Cargando…
Patients’ and clinicians’ perspectives on relevant treatment outcomes in depression: qualitative study
BACKGROUND: Although symptomatic remission is considered the optimal outcome in depression, this is not always achieved. Furthermore, symptom indicators do not fully capture patients’ and clinicians’ perspectives on remission. Broader indicators of (partial) remission from depression should be consi...
Autores principales: | , , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Cambridge University Press
2020
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7331080/ https://www.ncbi.nlm.nih.gov/pubmed/32364101 http://dx.doi.org/10.1192/bjo.2020.27 |
_version_ | 1783553249443315712 |
---|---|
author | Kan, Kaying Jörg, Frederike Buskens, Erik Schoevers, Robert A. Alma, Manna A. |
author_facet | Kan, Kaying Jörg, Frederike Buskens, Erik Schoevers, Robert A. Alma, Manna A. |
author_sort | Kan, Kaying |
collection | PubMed |
description | BACKGROUND: Although symptomatic remission is considered the optimal outcome in depression, this is not always achieved. Furthermore, symptom indicators do not fully capture patients’ and clinicians’ perspectives on remission. Broader indicators of (partial) remission from depression should be considered. AIMS: To investigate relevant outcomes of depression treatment in specialist care from patients’ and clinicians’ perspectives and to investigate whether these perspectives differ from each other. METHOD: Three focus groups with 11 patients with depression and seven semi-structured interviews with clinicians were conducted exploring their perspectives on remission. All interviews were audio-recorded and transcribed verbatim. We analysed the transcripts thematically using the phenomenologist approach. RESULTS: Independently, both patients and clinicians perceived the following outcomes relevant: restoring social functioning and interpersonal relations, regaining quality of life and achieving personal goals. All clinicians emphasised symptom reduction and satisfaction with treatment as relevant outcomes, whereas the former was not an obvious theme in patients. Unlike clinicians, patients made a clear distinction between treatment outcomes in first versus recurrent/chronic depression. CONCLUSIONS: Classically defined study outcomes based on symptom resolution only partly reflect issues considered important by patients and clinicians in specialist depression treatment. Incorporating patients’ and clinicians’ perspectives in the development of measurable end-points makes them more suitable for use in trials and subsequent translation to clinical practice. Furthermore, evaluating patients’ perspectives on treatment outcomes helps in the development of tailored interventions according to patients’ needs. |
format | Online Article Text |
id | pubmed-7331080 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | Cambridge University Press |
record_format | MEDLINE/PubMed |
spelling | pubmed-73310802020-07-09 Patients’ and clinicians’ perspectives on relevant treatment outcomes in depression: qualitative study Kan, Kaying Jörg, Frederike Buskens, Erik Schoevers, Robert A. Alma, Manna A. BJPsych Open Papers BACKGROUND: Although symptomatic remission is considered the optimal outcome in depression, this is not always achieved. Furthermore, symptom indicators do not fully capture patients’ and clinicians’ perspectives on remission. Broader indicators of (partial) remission from depression should be considered. AIMS: To investigate relevant outcomes of depression treatment in specialist care from patients’ and clinicians’ perspectives and to investigate whether these perspectives differ from each other. METHOD: Three focus groups with 11 patients with depression and seven semi-structured interviews with clinicians were conducted exploring their perspectives on remission. All interviews were audio-recorded and transcribed verbatim. We analysed the transcripts thematically using the phenomenologist approach. RESULTS: Independently, both patients and clinicians perceived the following outcomes relevant: restoring social functioning and interpersonal relations, regaining quality of life and achieving personal goals. All clinicians emphasised symptom reduction and satisfaction with treatment as relevant outcomes, whereas the former was not an obvious theme in patients. Unlike clinicians, patients made a clear distinction between treatment outcomes in first versus recurrent/chronic depression. CONCLUSIONS: Classically defined study outcomes based on symptom resolution only partly reflect issues considered important by patients and clinicians in specialist depression treatment. Incorporating patients’ and clinicians’ perspectives in the development of measurable end-points makes them more suitable for use in trials and subsequent translation to clinical practice. Furthermore, evaluating patients’ perspectives on treatment outcomes helps in the development of tailored interventions according to patients’ needs. Cambridge University Press 2020-05-04 /pmc/articles/PMC7331080/ /pubmed/32364101 http://dx.doi.org/10.1192/bjo.2020.27 Text en © The Author(s) 2020 http://creativecommons.org/licenses/by/4.0/ http://creativecommons.org/licenses/by/4.0/This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Papers Kan, Kaying Jörg, Frederike Buskens, Erik Schoevers, Robert A. Alma, Manna A. Patients’ and clinicians’ perspectives on relevant treatment outcomes in depression: qualitative study |
title | Patients’ and clinicians’ perspectives on relevant treatment outcomes in depression: qualitative study |
title_full | Patients’ and clinicians’ perspectives on relevant treatment outcomes in depression: qualitative study |
title_fullStr | Patients’ and clinicians’ perspectives on relevant treatment outcomes in depression: qualitative study |
title_full_unstemmed | Patients’ and clinicians’ perspectives on relevant treatment outcomes in depression: qualitative study |
title_short | Patients’ and clinicians’ perspectives on relevant treatment outcomes in depression: qualitative study |
title_sort | patients’ and clinicians’ perspectives on relevant treatment outcomes in depression: qualitative study |
topic | Papers |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7331080/ https://www.ncbi.nlm.nih.gov/pubmed/32364101 http://dx.doi.org/10.1192/bjo.2020.27 |
work_keys_str_mv | AT kankaying patientsandcliniciansperspectivesonrelevanttreatmentoutcomesindepressionqualitativestudy AT jorgfrederike patientsandcliniciansperspectivesonrelevanttreatmentoutcomesindepressionqualitativestudy AT buskenserik patientsandcliniciansperspectivesonrelevanttreatmentoutcomesindepressionqualitativestudy AT schoeversroberta patientsandcliniciansperspectivesonrelevanttreatmentoutcomesindepressionqualitativestudy AT almamannaa patientsandcliniciansperspectivesonrelevanttreatmentoutcomesindepressionqualitativestudy |