title: Barriers in recognising, diagnosing and managing depressive and anxiety disorders as experienced by Family Physicians; a focus group study.
abstract: BACKGROUND
  The recognition and treatment of depressive- and anxiety disorders is not always in line with current standards. The results of programs to improve the quality of care, are not encouraging. Perhaps these programs do not match with the problems experienced in family practice. This study aims to systematically explore how FPs perceive recognition, diagnosis and management of depressive and anxiety disorders.
  
  
  METHODS
  focus group discussions with FPs, qualitative analysis of transcriptions using thematic coding.
  
  
  RESULTS
  The FPs considered recognising, diagnosing and managing depressive- and anxiety disorders as an important task. They expressed serious doubts about the validity and usefulness of the DSM IV concept of depressive and anxiety disorders in family practice especially because of the high frequency of swift natural recovery. An important barrier was that many patients have difficulties in accepting the diagnosis and treatment with antidepressant drugs. FPs lacked guidance in the assessment of patients' burden. The FPs experienced they had too little time for patient education and counseling. The under capacity of specialised mental health care and its minimal collaboration with FPs were experienced as problematic. Valuable suggestions for solving the problems encountered were made
  
  
  CONCLUSIONS
  Next to serious doubts regarding the diagnostic concept of depressive- and anxiety disorders a number of factors were identified which serve as barriers for suitablemental health care by FPs. These doubts and barriers should be taken into account in future research and in the design of interventions to improve mental health care in family practice.
authors.affiliation: Department of Family Medicine, University Medical Centre St Radboud, PO box 9101, 6500 HB Nijmegen, the Nederlands. e.vanrijswijk@elg.umcn.nl
authors.forename: Eric
authors.initials: E
authors.lastname: van Rijswijk
authors.forename: Hein
authors.initials: H
authors.lastname: van Hout
authors.forename: Eloy
authors.initials: E
authors.lastname: van de Lisdonk
authors.forename: Frans
authors.initials: F
authors.lastname: Zitman
authors.forename: Chris
authors.initials: C
authors.lastname: van Weel
mesh_terms: D000328:Adult; D001008:Anxiety Disorders / Q000175:diagnosis* / Q000628:therapy*; D001291:Attitude of Health Personnel; D002983:Clinical Competence; D003866:Depressive Disorder / Q000175:diagnosis* / Q000628:therapy*; D039721:Diagnostic and Statistical Manual of Mental Disorders; D019468:Disease Management; D005260:Female; D017144:Focus Groups; D006801:Humans; D008297:Male; D008875:Middle Aged; D017063:Outcome Assessment, Health Care; D010817:Physician-Patient Relations; D010821:Physicians, Family / Q000193:education / Q000523:psychology* / Q000592:standards; D010818:Practice Patterns, Physicians'; D011569:Psychiatric Status Rating Scales / Q000592:standards