Programme no. 103-SY
Quality Improvement
Depression treatment in the primary care context – pills, psychology, or other panacea?
Cecilia Björkelund*1, Annette Sofie Davidsen*2, María Ólafsdóttir*3, Dominique Hange4, Sigrid Salomonsson*5, Pekka Mäntyselkä*6, Kaj Sparle Christensen7
1Primary health Care,University of Gothenburg,40530 Göteborg,Sweden, 2Institute of Public Health,Faculty Of Health Sciences,Copenhagen,Denmark, 3Primary health Care,University of Iceland,Reykjavik,Ireland, 4Primary health Care,University of Gothenburg,40530 Göteborg,Sweden, 5Institution of Clinical Neurosciences,Karolinska Institute,Stockholm,Sweden, 6Primary health Care,University of Eastern Finland, Joensuu,Finland, 7Research training,Institute of Public Health,Aarhus,Denmark
* = Presenting author
Symposium
Objectives: To present studies on depression treatment and depression management performed in the primary care context . To present new evidence-based methods for use in clinical primary care practice
Background: Despite the fact that most patients with mild or moderate depression are treated in primary health care, only little research on management of depression has been conducted at primary health care settings, also in the Nordic countries. Recommendations on case-finding and treatment have mainly been based on research at psychiatric settings, where a smaller proportion of patients with mild and moderate depression are treated. Consequently, there is need for evaluating new evidence-based methods for use in clinical practice so that patients get the most up-to-date treatment available. In addition, research efforts should focus on new care models suited for patients with depression who attend primary health care.

Is the SSRI the doctor’s preference in depression treatment? Should all depressions undergo psychotherapy? Is internet mediated CBT effective? What are the patients’ views on regular use of self-assessment instrument? Does continuity and accessibility give therapeutic effects?

Content:

Dominique Hange: moderator

Annette Sofie Davidsen: Perspectives on antidepressant therapy.

María Ólafsdóttir: Study on men with depression, and clinical aspects on mental health in primary care

Pekka Mäntyselkä: Depressive symptoms and comorbidity

Cecilia Björkelund: Treatment as usual: the drug of choice? MADRS-S and ICBT – as effective as TAU?

Sigrid Salomonsson: Support for return to work for the individual with depression in primary care

Kaj Sparle Christensen: Diagnostics and treatment of depression in general practice.

Method: Oral presentations and general discussions
Other considerations: 0