Vicarious experience affects patients' treatment preferences for depression.

PloS One
Seth A BerkowitzMitchell D Feldman

Abstract

Depression is common in primary care but often under-treated. Personal experiences with depression can affect adherence to therapy, but the effect of vicarious experience is unstudied. We sought to evaluate the association between a patient's vicarious experiences with depression (those of friends or family) and treatment preferences for depressive symptoms. We sampled 1054 English and/or Spanish speaking adult subjects from July through December 2008, randomly selected from the 2008 California Behavioral Risk Factor Survey System, regarding depressive symptoms and treatment preferences. We then constructed a unidimensional scale using item analysis that reflects attitudes about antidepressant pharmacotherapy. This became the dependent variable in linear regression analyses to examine the association between vicarious experiences and treatment preferences for depressive symptoms. Our sample was 68% female, 91% white, and 13% Hispanic. Age ranged from 18-94 years. Mean PHQ-9 score was 4.3; 14.5% of respondents had a PHQ-9 score >9.0, consistent with active depressive symptoms. Analyses controlling for current depression symptoms and socio-demographic factors found that in patients both with (coefficient 1.08, p = 0.03) and witho...Continue Reading

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Citations

Jul 18, 2014·Current Opinion in Psychiatry·Ching-I Hung
Oct 10, 2013·Journal of Psychosocial Nursing and Mental Health Services·Brenda J Johnston
Mar 21, 2017·Journal of Affective Disorders·Emily E CameronLianne M Tomfohr-Madsen

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Methods Mentioned

BETA
pharmacotherapy

Software Mentioned

STATA

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