From: Why do general practitioners prescribe antidepressants to their patients? A pilot study
Type of situation | Condition or characteristic | Total score of Influence(1)(n) | Prevalence(2)(n) | Most frequent influence score(3)(modus) |
---|---|---|---|---|
Psychiatric conditions | Anxiety (all) | 41 | 24 | 2 |
Major depressive episode (intense) | 40 | 20 | 2 | |
Depressive episode (mild) | 20 | 11 | 2 | |
Symptoms of bad mood without depression | 4 | 3 | 1 | |
Psychiatric-related past history | Past history of AD prescription | 30 | 23 | 2 |
Past history of depression | 24 | 19 | 1/2 | |
Family with psychiatric conditions | 8 | 10 | 1 | |
Past history of suicide attempt | 7 | 7 | 1 | |
Past history of excessive alcohol consumption | 4 | 6 | 0 | |
Past history: Hospitalised in psychiatric ward | 4 | 5 | 1 | |
Non-psychiatric conditions | Other chronic disease (e.g.: Diabetes type 2) | 22 | 35 | 0 |
Musculo- skeletal complaints or pain | 11 | 16 | 0 | |
Isolated fatigue | 11 | 10 | 2 | |
Isolated sleeping problems | 7 | 6 | 0/1 | |
Functional gastro-intestinal complaints: Irritable bowel syndrome | 5 | 12 | 0 | |
Sexual dysfunction, premature ejaculation | 5 | 5 | 0/2 | |
Specific neuropathic pain | 5 | 3 | 2 | |
Tension type headaches | 4 | 7 | 0 | |
Fibromyalgia | 4 | 3 | 2 | |
Chronic low back pain | 3 | 6 | 0 | |
Migraine | 2 | 3 | 0 | |
Dementia | 2 | 2 | 0/2 | |
Sciatica pain | 1 | 3 | 0 | |
Enuresis, incontinence | 0 | 3 | 0 | |
Non- psychiatric reasons | Chronic complaints | 13 | 12 | 1 |
Unexplained complaints | 10 | 13 | 1 | |
Diffused pain | 10 | 8 | 2 | |
Non- psychiatric past history | Past history of mistreatment/child abuse | 5 | 5 | 1 |
Past history of tobacco consumption | 2 | 18 | 0 | |
Past history of other addictions (e.g. Gambling) | 1 | 5 | 0 | |
Other factors | Work-related problems | 23 | 17 | 2 |
Recent bereavement/Recent death in entourage | 15 | 12 | 2 | |
Legal problems/Current legal situation | 8 | 4 | 2 | |
Position of family care giver | 7 | 7 | 1 | |
Physically or psychologically dependent patient | 6 | 7 | 0 | |
Facing discrimination | 6 | 5 | 1 | |
Social loneliness/Socially isolated patient | 6 | 5 | 1 | |
Disability (official status) | 5 | 8 | 0 | |
Current tobacco consumption | 2 | 14 | 0 | |
Other addictions (Opiates, gambling, etc.) | 2 | 6 | 0 | |
Excessive alcohol consumption | 2 | 3 | 0 | |
Replacement therapy (methadone, buprenorphine) | 0 | 1 | 0 |