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Cited by 26Mental Health Treatment and AccessTreatment of Major DepressionPharmaceutical Practices and Patient Outcomes

Older primary care patient views regarding antidepressants: a mixed methods approach

Open access
Bogner, Hillary R., Cahill, Eileen, Frauenhoffer, Christine, Barg, Frances K.·2009·Journal of Mental Health
DOI 10.1080/09638230701677795PMC PMC2728238
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Abstract

BACKGROUND: Generally, the efforts to predict antidepressant use from patient demographic factors have not been fruitful. AIM: Our objective was to generate hypotheses regarding antidepressant use among older primary care patients. METHODS: We utilized a mixed methods design that is both hypothesis-testing and hypothesis-generating. Adults aged 65 years and over were recruited from primary care practices and interviewed in their homes. We examined the personal characteristics of older adults according to antidepressant use (hypothesis-testing). Participants taking antidepressants and participants not taking antidepressants were asked open-ended questions about their views on treatment for depression. Themes related to use of antidepressants were examined (hypothesis-generating). RESULTS: Older adults taking antidepressants were more likely to be white and have more depression symptoms compared to older adults not taking antidepressants (p < 0.001 and p = 0.004, respectively). Positive and negative themes emerged when participants discussed antidepressant use. We linked quantitative data from the participants with the themes they endorsed to form an emerging theory about older adults' perceptions about antidepressant use. CONCLUSION: Few personal characteristics were associated with aatidepressant use. An improved understanding of how older adults view antidepressant use, derived from multiple methods, may inform clinical practice.

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  • The most frequent indications for psychotropic prescribing were depression in nine studies, sleeping disorders in seven and anxiety in six.

    “The most frequent indications for psychotropic prescribing were depression in nine studies [50, 51, 55, 56, 60, 62, 73, 74, 82], sleeping disorders in seven [54–56, 59, 63, 74, 82] and anxiety in six [54–56, 73, 74, 82].”

    From Stakeholders' views on the use of psychotropic medication in older people: a systematic review (2022) · cites this paper as [50]

    The Results section (“The Spectrum Study sample and use of antidepressants”; page unavailable) links antidepressant use with depressive symptoms, supporting depression as a relevant indication. This paper does not report sleeping disorders or anxiety as prescribing indications. The counts of nine, seven, and six studies belong to the citing document’s synthesis, not to this individual source. (LLM, conf=0.85)

    Experimental — accuracy not yet measured

  • Ageing was seen as a negative experience by many participants, commonly associated with social, physical and emotional decline such as ill-health, loss of autonomy and bereavement.

    “Ageing was seen as a negative experience by many participants; being commonly associated with social, physical and emotional decline such as ill-health, loss of autonomy and bereavement [50, 56, 74, 82].”

    From Stakeholders' views on the use of psychotropic medication in older people: a systematic review (2022) · cites this paper as [50]

    The Results section’s “Once you get old” theme reports that some participants felt vulnerable and described poverty, feeling disregarded, and difficulty making decisions in old age. That supports a negative view of ageing for some participants, but not the claim that many associated it with broad social, physical and emotional decline, ill-health, or bereavement. No page number is available in our copy. (LLM, conf=0.85)

    Experimental — accuracy not yet measured

  • Some older people felt medication did not address the root of their problem and was only a 'partial fix'.

    “Some older people felt medication did not address the root of their problem and was only a ‘partial fix’ [50, 51, 56, 60, 74].”

    From Stakeholders' views on the use of psychotropic medication in older people: a systematic review (2022) · cites this paper as [50]

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Research works printed but not linked: 1

  1. Tashakkori A Teddlie C 1998 Mixed methodology Thousand Oaks, CA Sage Publications

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Authors
Bogner, H. R., Cahill, E., Frauenhoffer, C., & Barg, F. K.
Affiliations
University of Pennsylvania (US)
Corresponding author
Bogner, Hillary R.
ORCID
Venue
Journal of Mental Health
Publisher
Informa UK Limited
Published
2009-01
Volume
18
Issue
1
Pages
57-64
ISSN
  • 0963-8237 (ISSN-L)
  • 1360-0567
DOI
10.1080/09638230701677795
PMC
PMC2728238
OpenAlex
W2074705625
Cited by
26
References
20
Citations by year
2025: 1 · 2023: 1 · 2022: 1 · 2020: 1 · 2019: 1 · 2018: 4 · 2016: 5 · 2014: 3 · 2013: 2 · 2012: 1
FWCI
2.68
Type
journal article
Language
en
Open access
Locations
  • Journal of Mental Health (publishedVersion)
  • PubMed (publishedVersion)
  • PubMed Central (acceptedVersion)
Funders
National Institute of Mental Health (K23MH067671, R01MH067077, R01MH062210)
Topics
  • Social Sciences › Psychology › Social Psychology › Mental Health Treatment and Access
  • Health Sciences › Medicine › Pharmacology › Treatment of Major Depression
  • Health Sciences › Medicine › Geriatrics and Gerontology › Pharmaceutical Practices and Patient Outcomes
Keywords
antidepressants, older adults, depression, primary care, patient perspectives, racial differences, depressive symptoms

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