Document Detail

Guided self-help in primary care mental health: meta-synthesis of qualitative studies of patient experience.
MedLine Citation:
PMID:  17766759     Owner:  NLM     Status:  MEDLINE    
BACKGROUND: There is a gap between the supply of trained cognitive-behavioural therapists to treat depression and demand for care in the community. There is interest in the potential of self-help interventions, which require less input from a therapist. However, the design of effective self-help interventions is complex. Qualitative research can help to explore some of this complexity.
AIMS: The study aimed to identify qualitative studies of patient experience of depression management in primary care, synthesise these studies to develop an explanatory framework, and then apply this framework to the development of a guided self-help intervention for depression.
METHOD: A meta-synthesis was conducted of published qualitative research.
RESULTS: The synthesis revealed a number of themes, including the nature of personal experience in depression; help-seeking in primary care; control and helplessness in engagement with treatment; stigma associated with treatment; and patients' understandings of self-help interventions.
CONCLUSIONS: This meta-synthesis of qualitative studies provided a useful explanatory framework for the development of effective and acceptable guided self-help interventions for depression.
Nagina Khan; Peter Bower; Anne Rogers
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Publication Detail:
Type:  Journal Article; Meta-Analysis; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  The British journal of psychiatry : the journal of mental science     Volume:  191     ISSN:  0007-1250     ISO Abbreviation:  Br J Psychiatry     Publication Date:  2007 Sep 
Date Detail:
Created Date:  2007-09-03     Completed Date:  2007-12-12     Revised Date:  2014-02-19    
Medline Journal Info:
Nlm Unique ID:  0342367     Medline TA:  Br J Psychiatry     Country:  England    
Other Details:
Languages:  eng     Pagination:  206-11     Citation Subset:  IM    
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MeSH Terms
Adaptation, Psychological
Antidepressive Agents / therapeutic use
Cognitive Therapy / methods*
Depressive Disorder / diagnosis,  psychology,  therapy*
Helplessness, Learned
Internal-External Control
Patient Compliance / psychology
Physician-Patient Relations
Primary Health Care*
Self Care*
Social Adjustment
Grant Support
G0401181//Medical Research Council
Reg. No./Substance:
0/Antidepressive Agents

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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