Journal of the Formosan Medical Association
Volume 107, Issue 12 , Pages 921-931, December 2008

Non-psychiatric Physicians' Knowledge, Attitudes and Behavior Toward Depression

  • Shen-Ing Liu

      Affiliations

    • Department of Psychiatry, Mackay Memorial Hospital, Taipei, Taiwan
    • Mackay Medicine, Nursing and Management College, Taipei, Taiwan
    • Corresponding Author InformationCorrespondence to: Dr Shen-Ing Liu, Department of Psychiatry, Mackay Memorial Hospital, 45 Ming-Shan Road, Chu-Wei, Tam-Shui, Taipei 251, Taiwan
    • ,
  • Ru-Band Lu

      Affiliations

    • Institute of Behavioral Medicine, College of Medicine, National Cheng-Kung University, Taipei, Taiwan
    • Department of Psychiatry, National Cheng-Kung University Hospital, Tainan, Taiwan
    • ,
  • Ming-Been Lee

      Affiliations

    • Department of Psychiatry, National Taiwan University Hospital, Taipei, Taiwan

Received 10 October 2007; received in revised form 8 February 2008; accepted 6 June 2008.

Article Outline

Background/Purpose

Depression is a major health concern, often treated by non-psychiatrists. This study assessed self-reported knowledge, attitudes and treatment practices of non-psychiatric physicians in the recognition and management of depression.

Methods

Survey questionnaires were given to non-psychiatric physicians who attended a depression training program. We asked physicians about their current clinical practice, knowledge, confidence, attitudes and perceived barriers to care regarding recognition and management of patients with depression.

Results

Of 524 eligible non-psychiatric physicians, 375 (72%) completed surveys. The majority of physicians held a strong sense of responsibility for managing depression, although they provided treatment to only a small proportion of depressed patients. Most of them were not confident treating depressed patients, and they reported that incomplete knowledge and training were major barriers that limited their involvement. The patient and organization barriers were not related to reported management, but the physician barriers (lack of skills and knowledge in managing depression) were related to reported rate of treatment. Age, prior depression training, and education were major contributing factors to domains of knowledge, attitude and behavior, in terms of the number of domains involved. Family physician orientation was associated with higher score on knowledge scale, but not with other variables of attitude and behavior.

Conclusion

Our study suggests that non-psychiatrists may also play a role in the care of depression, but identifying and managing depression can be a challenge to them. Attitudinal barriers, confidence, and knowledge of treatment may compromise the physician's ability to manage depression. Future interventions and educational efforts need to address each of these issues.

Key Words:  attitude , depression , knowledge , physician , practice

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PII: S0929-6646(09)60015-2

doi:10.1016/S0929-6646(09)60015-2

Journal of the Formosan Medical Association
Volume 107, Issue 12 , Pages 921-931, December 2008

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