Randomised controlled trial of non-directive counselling, cognitive-behaviour therapy and usual general practitioner care in the management of depression as well as mixed anxiety and depression in primary care.

King, Michael; Sibbald, Bonnie; Ward, Elaine; Bower, Peter; Lloyd, Margaret; Gabbay, Mark; Byford, Sarah

doi:10.3310/hta4190

Cited by 213 publications

(93 citation statements)

References 86 publications

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“…Direct GP referral to counselling has been highlighted in the past as an important step in improving mental health services [14]. A UK study found that provision of counselling for the management of depression was cost effective when compared to usual GP care alone, as patients' symptoms improved more quickly [15]. In an era when over 50% of Irish people are overweight or obese [16], barely half of our GPs have access to a dietician for their patients.…”

Section: Discussionmentioning

confidence: 99%

Limited options: a report on GP access to services

et al. 2007

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Section: Discussionmentioning

confidence: 99%

Limited options: a report on GP access to services

et al. 2007

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“…A recent systematic review of shared decision-making in mental health found only four relevant studies (Hamann, Leucht, & Kissling, 2003). Three studies of depressed clients evaluated client choice vs. random allocation to treatment (psychotherapy or pharmacotherapy) (Bedi et al, 2000;King et al, 2000;Rokke, Tomhave, & Jocic, 1999). Clients in the choice condition were more likely to receive psychotherapy, but they did not differ in satisfaction or outcomes.…”

Section: Research In Mental Healthmentioning

confidence: 99%

Shared Decision-Making and Evidence-Based Practice

Adams

Drake

2006

Community Ment Health J

250

208

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Shared decision-making refers to a process of health care delivery in which practitioners and clients seeking help for problems or disorders collaborate to access relevant information and to enable client-centered selection of health care resources. Though nearly all clients express a desire for more information, preferences for participation in health care decisions vary by individual and by illness. Two common strategies to promote shared decision-making are communication training for clients and clinicians, and decision aids to provide targeted information and values clarification. Research in several areas of medicine shows that active client participation results in a variety of benefits, from increased satisfaction to decreased symptom burden. Many current mental health interventions promote client-centered care, client choice, and self-directed care, but research on shared decision-making in mental health for clients with severe and persistent mental illness is just beginning.

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“…As such, the perceptions that women hold about antidepressants, and their subsequent compliance with the antidepressant schedule, are a crucial factor for consideration. The awareness of alternative treatments for depression within general practice is increasing and most general practices in the UK have counsellors in post 44 and this awareness may also have an impact on women's reaction to the prescription of antidepressants. However, it should be acknowledged that the treatment of PND, and the care received by women with PND varies widely between countries.…”

Section: Introductionmentioning

confidence: 99%

Women's views of antidepressants in the treatment of postnatal depression

Boath

Bradley

Henshaw

2004

Journal of Psychosomatic Obstetrics & Gynecology

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Little research has been carried out on the treatment of postnatal depression and clinicians must currently rely on general recommendations for the use of antidepressants. Antidepressant medication as the main treatment for depression in general practice has been shown to be effective when used as prescribed. However, research has shown that depressed patients consistently receive either no medication or consistently low doses of medication. This study will investigate women's experiences of taking antidepressant medication for postnatal depression. Thirty-five women with a clinical diagnosis of postnatal depression who had been prescribed antidepressant medication completed a questionnaire detailing their experiences of taking medication. Four open-ended questions and responses were discussed with the women. Of the 35 women who were prescribed medication, 4 chose not to take it because they were breast-feeding. Twenty of the women described finding medication helpful. Although only 4 women directly reported not taking antidepressants as prescribed, the comments made by a further 9 women suggest that compliance may have been poor. This study suggests a need to improve information about medication for postnatal depression. If this information is not provided, women are likely to continue to self-manage medication at a dosage that may be clinically ineffective.

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Randomised controlled trial of non-directive counselling, cognitive-behaviour therapy and usual general practitioner care in the management of depression as well as mixed anxiety and depression in primary care.

Cited by 213 publications

References 86 publications

Limited options: a report on GP access to services

Limited options: a report on GP access to services

Shared Decision-Making and Evidence-Based Practice

Women's views of antidepressants in the treatment of postnatal depression

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