title: The state of readiness of Lagos State Primary Health Care Physicians to embrace the care of depression in Nigeria.
abstract: Globally there is a huge treatment gap for common mental disorders such as depression. Key to improving access to treatment will be the attitudes held towards depression by those physicians who work in Primary Care. This study aimed to explore Lagos State's Primary Care Physicians' attitudes towards depression and their views regarding their current working practices. A survey of 41 (82%) Primary Care Physicians in Lagos State who, after written consent, completed the Depression Attitude Questionnaire which assessed their knowledge and attitude towards the causes, consequences and treatment of depression. The largest part of the sample (37.5%) estimated that between 5 and 10% of the patients they saw over a 3 months period would have depression while one in four perceived rates of depression seen to be between 31 and 40%. Close to half (40%) of them felt that fewer than 5% of these depressed patients they saw would need antidepressants and a large part (82.9 %) of them agreed that becoming depressed is a way that people with poor stamina deal with life difficulties. About half (41.6%) of them believed it was not rewarding to look after depressed patients. Our study suggests that the current knowledge, attitudes and practices of most Lagos State primary health care physicians may be a barrier to patients with depression accessing appropriate care.
authors.affiliation: Department of Behavioural Medicine, Lagos State University College of Medicine, Ikeja, Lagos, Nigeria, wobola@yahoo.com.
authors.forename: Bola
authors.initials: B
authors.lastname: Ola
authors.forename: Jim
authors.initials: J
authors.lastname: Crabb
authors.forename: Abiodun
authors.initials: A
authors.lastname: Adewuya
authors.forename: Femi
authors.initials: F
authors.lastname: Olugbile
authors.forename: Olayinka A
authors.initials: OA
authors.lastname: Abosede
mesh_terms: D000328:Adult; D000928:Antidepressive Agents / Q000627:therapeutic use; D001291:Attitude of Health Personnel; D002983:Clinical Competence; D003430:Cross-Sectional Studies; D003866:Depressive Disorder / Q000175:diagnosis / Q000453:epidemiology / Q000523:psychology / Q000628:therapy*; D003906:Developing Countries; D004493:Education; D005260:Female; D006297:Health Services Accessibility; D006801:Humans; D008297:Male; D009549:Nigeria; D010818:Practice Patterns, Physicians'; D011320:Primary Health Care
chemical_list: D000928:Antidepressive Agents
references.citation: Niger Postgrad Med J. 2002 Jun;9(2):53-8
references.pmid: 12163872
references.citation: Arch Fam Med. 1994 Apr;3(4):333-7
references.pmid: 8012621
references.citation: Br J Psychiatry. 2009 Dec;195(6):520-4
references.pmid: 19949202
references.citation: Lancet. 2007 Sep 29;370(9593):1164-74
references.pmid: 17804061
references.citation: Fam Pract. 2012 Apr;29(2):121-30
references.pmid: 21926052
references.citation: PLoS Med. 2009 Oct;6(10):e1000159
references.pmid: 19806179
references.citation: Ann Gen Psychiatry. 2009 Aug 23;8:19
references.pmid: 19698167
references.citation: PLoS Med. 2006 Nov;3(11):e442
references.pmid: 17132052
references.citation: Psychol Med. 2000 Nov;30(6):1359-67
references.pmid: 11097076
references.citation: World Psychiatry. 2009 Jun;8(2):115-8
references.pmid: 19516936
references.citation: Cleve Clin J Med. 1998 May;65(5):251-60
references.pmid: 9599908
references.citation: JAMA. 2001 Feb 7;285(5):535-9
references.pmid: 11176854
references.citation: Soc Psychiatry Psychiatr Epidemiol. 2007 Nov;42(11):931-6
references.pmid: 17721670
references.citation: Aten Primaria. 1998 Feb 15;21(2):115-6
references.pmid: 9608137
references.citation: JAMA. 2004 Jun 2;291(21):2581-90
references.pmid: 15173149
references.citation: Aust N Z J Psychiatry. 2008 May;42(5):389-95
references.pmid: 18473257
references.citation: World Psychiatry. 2007 Feb;6(1):42-8
references.pmid: 17342226
references.citation: Lancet. 2008 Oct 11;372(9646):1274
references.pmid: 18929887
references.citation: Psychol Med. 2000 Nov;30(6):1369-76
references.pmid: 11097077
references.citation: Lancet. 2007 Sep 8;370(9590):841-50
references.pmid: 17826169
references.citation: World Psychiatry. 2003 Oct;2(3):164-5
references.pmid: 16946929
references.citation: Int J Ment Health Syst. 2009 Feb 25;3(1):5
references.pmid: 19243596
references.citation: Am J Psychiatry. 2001 Oct;158(10):1579-86
references.pmid: 11578983
references.citation: Int J Soc Psychiatry. 1996 Autumn;42(3):230-7
references.pmid: 8889647
references.citation: Med Care. 1989 Sep;27(9):869-86
references.pmid: 2770370
references.citation: Epidemiol Psichiatr Soc. 2009 Oct-Dec;18(4):352-6
references.pmid: 20170051
references.citation: Br J Psychiatry. 2006 May;188:465-71
references.pmid: 16648534
references.citation: Soc Psychiatry Psychiatr Epidemiol. 2008 Jun;43(6):477-82
references.pmid: 18327522
references.citation: Br J Psychiatry. 2005 May;186:436-41
references.pmid: 15863750
references.citation: Aust N Z J Psychiatry. 2004 Oct;38(10):795-803
references.pmid: 15369538