期刊
QUALITATIVE HEALTH RESEARCH
卷 21, 期 11, 页码 1495-1507出版社
SAGE PUBLICATIONS INC
DOI: 10.1177/1049732311413781
关键词
depression; health care, primary; health seeking; illness and disease, experiences; interviews, semistructured; qualitative analysis; research, qualitative
Many people with depression recognize their symptoms as depression, but fail to seek treatment for a number of years. We aimed to explore the reasons for this. Thirty primary care patients who screened positive for depression participated in semistructured, face-to-face interviews. Transcripts were analyzed using grounded thematic analysis. Patients who sought depression treatment emphasized their understanding of depression, their belief that treatment would work, and the negative consequences that would ensue if they did not seek treatment. Patients who did not seek treatment emphasized that treatment would not be effective, thought that depression would not last very long, and believed that depression did not affect their everyday lives. Patients' illness perceptions of depression were represented by and organized using the framework of the Self-Regulation Model of Illness Behavior. This model might be useful for planning patient activation intervention studies to increase the uptake of depression treatment in primary care.
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