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Why may older people with depression not present to primary care?
 — messages from secondary analysis of qualitative data
Author(s)Carolyn Chew-Graham, Marija Kovandzic, Linda Gask
Journal titleHealth and Social Care in the Community, vol 20, no 1, January 2012
Pagespp 52-60
Sourcehttp://www.ingentaconnect.com/content/bsc/hscc
KeywordsDepression ; General practice ; Medical care ; Diagnosis ; Usage [services] ; Attitude ; Qualitative Studies.
AnnotationDepression in older people is common, under-recognised and often undertreated. This study aimed to explore reasons why older people with depression may not present to primary care. Secondary analysis was carried out of qualitative data collected in two previous studies in North-West England. Study findings showed that older people are reluctant to recognise and name 'depression' as a set of symptoms that legitimises attending their general practitioner (GP). They do not consider themselves candidates for help for their distress. This is partly due to perceptions of the role of the GP but also to previous negative experiences of help seeking. In addition, treatments offered, which are predominantly biomedical, may not be acceptable to older people. Interventions offered to older people need to encourage social engagement, such as befriending, and enhancement of creative, physical and social activity. (JL).
Accession NumberCPA-120824005 A
ClassmarkENR: L5: LK: LK7: QLD: DP: 3DP

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