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Why do general practitioners prescribe antidepressants to their patients? A pilot study.
Mercier, Alain; Auger-Aubin, Isabelle; Lebeau, Jean-Pierre; Schuers, Matthieu; Boulet, Pascal; Van Royen, Paul; Peremans, Lieve.
Afiliación
  • Mercier A; Department of General Practice, Rouen University and CIC Inserm 0204, University of Rouen, Rouen, France ; Department of Family practice, Rouen University, Faculty of Medicine, 20 Bd Gambetta, Rouen 76000, France.
  • Auger-Aubin I; Department of General Practice, Denis Diderot Paris 7 University, Paris, France.
  • Lebeau JP; Department of General Practice, Tours University, Tours, France.
  • Schuers M; Department of General Practice, Rouen University and CIC Inserm 0204, University of Rouen, Rouen, France.
  • Boulet P; Department of General Practice, Rouen University and CIC Inserm 0204, University of Rouen, Rouen, France.
  • Van Royen P; Department of Primary and Interdisciplinary Care, Faculty of Medicine and Health Science, University of Antwerp, Antwerp, Belgium.
  • Peremans L; Department of Primary and Interdisciplinary Care, Faculty of Medicine and Health Science, University of Antwerp, Antwerp, Belgium ; Department of Public Health, Vrije Universiteit Brussel, Brussels, Belgium.
Biopsychosoc Med ; 8: 17, 2014.
Article en En | MEDLINE | ID: mdl-25110516
BACKGROUND: The frequency of antidepressant (ADs) prescription is high, with general practitioners (GPs) responsible for about 80% of the prescriptions. Some studies considered prescriptions meet DSM criteria, while others stress inadequate use. The importance of biological and psychosocial determinants of GP prescription behaviour remains little explored. We aimed to describe the importance of these biological and psychosocial determinants and their weight in the daily practice of GPs'. METHODS: During a week chosen at random, 28 GPs collected the AD prescriptions made within the previous six months, regardless of the reason for the patient contact. Bio psychosocial and AD treatment characteristics were recorded for all patients. In a random sample of 50 patients, patient characteristics were assessed via a structured face-to-face interview with the GP. RESULTS: The frequency of AD prescription was 8.90% [3.94 -17.02]. The GPs initiated 65.6% [60.1-70.8] of the prescriptions. The rate of AD prescription for non-psychiatric conditions was 18%. Patients had from 1 to 9 conditions, showing a high level of multi-morbidity. There was a strong influence of past medical history and contextual problems, such as work related problems. CONCLUSION: AD prescription is related to complex contextual situations and multi-morbid patients. GPs use a bio psycho social approach, rather than a purely biological assessment. Awareness of these influences could improve prescription by GPs.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Tipo de estudio: Qualitative_research Idioma: En Revista: Biopsychosoc Med Año: 2014 Tipo del documento: Article País de afiliación: Francia Pais de publicación: Reino Unido
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Tipo de estudio: Qualitative_research Idioma: En Revista: Biopsychosoc Med Año: 2014 Tipo del documento: Article País de afiliación: Francia Pais de publicación: Reino Unido