Public opinions and beliefs about the treatment of depression in urban Turkey

Özmen, Erol; Ögel, Kültegin; Aker, Tamer; Sağduyu, Afşin; Tamar, Defne; Boratav, Cumhur

doi:10.1007/s00127-005-0985-x

Cited by 33 publications

(41 citation statements)

References 20 publications

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“…The qualitative descriptions enrich the findings from the survey data by illustrating how patient-level characteristics influence views on antidepressants. Our study confirms and builds upon aspects of other studies investigating patient attitudes toward depression care and acceptability of depression treatment (Cooper et al, 2003; Ozmen et al, 2005). However, our study elicited themes from older patients instead of utilizing survey data measuring fixed choice responses of attitudes toward antidepressants thereby allowing us to relate the insider perspective directly to the reported use of antidepressants which had been only partially explained by patient-level characteristics.…”

Section: Discussionsupporting

confidence: 87%

Older primary care patient views regarding antidepressants: A mixed methods approach

Bogner¹,

Cahill²,

Frauenhoffer³

et al. 2009

Journal of Mental Health

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Background Generally, the efforts to predict antidepressant use from patient demographic factors have not been fruitful. Aim Our objective was to generate hypotheses regarding antidepressant use among older primary care patients. Methods We utilized a mixed methods design that is both hypothesis-testing and hypothesis-generating. Adults aged 65 years and over were recruited from primary care practices and interviewed in their homes. We examined the personal characteristics of older adults according to antidepressant use (hypothesis-testing). Participants taking antidepressants and participants not taking antidepressants were asked open-ended questions about their views on treatment for depression. Themes related to use of antidepressants were examined (hypothesis-generating). Results Older adults taking antidepressants were more likely to be white and have more depression symptoms compared to older adults not taking antidepressants (p < 0.001 and p = 0.004, respectively). Positive and negative themes emerged when participants discussed antidepressant use. We linked quantitative data from the participants with the themes they endorsed to form an emerging theory about older adults’ perceptions about antidepressant use. Conclusion Few personal characteristics were associated with aatidepressant use. An improved understanding of how older adults view antidepressant use, derived from multiple methods, may inform clinical practice.

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Section: Discussionsupporting

confidence: 87%

Older primary care patient views regarding antidepressants: A mixed methods approach

Bogner¹,

Cahill²,

Frauenhoffer³

et al. 2009

Journal of Mental Health

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show abstract

“…As to pharmacological therapy, fear of addictive effects is reported as the main cause for concern, in line with a Turkish study [36]. According to respondents, depression is better cured with vitamins (seen as free from side effects) than with potentially harmful antidepressants.…”

Section: Discussionsupporting

confidence: 52%

Public Beliefs and Attitudes towards Depression in Italy: A National Survey

Munizza¹,

Argentero

Coppo³

et al. 2013

PLoS ONE

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BackgroundPrevious studies have shown that attitudes towards depression may be influenced by country-specific social and cultural factors. A survey was carried out to collect beliefs on and attitudes toward depression in Italy, which has an established community-based mental health system.MethodsA telephone survey was carried out in a probabilistic sample aged ≥15 years. A 20-item questionnaire was administered to explore knowledge of depression, stigma, causal beliefs, treatment preference, and help-seeking attitudes.ResultsOf the 1001 participants, 98% were aware of depression, and 62% had experienced it, either directly or indirectly. A widespread belief (75%) was that people suffering from depression should avoid talking about their problem. A minority of the sample viewed depression as a condition that should be managed without recourse to external help or a “socially dangerous” illness. Among perceived causes of depression, most respondents mentioned life stressors or physical strains. Psychologists were often indicated as an adequate source of professional help. Half of the sample believed that depression should be pharmacologically treated, but drugs were often seen as addictive. Referring to a primary care physician (PCP) was considered embarrassing; furthermore, many people thought that PCPs are too busy to treat patients suffering from depression.ConclusionsOur findings indicate that depression is seen as a reaction to significant life events that should be overcome with the support of significant others or the help of health professionals (mainly psychologists). However, there are still barriers to the disclosure of depressive symptoms to PCPs, and concerns about the addictive effect of antidepressants. In the presence of a gap between people’s beliefs and what health professionals consider appropriate for the treatment of depression, a “shared decision making” approach to treatment selection should be adopted taking into account the patients’ preference for psychological interventions to ensure active compliance with effective treatments.

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“…Much research on depression, anxiety, and somatic symptoms has been conducted in Turkey (e.g., Akdemir et al, 2001;Kara, Yazici, Gu¨lec¸, & Ü nsal, 2000;Ö zmen et al, 2005;Sayar et al, 2000;Sayar, Kirmayer, & Taillefer, 2003;Tu¨rkc¸apar, Ö zyurt, M. F., Ö rsel, S., & Tu¨rkc¸apar, 2005). These studies have found that anger attacks are highly prevalent (49%) in depressed Turkish patients (Sayar et al, 2000), that depressive disorder is often accompanied by anxiety disorders, and that somatic symptoms may be more closely related to the level of anxiety than to depressive symptoms as such (Sayar et al, 2003).…”

Section: Borra 663mentioning

confidence: 96%

Depressive disorder among Turkish women in the Netherlands: A qualitative study of idioms of distress

Borra¹

2011

Transcult Psychiatry

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The provision of mental health services to immigrants in the Netherlands is hampered by difficulty in establishing valid diagnoses of psychiatric disorders. To improve the process of diagnosing depressive disorder among Turkish women in Dutch mental healthcare, we conducted a qualitative study of women with depression in Rotterdam. A bilingual Turkish-Dutch diagnostic interview was developed to explore Turkish women's idioms of distress. Interviews were conducted with 20 women with a disputed diagnosis of depression. Results showed that distress among the Turkish women was characterized by a wide range of somatic complaints, with anxiety and agitation occurring as frequently as depressive complaints. Because the range of complaints is so varied, major depression may be underdiagnosed in the Turkish immigrant population.

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Public opinions and beliefs about the treatment of depression in urban Turkey

Cited by 33 publications

References 20 publications

Older primary care patient views regarding antidepressants: A mixed methods approach

Older primary care patient views regarding antidepressants: A mixed methods approach

Public Beliefs and Attitudes towards Depression in Italy: A National Survey

Depressive disorder among Turkish women in the Netherlands: A qualitative study of idioms of distress

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