From: Why do general practitioners prescribe antidepressants to their patients? A pilot study
All patients n = 50 | All patients with at least one psychiatric diagnosis(1)n = 41 | All patients with a depressive episode(2)n = 31 | All patients with a major depressive episode (intense)(3)n = 20 | All patients with no psychiatric diagnosis n = 9 | ||
---|---|---|---|---|---|---|
Gender | Female | 34 | 29 | 21 | 13 | 5 |
Age | Mean/Range | 52.8 [19–91] | 50.6 [19–91] | 48.8 [19–91] | 45.8 [19–77] | 62 [40–84] |
Job | Professional activity | 26 | 22 | 17 | 11 | 3 |
Socio- professional class | Low income | 19 | 17 | 11 | 7 | 2 |
Intermediate to high income/ | 15 | 12 | 11 | 9 | 3 | |
retirement | 16 | 12 | 9 | 4 | 4 | |
Marital status | Living together/Married | 21 | 15 | 17 | 4 | 8 |
Single, Divorced, separation | 19 | 17 | 15 | 12 | 0 | |
Widowed | 10 | 9 | 9 | 4 | 1 | |
Relational conflicts in family | 18 | 17 | 15 | 11 | 1 | |
Current context | Disability (official status) | 8 | 6 | 5 | 3 | 2 |
Social loneliness/Socially isolated patient | 5 | 5 | 5 | 5 | 0 | |
Work-related problems | 17 | 14 | 10 | 5 | 3 | |
Legal problems/Current legal situation | 4 | 4 | 4 | 4 | 0 | |
Recent bereavement/Recent death in the entourage | 12 | 9 | 9 | 5 | 3 | |
Position of family care giver | 7 | 7 | 5 | 3 | 0 | |
Patient physically or psychologically dependent | 7 | 7 | 6 | 4 | 0 | |
Facing discrimination | 5 | 5 | 4 | 2 | 0 | |
Current tobacco consumption | 14 | 12 | 10 | 6 | 2 | |
Excessive alcohol consumption | 3 | 3 | 2 | 2 | 0 | |
Other addictions (Opiates, gambling, etc.) | 6 | 5 | 4 | 3 | 1 | |
Substitution therapy (methadone, buprenorphine) | 1 | 1 | 1 | 1 | 0 | |
Number of contextual factors by patient Mean/Range | 2.1 [0–6] | 2.31 [0–6] | 2.7 [0–6] | 2.6 [0–6] | 1.33 [0–4] | |
Past history of patient | Past history of suicide attempt | 6 | 6 | 4 | 3 | 0 |
Tobacco consumption | 18 | 15 | 12 | 8 | 3 | |
Past history of excessive alcohol consumption | 7 | 6 | 5 | 5 | 1 | |
Other addictions (e.g. opiates, gambling) | 4 | 3 | 4 | 3 | 1 | |
Past history of depression (different from current episode) | 19 | 18 | 14 | 8 | 1 | |
Past history: Hospitalised in psychiatric service, whatever the reason | 5 | 5 | 3 | 2 | 0 | |
Family with psychiatric conditions | 10 | 9 | 5 | 5 | 1 | |
Past history of AD prescription | 23 | 22 | 15 | 9 | 1 | |
Child abuse | 5 | 4 | 3 | 3 | 1 | |
Number of past history factors by patient | 2.1 [0–6] | 2.1 [0–6] | 2.3 [0–6] | 2.0 [0–9] | 1 [0–3] | |
Ongoing, non-psychiatric conditions | Isolated sleeping problems | 6 | 2 | 0 | 0 | 4 |
Dementia | 2 | 1 | 0 | 0 | 1 | |
Specific neuropathic pain | 3 | 1 | 1 | 1 | 2 | |
Sciatic pain | 3 | 3 | 2 | 2 | 0 | |
Migraine | 3 | 2 | 1 | 0 | 1 | |
Fibromyalgia | 3 | 1 | 1 | 1 | 2 | |
Musculo-skeletal complaints or pain | 16 | 14 | 13 | 7 | 2 | |
Tension type headaches | 7 | 7 | 4 | 3 | 0 | |
Isolated fatigue | 10 | 9 | 7 | 3 | 1 | |
Functional gastro-intestinal complaints: Irritable bowel syndrome | 12 | 9 | 6 | 0 | 3 | |
Sexual dysfunction, premature ejaculation | 5 | 4 | 3 | 3 | 1 | |
Enuresis, incontinence | 3 | 3 | 3 | 2 | 0 | |
Other chronic disease (e.g. Diabetes type 2) | 35 | 25 | 19 | 11 | 7 | |
Chronic low back pain | 6 | 5 | 2 | 2 | 1 | |
Number of non-psychiatric conditions by patient Mean/Range | 2.28 [0–7] | 2.09 [0–7] | 1.75 [0–6] | 2.0 [0–7] | 2.77 [1-5] | |
Ongoing non-psychiatric reasons | Chronic diffuse complaints | 12 | 12 | 10 | 6 | 0 |
Unexplained complaints | 13 | 11 | 8 | 3 | 2 | |
Diffused pain | 8 | 7 | 4 | 2 | 1 | |
All reasons and conditions by patient Mean/Range | 4.1 [ 1-9 ] | 4.2 [ 1-9 ] | 3.9 [ 1-9 ] | 4.22 [ 1-9 ] | 3.2 [ 1-5 ] |