[Depression treatment by psychiatrists - treatment strategies and experienced barriers from psychiatrists' point of view].
OBJECTIVE
To analyse the status quo of depression treatment (procedure, responsibilities, and treatment barriers) from psychiatrists' point of view.


METHODS
Cross-sectional survey (n = 71 psychiatrists; return rate: 45.5 %).


RESULTS
Diagnostic and therapeutic knowledge were validated as good. Psychiatrists view their responsibility mainly in identifying depressed patients, in differential diagnosis and medical treatment. The clinical diagnosis corresponded only in 52.7 % to ICD-10 criteria. Pharmacotherapy and referral were according to guidelines. Psychiatrists were less satisfied with cooperation with the psychosocial sector (social service, counselling centres) than with family physicians, psychotherapists and hospitals. The need for continuous medical education was seen specifically regarding therapeutic procedures (prophylaxis of relapse and combined therapy) and less concerning the diagnoses.


CONCLUSIONS
The results affirm the quality outpatient psychiatric care of depressive patients. Improvement potentials regard evidence-based diagnostic and networking with the psychosocial sector.
Bermejo
Isaac
I
Abteilung für Psychiatrie und Psychotherapie, Universitätsklinik Freiburg, Freiburg. isaac.bermejo@uniklinik-freiburg.de
Bachmann
Luise
L
Kriston
Levente
L
Härter
Martin
M
D000328:Adult; D000367:Age Factors; D000368:Aged; D000369:Aged, 80 and over; D000928:Antidepressive Agents / Q000627:therapeutic use; D003430:Cross-Sectional Studies; D003625:Data Collection; D003866:Depressive Disorder / Q000175:diagnosis / Q000453:epidemiology* / Q000628:therapy*; D004363:Drug Utilization / Q000706:statistics & numerical data; D004502:Education, Medical, Continuing / Q000706:statistics & numerical data; D005260:Female; D005858:Germany; D006297:Health Services Accessibility / Q000706:statistics & numerical data*; D006801:Humans; D038801:International Classification of Diseases; D008297:Male; D008875:Middle Aged; D009462:Neurology / Q000706:statistics & numerical data; D011570:Psychiatry / Q000193:education / Q000706:statistics & numerical data*; D011575:Psychoanalytic Therapy / Q000706:statistics & numerical data; D011613:Psychotherapy / Q000706:statistics & numerical data*; D012017:Referral and Consultation / Q000706:statistics & numerical data; D012737:Sex Factors; D055815:Young Adult
D000928:Antidepressive Agents