Collins E, Katona C, Orrell M
Princess Alexandra Hospital, Harlow, Essex, UK.
Fam Pract. 1995 Mar;12(1):12-7. doi: 10.1093/fampra/12.1.12.
Although general practitioners (GPs) may be able to identify depression in elderly patients many patients do remain untreated. It is possible that negative attitudes could influence treatment. This study aims to investigate GPs' attitudes towards depression in the elderly. A national questionnaire study on the management of depression in the elderly was carried out. It enquired about attitudes towards treatment and diagnosis of depression and ageing and depression. Most GPs were confident about treating depression but agreed that it was difficult to treat and said that they would benefit from more information and training. A small proportion of the sample agreed that depression was a natural consequence of ageing and that most people when elderly get depressed. Older GPs were more likely to see depression as more difficult to treat and stopped medication sooner after recovery. Female GPs felt less confident in management and expressed more interest in further training although this did not appear to reflect the quality of care. In general GPs did not have negative views about depression and ageing; they did, however, identify a need for more training in the management of depression in the elderly.
尽管全科医生（GPs）或许能够识别老年患者的抑郁症，但许多患者仍未得到治疗。消极态度可能会影响治疗。本研究旨在调查全科医生对老年抑郁症的态度。开展了一项关于老年抑郁症管理的全国性问卷调查。问卷询问了对抑郁症治疗与诊断以及衰老与抑郁症的态度。大多数全科医生对治疗抑郁症有信心，但也承认治疗困难，并表示他们将从更多信息和培训中受益。一小部分样本认为抑郁症是衰老的自然结果，且大多数老年人都会抑郁。年长的全科医生更倾向于认为抑郁症更难治疗，且康复后停药更快。女全科医生在管理方面信心较低，对进一步培训表现出更大兴趣，尽管这似乎并未反映出护理质量。总体而言，全科医生对抑郁症和衰老没有负面看法；然而，他们确实认识到需要在老年抑郁症管理方面接受更多培训。
