Beliefs About Depression and Depression Treatment Among Depressed Veterans

Datos Bibliográficos

ID9101065
AutoresMark J Edlund (0000-0002-3563-9424, University of Arkansas Medical Center, autor de correspondencia), John C Fortney (0000-0001-9409-8894, University of Arkansas for Medical Sciences, autor de correspondencia), Christina Reaves (University of Arkansas for Medical Sciences, autor de correspondencia), Christina M Reaves, Jeffrey M Pyne (0000-0001-9501-6053, Central Arkansas Veterans Healthcare System, autor de correspondencia), Dinesh Mittal (0000-0001-9510-247X, University of Arkansas for Medical Sciences, autor de correspondencia)
Año2008
Volumen46
Número6
Páginas581-589
Fecha de publicación2008-06-01
Peer ReviewedSí
Open AccessNo
TipoARTICLE
RevistaMedical Care (JOURNAL)
Identificadores de la revistaISSN: 0025-7079 • E-ISSN: 1537-1948
EditorialOvid Technologies (Wolters Kluwer Health) (PUBLISHER)
DOI10.1097/mlr.0b013e3181648e46
PMID18520312
OpenAlexW2026859319
IdiomaEN
Citas recibidas2
Referencias citadas28

INTRODUCTION: Because of the misunderstanding and stigmatization of mental health disorders and treatment, health beliefs may be important in treatment seeking for depression. It is important to understand patients' beliefs about mental health disorders and mental health treatment to improve systems of care. METHODS: We studied beliefs about depression and depression treatment among patients in a randomized trial of a chronic care intervention to improve depression treatment in the Veterans Administration healthcare system (n = 395). The Depression Beliefs Inventory was used to assess beliefs regarding: (1) perceived need for depression treatment, (2) the efficacy of depression treatment, and (3) treatment barriers, including stigma, at baseline and 6 months. We calculated descriptive statistics on patients' baseline beliefs, and used multiple regression to investigate the extent to which beliefs changed in intervention and treatment as usual patients between baseline and 6-month assessments. We used logistic regression to investigate the relationship between beliefs and antidepressant initiation, adherence and clinical response. RESULTS: At baseline, 73% of our sample believed that they had depression, and 66% believed that taking antidepressants would be helpful for their depression. However, the depression intervention had few effects on beliefs, and individual beliefs were generally not associated with taking medication or clinical response. However, a summary measure of beliefs was found to have predictive validity with respect to initiating and adhering to antidepressant treatment. DISCUSSION: Our results highlight the potential difficulty in modifying individuals' attitudes regarding depression and depression treatment in chronic care models for depression interventions

Antidepressant · Anxiety · Depression (economics) · Intervention (counseling) · Logistic regression · Mental health · Psychiatry · Psychological intervention · Randomized controlled trial · Clinical Psychology · Internal Medicine · Medicine · Mental Health Treatment and Access · Patient-Provider Communication in Healthcare · Psychology · Treatment of Major Depression