全科医生和精神科医生：使用抑郁态度问卷比较对抑郁症的态度
General practitioners and psychiatrists: comparison of attitudes to depression using the depression attitude questionnaire.
作者信息
Kerr M, Blizard R, Mann A
机构信息
Department of Psychological Medicine, Ely Hospital, Cardiff.
出版信息
Br J Gen Pract. 1995 Feb;45(391):89-92.
BACKGROUND
Variation in the management of depression may be linked to doctors' attitudes to depression.
AIM
A study was undertaken comparing the attitudes to depression between general practitioners and psychiatrists.
METHOD
A sample of 74 general practitioners and 65 psychiatrists in Wales was surveyed by postal questionnaire. Attitudes were assessed by the depression attitude questionnaire and patient management was assessed by a questionnaire on prescribing practice.
RESULTS
General practitioners differed significantly from psychiatrists in attitudes, particularly in areas covering professional ease in dealing with patients with depression and identification of depression. Those general practitioners who reported use of low antidepressant doses were significantly more likely than general practitioners prescribing standard doses to believe in psychotherapeutic treatments. Users of short-term continuation therapy expressed a lack of therapeutic optimism and comfort in dealing with depressed patients.
CONCLUSION
General practitioners and psychiatrists differ significantly in their attitudes to depression. The attitudes which vary among general practitioners reflect practice. The depression attitude questionnaire may prove useful in indicating how educational initiatives to improve primary care detection and management should be directed.
背景
抑郁症治疗方式的差异可能与医生对抑郁症的态度有关。
目的
开展一项研究，比较全科医生和精神科医生对抑郁症的态度。
方法
通过邮寄问卷对威尔士的74名全科医生和65名精神科医生进行了抽样调查。态度通过抑郁症态度问卷进行评估，患者管理通过一份关于处方实践的问卷进行评估。
结果
全科医生和精神科医生在态度上存在显著差异，尤其是在与抑郁症患者打交道时的职业轻松程度和抑郁症识别等方面。那些报告使用低剂量抗抑郁药的全科医生比开标准剂量的全科医生更有可能相信心理治疗。短期延续治疗的使用者在治疗抑郁症患者时表现出缺乏治疗乐观态度和舒适度。
结论
全科医生和精神科医生对抑郁症的态度存在显著差异。全科医生之间不同的态度反映了实践情况。抑郁症态度问卷可能有助于指明改善初级保健中抑郁症检测和管理的教育举措应如何开展。
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