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General practitioners' and practice nurses' views and experience of managing depression in coronary heart disease: A qualitative interview study

Barley, Elizabeth A., Walters, Paul, Tylee, Andre and Murray, Joanna (2012) General practitioners' and practice nurses' views and experience of managing depression in coronary heart disease: A qualitative interview study BMC FAMILY PRACTICE, 13 (1).

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Abstract

Background: Depression is common in coronary heart disease (CHD). Affected patients have an increased incidence of coronary symptoms and death. Little is known about how best to manage primary care patients with both CHD and depression. This study is part of the UPBEAT-UK programme of research and was designed to understand general practitioners' (GPs) and practice nurses' (PNs) views and experience of managing depression in CHD. Methods. Individual in-depth interviews with 10 GPs and 12 PNs in South East London. Data were analysed using constant comparison. Results: GPs and PNs had similar views. Distress following diagnosis or a cardiac event was considered to resolve spontaneously; if it endured or became severe it was treated as depression. GPs and PNs felt that psychosocial problems contributed to depression in patients with CHD. However, uncertainty was expressed as to their perceived role and responsibility in addressing these. In this respect, depression in patients with CHD was considered similar to depression in other patients and no coherent management approach specific for depression in CHD was identified. An individualised approach was favoured, but clinicians were unsure how to achieve this in the face of conflicting patient preferences and the treatment options they considered available. Conclusions: GPs and PNs view depression in CHD similarly to depression uncomplicated by physical illness. However, uncertainty exists as to how best to manage depression associated psychosocial issues. Personalised interventions are needed which account for individual need and which enable and encourage clinicians and patients to make use of existing resources to address the psychosocial factors which contribute to depression. © 2012 Barley et al.

Item Type: Article
Divisions : Faculty of Health and Medical Sciences > School of Health Sciences
Authors :
NameEmailORCID
Barley, Elizabeth A.e.barley@surrey.ac.uk
Walters, Paul
Tylee, Andre
Murray, Joanna
Date : 5 January 2012
DOI : 10.1186/1471-2296-13-1
Copyright Disclaimer : © 2012 Barley et al; licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Uncontrolled Keywords : adult, article, coronary artery disease, depression, disease management, female, general practitioner, health personnel attitude, human, interview, male, middle aged, multimodality cancer therapy, nurse, organization and management, pharmacist, professional practice, psychological aspect, qualitative research, statistics, United Kingdom, Adult, Attitude of Health Personnel, Combined Modality Therapy, Coronary Disease, Depression, Disease Management, Female, Humans, Interviews as Topic, London, Male, Middle Aged, Nurses, Pharmacists, Physicians, Family, Professional Practice, Qualitative Research
Depositing User : Diane Maxfield
Date Deposited : 19 Jul 2019 15:05
Last Modified : 19 Jul 2019 15:05
URI: http://epubs.surrey.ac.uk/id/eprint/850934

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