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ScientificWorldJournal. 2013 Oct 23;2013:207493. doi: 10.1155/2013/207493. eCollection 2013.

Predictors of treatments acceptable to patients for late-life depression.

Author information

1
Department of Family Medicine, University of Iowa Roy J. and Lucille A. Carver College of Medicine, 200 Hawkins Drive, Iowa City, IA 52242, USA.

Abstract

OBJECTIVES:

Describe older patients' perceptions about depression and characteristics associated with acceptance of treatments.

DESIGN:

Cross-sectional study.

SETTING:

Three primary care clinics in Iowa.

PARTICIPANTS:

Consecutive sample of 529 primary care patients.

MEASUREMENTS:

Depression screening tool (a 9-item patient health questionnaire [PHQ-9]) and questionnaire including sociodemographic data, patient attitudes about depression, and acceptability of different treatments.

RESULTS:

Mean age was 71.9 years (range 60-93 years), 314 (59%) female. Among the 529 participants, 93 (17.5%) had history of depression and 60 (11.3%) had PHQ-9 scores of 10 or greater. Participants believed depression is a disease for which they would use medication and counseling. Accepting medications from primary physicians was strongly associated with a past history of depression (P < 0.01) and with agreeing that depression needs treatment (P < 0.01). Counseling was not acceptable for those believing that they can control depression on their own (P < 0.01). Older patients (P < 0.001) and those with higher education levels (P < 0.01) were less likely to accept herbs or supplements as treatment options. Willingness to discuss treatments with family was associated with not using alcohol as a treatment and acceptance of all other treatment options (P < 0.001).

CONCLUSIONS:

Attitude that depression is a disease and the willingness to discuss depression with family may enhance treatment acceptance.

PMID:
24250257
PMCID:
PMC3821957
DOI:
10.1155/2013/207493
[Indexed for MEDLINE]
Free PMC Article
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