BACKGROUND: Treatment preferences of patients suffering from depression may affect adherence and clinical outcomes. This study examines associations between patients' treatment preferences, their characteristics and illness representations of depression. METHODS: Illness representations of depression (IPQ-R), treatment acceptability and preferences were assessed in 88 newly diagnosed patients with first episode depression. Other measures recorded: gender, age, education level, income, psychiatric comorbidity, depressive symptomatology (PHQ-9), a family history of depression, and current treatment of depression. Multiple logistic regression was used to identify factors associated with a preference for psychotherapy. RESULTS: Psychotherapy was preferred by 41% of participants, while 31% favored antidepressants. Acceptability was strongly associated with preference. Patients preferring psychotherapy perceived that their depression has more serious consequences than those preferring medication and were more likely to attribute their depression to social causes than psychological or physical causes. Participants who preferred psychotherapy were more likely to be female, have a university degree and have a family history of depression. LIMITATIONS: The cross-sectional design precludes causal interpretations. CONCLUSIONS: Preferences vary according to gender, level of education, family history and illness representations. It may be important to provide accurate information on both treatments and discuss patients' preferences before prescribing treatment.
BACKGROUND: Treatment preferences of patients suffering from depression may affect adherence and clinical outcomes. This study examines associations between patients' treatment preferences, their characteristics and illness representations of depression. METHODS: Illness representations of depression (IPQ-R), treatment acceptability and preferences were assessed in 88 newly diagnosed patients with first episode depression. Other measures recorded: gender, age, education level, income, psychiatric comorbidity, depressive symptomatology (PHQ-9), a family history of depression, and current treatment of depression. Multiple logistic regression was used to identify factors associated with a preference for psychotherapy. RESULTS: Psychotherapy was preferred by 41% of participants, while 31% favored antidepressants. Acceptability was strongly associated with preference. Patients preferring psychotherapy perceived that their depression has more serious consequences than those preferring medication and were more likely to attribute their depression to social causes than psychological or physical causes. Participants who preferred psychotherapy were more likely to be female, have a university degree and have a family history of depression. LIMITATIONS: The cross-sectional design precludes causal interpretations. CONCLUSIONS: Preferences vary according to gender, level of education, family history and illness representations. It may be important to provide accurate information on both treatments and discuss patients' preferences before prescribing treatment.
Authors: Siobhan O'Donnell; Maria Syoufi; Wayne Jones; Kathryn Bennett; Louise Pelletier Journal: Health Promot Chronic Dis Prev Can Date: 2017-05 Impact factor: 3.240
Authors: Lilisbeth Perestelo-Perez; Amado Rivero-Santana; Juan Antonio Sanchez-Afonso; Jeanette Perez-Ramos; Carmen Luisa Castellano-Fuentes; Karen Sepucha; Pedro Serrano-Aguilar Journal: Health Expect Date: 2017-03-10 Impact factor: 3.377
Authors: Ryan Williams; Lorna Farquharson; Lucy Palmer; Paul Bassett; Jeremy Clarke; David M Clark; Mike J Crawford Journal: BMC Psychiatry Date: 2016-01-15 Impact factor: 3.630