Public opinions and beliefs about the treatment of depression in urban Turkey |
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Authors: | Erol Ozmen MD Kultegin Ogel MD Tamer Aker MD Afsın Sagduyu MD Defne Tamar MD Cumhur Boratav MD |
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Institution: | Dept. of Psychiatry, Celal Bayar University Medical School, Manisa, Turkey. |
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Abstract: | Background Although attitudes towards psychiatric illness influence its presentation, detection, recognition, treatment adherence and
rehabilitation, the lay public's opinions and beliefs about the treatment of depression have not been investigated sufficiently.
Objective The aim of this study was to determine public opinions and beliefs about the treatment of depression and the influence of
perception and causal attributions on attitudes towards treatment of depression in urban areas.
Methods This study was carried out with a representative sample in Istanbul, which is the biggest metropolis in Turkey. Seven hundred
and seven subjects completed the public survey form which consisted of 32 items rating attitudes towards depression.
Results The public believes that psychological and social interventions are more effective than pharmacotherapy, and that the medicines
used in treatment of depression are harmful and addictive. There was a general reluctance to consult a physician for depression,
and psychiatrists were felt to be more helpful than general practitioners. The public viewed depression as treatable. A high
educational level and perceiving depression as a disease is associated with positive beliefs and opinions about the treatment
of depression; but the perception of depressive patients as aggressive is associated with negative beliefs and opinions about
the treatment of depression.
Conclusion The beliefs that “psychological and social interventions are more effective than pharmacotherapy” and “antidepressants are
harmful and addictive” must specifically be taken into account in clinical practice and in anti-stigma campaigns. Additional
studies are needed to understand the public's tendency to conceptualise depression as a psychosocial problem. In clinical
practice, depression should be introduced as a bio-psychosocial disease whatever its cause: biological, psychological or social.
In addition, the differences between extreme worry and disease, and the lack of aggressiveness of depressive patients, must
be emphasised. |
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Keywords: | depression public attitudes stigma treatment |
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