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A UK national survey of the management of depression by geriatricians and old age psychiatrists
Author(s) -
Orrell Martin W.,
Baldwin Bob,
Collins Elizabeth,
Katona Cornelius
Publication year - 1995
Publication title -
international journal of geriatric psychiatry
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.28
H-Index - 129
eISSN - 1099-1166
pISSN - 0885-6230
DOI - 10.1002/gps.930100605
Subject(s) - depression (economics) , management of depression , medicine , antidepressant medication , antidepressant , psychiatry , geriatrics , family medicine , primary care , anxiety , economics , macroeconomics
A national postal questionnaire on the management of depression in the elderly was completed by 89 geriatricians and 72 old age psychiatrists. Significant differences were noted in intended choice of antidepressant drugs (using case vignettes), knowledge of antidepressant drugs and knowledge of psychological treatments. Geriatricians were more likely to suggest dose ranges which were subtherapeutic and were not confident in prescribing newer antidepressants. Very few doctors had overtly negative attitudes towards ageing and depression. However, a need for more training was clearly identified, particularly for geriatricians and for older doctors of both groups. Doctors who were confident about their own abilities tended to also have a more positive approach to therapy and regarded depression as less difficult to treat. Older doctors, geriatricians and those who felt they needed more training in how to treat depression were more likely to use low doses or discontinue treatment too soon after recovery. The results suggest a need for training which focuses on these areas.