärztliche Kompetenz, mangelnde Kapazitäten sowie Unklarheiten über Psychotherapie sollten adressiert werden.

MeSH terms

  • Attitude of Health Personnel
  • Depression
  • Depressive Disorder* / therapy
  • Germany
  • Humans
  • Primary Health Care*
  • Psychotherapy*
  • Qualitative Research