Patient and general practitioner preferences for the treatment of depression in patients with cancer: how, who, and where?
J Psychosom Res
; 67(5): 399-402, 2009 Nov.
Article
em En
| MEDLINE
| ID: mdl-19837202
ABSTRACT
OBJECTIVE:
The objective of this study was to determine and compare patient and general practitioner (GP) preferences for the treatment of depression in patients with cancer.METHODS:
A treatment preference questionnaire was completed by 100 patients who had been diagnosed with both cancer and major depressive disorder and by 86 GPs who had had experience of at least 1 patient with cancer and depression. Participants were asked to rank options for how depression should be treated, who should deliver the treatment, and where treatment should occur.RESULTS:
The top three preferences of patients and GPs for how depression should be treated differed (P<.001). Patients preferred talking treatment alone, whereas GPs preferred a combination of drug and talking treatment. Both patients and GPs preferred treatment to be given by the GP, with older patients having a stronger preference for this. Counselors and cancer nurses were also popular preferences; mental heath professionals were unpopular. The preferred place of treatment was primary care for both patients and GPs, although many patients preferred treatment in the cancer center.CONCLUSION:
Effective and acceptable services for depressed cancer patients need to take patients and GP preferences into account. A model of service that allows a choice of initial treatment modality and collaborative care between primary care and cancer center nurse would meet this requirement.
Texto completo:
1
Coleções:
01-internacional
Contexto em Saúde:
11_ODS3_cobertura_universal
Base de dados:
MEDLINE
Assunto principal:
Relações Médico-Paciente
/
Psicoterapia
/
Papel do Doente
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Transtorno Depressivo Maior
/
Preferência do Paciente
/
Antidepressivos
/
Neoplasias
Tipo de estudo:
Diagnostic_studies
/
Prognostic_studies
/
Qualitative_research
Aspecto:
Patient_preference
Limite:
Adult
/
Aged
/
Aged80
/
Female
/
Humans
/
Male
/
Middle aged
Idioma:
En
Revista:
J Psychosom Res
Ano de publicação:
2009
Tipo de documento:
Article