title: Patients' opinions about knowing their risk for depression and what to do about it. The predictD-qualitative study.
abstract: BACKGROUND
  The predictD study developed and validated a risk algorithm for predicting the onset of major depression in primary care. We aimed to explore the opinion of patients about knowing their risk for depression and the values and criteria upon which these opinions are based.
  
  
  METHODS
  A maximum variation sample of patients was taken, stratified by city, age, gender, immigrant status, socio-economic status and lifetime depression. The study participants were 52 patients belonging to 13 urban health centres in seven different cities around Spain. Seven Focus Groups (FGs) were given held with primary care patients, one for each of the seven participating cities.
  
  
  RESULTS
  The results showed that patients generally welcomed knowing their risk for depression. Furthermore, in light of available evidence several patients proposed potential changes in their lifestyles to prevent depression. Patients generally preferred to ask their General Practitioners (GPs) for advice, though mental health specialists were also mentioned. They suggested that GPs undertake interventions tailored to each patient, from a "patient-centred" approach, with certain communication skills, and giving advice to help patients cope with the knowledge that they are at risk of becoming depressed.
  
  
  CONCLUSIONS
  Patients are pleased to be informed about their risk for depression. We detected certain beliefs, attitudes, values, expectations and behaviour among the patients that were potentially useful for future primary prevention programmes on depression.
authors.affiliation: Centro de Salud El Palo, Departamento de Medicina Preventiva, Universidad de Málaga, Málaga, Spain; Instituto de Investigación Biomédica de Málaga, Unidad de Investigación del Distrito Sanitario Málaga, Málaga, Spain.
authors.forename: Juan Á
authors.initials: JÁ
authors.lastname: Bellón
authors.affiliation: Instituto de Investigación Biomédica de Málaga, Unidad de Investigación del Distrito Sanitario Málaga, Málaga, Spain.
authors.forename: Patricia
authors.initials: P
authors.lastname: Moreno-Peral
authors.affiliation: Departamento de Personalidad, Evaluación y Tratamiento Psicológico, Universidad de Málaga, Málaga, Spain.
authors.forename: Berta
authors.initials: B
authors.lastname: Moreno-Küstner
authors.affiliation: Departamento de Psicología Evolutiva y de la Educación, Universidad de Sevilla, Sevilla, Spain.
authors.forename: Emma
authors.initials: E
authors.lastname: Motrico
authors.affiliation: Centro de Salud San Ignacio, Unidad de Investigación de Atención Primaria, Osakidetza, Bilbao, Spain.
authors.forename: José M
authors.initials: JM
authors.lastname: Aiarzagüena
authors.affiliation: Centre for Disability Research and Policy, Faculty of Health Sciences, University of Sydney, Sydney, Australia.
authors.forename: Anna
authors.initials: A
authors.lastname: Fernández
authors.affiliation: Servicio de Programas Asistenciales, Gerencia Regional de Salud, Valladolid, Spain.
authors.forename: Carmen
authors.initials: C
authors.lastname: Fernández-Alonso
authors.affiliation: Centro de Salud Casablanca, Instituto Aragonés de Ciencias de la Salud, Departamento de Medicina y Psiquiatría, Universidad de Zaragoza, Zaragoza, Spain.
authors.forename: Carmen
authors.initials: C
authors.lastname: Montón-Franco
authors.affiliation: Centro de Salud San José, Linares, Jaén, Spain.
authors.forename: Antonina
authors.initials: A
authors.lastname: Rodríguez-Bayón
authors.affiliation: Centro de Salud Federico del Castillo, Jaén, Spain.
authors.forename: María Isabel
authors.initials: MI
authors.lastname: Ballesta-Rodríguez
authors.forename: Ariadne
authors.initials: A
authors.lastname: Runte-Geidel
authors.affiliation: Departamento de Psiquiatría y Medicina legal, Universidad de Granada, Granada, Spain.
authors.forename: Ariadne
authors.initials: A
authors.lastname: Rüntel-Geidel
authors.affiliation: Unidad de Investigación de Atención Primaria, Osakidetza, Bilbao, Spain.
authors.forename: Janire
authors.initials: J
authors.lastname: Payo-Gordón
authors.affiliation: Parc Sanitari Sant Joan de Déu, Fundació Sant Joan de Déu, Barcelona, Spain.
authors.forename: Antoni
authors.initials: A
authors.lastname: Serrano-Blanco
authors.affiliation: Unidad de Investigación de Atención Primaria, Instituto Aragonés de Ciencias de la Salud, Zaragoza, Spain.
authors.forename: Bárbara
authors.initials: B
authors.lastname: Oliván-Blázquez
authors.affiliation: Instituto de Investigación Biomédica de Málaga, Unidad de Investigación del Distrito Sanitario Málaga, Málaga, Spain.
authors.forename: Luz
authors.initials: L
authors.lastname: Araujo
authors.affiliation: Departamento de Psiquiatría y Medicina legal, Universidad de Granada, Granada, Spain.
authors.forename: María del Mar
authors.initials: Mdel M
authors.lastname: Muñoz-García
authors.affiliation: Department of Mental Health Sciences, University College London, London, United Kingdom.
authors.forename: Michael
authors.initials: M
authors.lastname: King
authors.affiliation: Medical Research Council General Practice Research Framework, London, United Kingdom.
authors.forename: Irwin
authors.initials: I
authors.lastname: Nazareth
authors.affiliation: Departamento de enfermería, Facultad de Ciencias de la Salud, Universidad de Granada, Granada, Spain.
authors.forename: Manuel
authors.initials: M
authors.lastname: Amezcua
mesh_terms: D000328:Adult; D003863:Depression / Q000523:psychology*; D005260:Female; D017144:Focus Groups; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D008297:Male; D008875:Middle Aged; D036301:Qualitative Research; D012307:Risk Factors