Botega N J, Silveira G M
Department of Psychiatry, Universidade Estadual de Campinas, Brazil.
Int J Soc Psychiatry. 1996 Autumn;42(3):230-7. doi: 10.1177/002076409604200307.
A self-report instrument comprising twenty visual analogue scale statements about attitudes towards depression was sent to all 110 general practitioners working in primary health care centres in the city of Campinas, Brazil. The statements of the Depression Attitude Questionnaire (DAQ) cover three main areas: nature of depression, treatment preferences and professional reactions regarding depressed patients. Seventy-eight (71%) doctors returned the questionnaire. Forty-two percent of the doctors believe "it is difficult to differentiate whether patients are presenting with unhappiness or a clinical depressive disorder that needs treatment". Sixty-three percent believe that "antidepressants usually produce a satisfactory result in the treatment of depressed patients in general practice". However, most doctors would refer patients in need of anti-depressants (66%) or psychotherapy (60%) to a specialist. They also view the treatment of depression as "heavy going" (46%) and "unrewarding" (57%). These findings suggest a need for further education of general practitioners on the nature, diagnosis and management of depressive disorders.
一份包含20条关于抑郁症态度的视觉模拟量表陈述的自我报告工具被发送给了在巴西坎皮纳斯市初级卫生保健中心工作的所有110名全科医生。抑郁症态度问卷（DAQ）的陈述涵盖三个主要领域：抑郁症的本质、治疗偏好以及对抑郁症患者的专业反应。78名（71%）医生返还了问卷。42%的医生认为“很难区分患者是表现出不快乐还是需要治疗的临床抑郁症”。63%的医生认为“在全科医疗中，抗抑郁药通常能在治疗抑郁症患者时产生令人满意的效果”。然而，大多数医生会将需要抗抑郁药治疗的患者（66%）或需要心理治疗的患者（60%）转诊给专科医生。他们还认为抑郁症治疗“进展艰难”（46%）且“没有回报”（57%）。这些发现表明需要对全科医生进行关于抑郁症的本质、诊断和管理的进一步教育。
