Table 3.
Selected treatment aspects
General Practitioners | Patients |
Applied treatments (18)a: | Expectations (17): |
Therapeutic talk and psychopharmacological medication (14) | Be listened to, conversation about the problems, be taken seriously, sympathy (10) |
Mainly supporting therapeutic talk (7) | Suggestion of concrete treatments (5) |
Mainly psychopharmacological medication (3) | - Medication (3) |
- Referral to psychologist (1) | |
- Symptom relief (1) | |
Advice how to deal with symptoms (2) | |
Topics of conversation (13): | Treatment Preferences (20): |
Possible individual causes for depression (6) | Psychotherapy (6) |
Relaxation techniques (1) | No Psychotherapy (4) |
Psychoeducation (1) | Psychopharmacological treatment (4) |
Activation (1) | No pharmacological treatment (6) |
Reduction of excessive demands (1) | |
Resource orientation (1) | |
Self-worth enhancement (1) | |
Concrete behavioural advises (1) | |
Treatment problems (18): | Satisfaction (20): |
Yes (10) | Satisfied with treatment (14) |
- Patients' refusal of pharmacological therapy or non-compliance (5) | Not satisfied with treatment (6) for following reasons: |
- GPs' insecurity with pharmacological treatment (3) | - Not enough time (2) |
- Motivating the patient to use offers for counselling or psychotherapy (3) | - Insufficient communication between GP and practice nurse (1) |
- Insufficient efficiency of treatment (3) | - Not taking somatic complaints seriously and not offering special treatments such as physical therapy (1) |
- Patients' acceptance of the diagnosis (2) | - Not taking presented complaint (fatigue) seriously and not offering concrete treatment besides exercising (1) |
- Problems with appointments for referral (2) | - Not addressing depression in more detail, e.g. by applying a questionnaire (1) |
- Heightened utilization of primary care (2) | |
- Personal strain due to insufficient efficiency of treatment and perceived lack of competence (2) | |
- Lack of time (1) | |
- Financial losses because of time consuming psychological diagnosis (1) | |
No (8) |
a numbers in parentheses are numbers of responding informants