Attitudes toward depression among Japanese non-psychiatric medical doctors: a cross-sectional study.

Publisher: Biomed Central Country of Publication: England NLM ID: 101462768 Publication Model: Electronic Cited Medium: Internet ISSN: 1756-0500 (Electronic) Linking ISSN: 17560500 NLM ISO Abbreviation: BMC Res Notes Subsets: MEDLINE

Original Publication: London : Biomed Central, 2008.

Attitude of Health Personnel* ; Health Knowledge, Attitudes, Practice*; Asian People/*psychology ; Depression/*psychology ; Physicians/*psychology; Adult ; Aged ; Aged, 80 and over ; Cross-Sectional Studies ; Depression/diagnosis ; Depression/therapy ; Factor Analysis, Statistical ; Female ; Humans ; Japan/epidemiology ; Male ; Middle Aged ; Surveys and Questionnaires

Background: Under-recognition of depression is common in many countries. Education of medical staff, focusing on their attitudes towards depression, may be necessary to change their behavior and enhance recognition of depression. Several studies have previously reported on attitudes toward depression among general physicians. However, little is known about attitudes of non-psychiatric doctors in Japan. In the present study, we surveyed non-psychiatric doctors' attitude toward depression.
Methods: The inclusion criteria of participants in the present study were as follows: 1) Japanese non-psychiatric doctors and 2) attendees in educational opportunities regarding depression care. We conveniently approached two populations: 1) a workshop to depression care for non-psychiatric doctors and 2) a general physician-psychiatrist (G-P) network group. We contacted 367 subjects. Attitudes toward depression were measured using the Depression Attitude Questionnaire (DAQ), a 20-item self-report questionnaire developed for general physicians. We report scores of each DAQ item and factors derived from exploratory factor analysis.
Results: We received responses from 230 subjects, and we used DAQ data from 187 non-psychiatric doctors who met the inclusion criteria. All non-psychiatric doctors (n = 187) disagreed with "I feel comfortable in dealing with depressed patients' needs," while 60 % (n = 112) agreed with "Working with depressed patients is heavy going." Factor analysis indicated these items comprised a factor termed "Depression should be treated by psychiatrists" - to which 54 % of doctors (n = 101) agreed. Meanwhile, 67 % of doctors (n = 126) thought that nurses could be useful in depressed patient support. The three factors derived from the Japanese DAQ differed from models previously derived from British GP samples. The attitude of Japanese non-psychiatric doctors concerning whether depression should be treated by psychiatrists was markedly different to that of British GPs.
Conclusions: Japanese non-psychiatric doctors believe that depression care is beyond the scope of their duties. It is suggested that educational programs or guidelines for depression care developed in other countries such as the UK are not directly adaptable for Japanese non-psychiatric doctors. Developing a focused educational program that motivates non-psychiatric doctors to play a role in depression care is necessary to enhance recognition and treatment of depression in Japan.

BMC Psychiatry. 2010 Apr 26;10:30. (PMID: 20416116)
Int J Psychiatry Med. 2011;41(2):107-22. (PMID: 21675343)
Int J Nurs Stud. 2007 Mar;44(3):447-56. (PMID: 16979641)
Lancet. 2009 Aug 22;374(9690):609-19. (PMID: 19640579)
N Engl J Med. 2010 Dec 30;363(27):2611-20. (PMID: 21190455)
BMC Fam Pract. 2009 Jul 20;10:52. (PMID: 19619278)
Int J Ment Health Syst. 2008 Sep 26;2(1):14. (PMID: 18822134)
BMJ. 2002 Apr 20;324(7343):947-50. (PMID: 11964340)
Acad Med. 1998 Aug;73(8):882-6. (PMID: 9736848)
Br J Gen Pract. 1999 Jan;49(438):17-21. (PMID: 10622010)
Am J Psychiatry. 2004 Sep;161(9):1626-34. (PMID: 15337653)
J Fam Pract. 1997 Feb;44(2):161-8. (PMID: 9040519)
Br J Gen Pract. 1995 Feb;45(391):89-92. (PMID: 7702889)

Date Created: 20120817 Date Completed: 20130131 Latest Revision: 20221207

20221213

PMC3434090

10.1186/1756-0500-5-441

22894761