Illness beliefs about depression among patients seeking depression care and patients seeking cardiac care: an exploratory analysis using a mixed method design

Bibliographic Details
Title: Illness beliefs about depression among patients seeking depression care and patients seeking cardiac care: an exploratory analysis using a mixed method design
Authors: Julia Luise Magaard, Bernd Löwe, Anna Levke Brütt, Sebastian Kohlmann
Source: BMC Psychiatry, Vol 18, Iss 1, Pp 1-9 (2018)
Publisher Information: BMC, 2018.
Publication Year: 2018
Collection: LCC:Psychiatry
Subject Terms: Causal beliefs, Coronary heart disease, Depression, Illness representations, Psychiatry, RC435-571
More Details: Abstract Background Treatment of depression in cardiac patients is difficult. Patients’ illness beliefs regarding depression are associated with outcomes. The aim of the mixed-methods study was to test whether patients in routine care for depression differ from patients with depression in routine care for cardiac diseases regarding illness beliefs about depression. Methods A consecutive sample of n = 217 patients with depressive disorder was recruited from routine care for depression (N = 148) and routine care for cardiac diseases (N = 69). Beliefs about depression were measured by the Brief-Illness Perception Questionnaire. Causal beliefs were categorized using qualitative methods. To investigate differences regarding other illness beliefs, we performed an ANCOVA controlling for sociodemographic and clinical differences by propensity score matching. Results Patients in routine care for cardiac diseases attributed their depression more often to physical illnesses (48% vs. 16%) and less often to their self (30% vs. 47%), problems at work (25% vs. 35%), childhood (25% vs. 30%), and negative life events (19% vs. 25%) in contrast to patients in routine care for depression. Patients in routine care for cardiac diseases reported beliefs of lower disability, burden, and treatment-control and of higher self-control in contrast to patients in routine care for depression. Conclusions Illness beliefs especially causal beliefs differ between patients in routine care for cardiac diseases and routine care for depression. Future research should investigate effects of these illness beliefs. We recommend exploring patients’ illness beliefs about depression in routine care for cardiac diseases and routine care for depression.
Document Type: article
File Description: electronic resource
Language: English
ISSN: 1471-244X
Relation: http://link.springer.com/article/10.1186/s12888-018-1936-z; https://doaj.org/toc/1471-244X
DOI: 10.1186/s12888-018-1936-z
Access URL: https://doaj.org/article/edfe37ad7cb54216a2f90ec073614123
Accession Number: edsdoj.fe37ad7cb54216a2f90ec073614123
Database: Directory of Open Access Journals
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More Details
ISSN:1471244X
DOI:10.1186/s12888-018-1936-z
Published in:BMC Psychiatry
Language:English