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Houding van huisartsen ten aanzien van preventie van angst en depressie bij ouderen

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Tijdschrift voor gezondheidswetenschappen Aims and scope

Doel: Preventie van angst- en depressieve stoornissen bij ouderen met symptomen van angst en depressie is zinvol. Wij onderzochten de houding van huisartsen ten aanzien van preventie op dit terrein en de kansen tot verbetering van preventietaken. Methode: 700 huisartsen ontvingen een vragenlijst (respons is 263, 38%). Het preventiegedrag van huisartsen en hun mening over de zinvolheid van screenen op angst en depressie werden gerelateerd aan huisarts-, praktijk- en populatiekenmerken. Ook is onderzocht welke barrières samengaan met preventie. Resultaten: Een derde van de huisartsen vindt screenen op angst en depressie bij ouderen zinvol. Ongeveer driekwart vindt zichzelf extra alert op angst en depressieve symptomen bij ouderen uit hoogrisicogroepen. Vergeleken met ‘extra alert zijn’ vinden zij dat zij minder vaak ongevraagd advies geven over interventiemogelijkheden. Er is meer aandacht voor preventie bij ouderen met somatische en/of psychosociale risicofactoren voor angst en depressie dan bij ouderen met sociaaldemografische risicofactoren. Praktische barrières bij preventie worden het vaakst genoemd. Minder vertrouwen in de effectiviteit van interventies gaat samen met minder vaak ongevraagd adviseren. Meer vertrouwen in de behoefte en motivatie van de doelgroep gaat samen met de mening dat screenen zinvol is. Conclusie: Hoewel huisartsen aangeven alert te zijn op angst en depressie bij ouderen, vinden ze screening en ongevraagd adviseren minder zinvol. Sommige barrières voor screening en ongevraagd adviseren zouden kunnen worden weggenomen. Dit kan leiden tot een verandering in houding en verbeterde preventie.

Abstract

Attitude of General Practitioners towards prevention of anxiety and depression in the elderly

Aim: Prevention of anxiety and depression in later life is effective. We examined the attitude of general practitioners (GPs) towards prevention aimed at elderly with a high risk on anxiety and depression; and also chances for improvement. Methods: 700 GPs received a questionnaire (response is 263, 38%). The preventive activities of GPs and their perception regarding benefits of screening were related to GP, practice, and population characteristics. Besides, the relations between barriers and prevention were studied. Results: One-third of the GPs finds screening for symptoms of anxiety and depression in the elderly relevant. Threequarters find themselves alert for symptoms of anxiety and depression in elderly from high risk groups. Compared to ‘being extra alert’, they find themselves less likely to actively advise on intervention possibilities. They pay more attention to prevention in elderly with somatic and psychosocial risk factors than in elderly with sociodemographic risk factors. Practical barriers in providing prevention were mentioned most frequently. Having doubts about the efficacy of interventions was related to less often actively advising. Having confidence in the needs and the motivation of the elderly was related to the GPs perception that screening is effective. Conclusion: Although GPs report being alert for anxiety and depression in elderly, they have doubts about the benefits of screening and actively advising. Some barriers might be removed. This may result in a different attitude and improved intervention.

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Authors and Affiliations

  1. Leids Universitair Medisch Centrum, Leiden, The Netherlands

    D. J. A. van van Dijk-Dijk, M. R. Crone, G. M. van der Weele, W. J. J. Assendelft & B. J. C. Middelkoop

  2. GGD Hollands Midden, Leiden, The Netherlands

    D. J. A. van van Dijk-Dijk

  3. AWP Publieke Gezondheid Noordelijk Zuid-Holland, Leiden, The Netherlands

    D. J. A. van van Dijk-Dijk, M. R. Crone, P. van Empelen, W. J. J. Assendelft & B. J. C. Middelkoop

  4. TNO Life Style, Leiden, The Netherlands

    P. van Empelen

  5. GGD Den Haag, Den Haag, The Netherlands

    B. J. C. Middelkoop

  6. NHG, Utrecht, The Netherlands

    G. M. van der Weele

  7. LUMC/PHEG, 2300, Leiden, The Netherlands

    D. J. A. van van Dijk-Dijk

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  1. D. J. A. van van Dijk-Dijk
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van van Dijk-Dijk, D.J.A., Crone, M.R., van der Weele, G.M. et al. Houding van huisartsen ten aanzien van preventie van angst en depressie bij ouderen. Tijds. gezondheids.wetenschappen 90, 224–232 (2012). https://doi.org/10.1007/s12508-012-0090-0

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