Depression care attitudes and practices of newer obstetrician-gynecologists: A national survey
Objective: The study was undertaken to assess attitudes and behavior of newer obstetricians/gynecologists in depression care. Study Design: One thousand randomly selected physicians in their final year of training or recent practice received a survey about depression: training; related attitudes, re...
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| Veröffentlicht in: | American journal of obstetrics and gynecology 2003-07, Vol.189 (1), p.267-273 |
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| container_title | American journal of obstetrics and gynecology |
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| creator | Dietrich, Allen J. Williams, John W. Ciotti, Mary C. Schulkin, Jay Stotland, Nada Rost, Kathryn Baram, David Cornell, John |
| description | Objective: The study was undertaken to assess attitudes and behavior of newer obstetricians/gynecologists in depression care. Study Design: One thousand randomly selected physicians in their final year of training or recent practice received a survey about depression: training; related attitudes, responsibility, confidence; and self-reported care for the last depressed patient. Results: Of those eligible, 437 (64%) returned the survey. Current residents reported more didactic mental health training, but practice patterns were similar to recent graduates. Overall, 94% felt responsible for recognition, whereas about half indicated asking about substance abuse, sexual abuse, or physical abuse, 37% expressed confidence in their ability to treat with medications, and 22% felt confident in their ability to manage depression overall. Conclusion: Residents are receiving more didactic mental health training, yet changes in training are not yet reflected in reported practice patterns or confidence. The use of antidepressant medications and assessment of contributing conditions such as abuse deserve more emphasis in training. (Am J Obstet Gynecol 2003;189:267-73.) |
| doi_str_mv | 10.1067/mob.2003.410 |
| format | Article |
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Study Design: One thousand randomly selected physicians in their final year of training or recent practice received a survey about depression: training; related attitudes, responsibility, confidence; and self-reported care for the last depressed patient. Results: Of those eligible, 437 (64%) returned the survey. Current residents reported more didactic mental health training, but practice patterns were similar to recent graduates. Overall, 94% felt responsible for recognition, whereas about half indicated asking about substance abuse, sexual abuse, or physical abuse, 37% expressed confidence in their ability to treat with medications, and 22% felt confident in their ability to manage depression overall. Conclusion: Residents are receiving more didactic mental health training, yet changes in training are not yet reflected in reported practice patterns or confidence. The use of antidepressant medications and assessment of contributing conditions such as abuse deserve more emphasis in training. (Am J Obstet Gynecol 2003;189:267-73.)</description><identifier>ISSN: 0002-9378</identifier><identifier>EISSN: 1097-6868</identifier><identifier>DOI: 10.1067/mob.2003.410</identifier><identifier>PMID: 12861173</identifier><identifier>CODEN: AJOGAH</identifier><language>eng</language><publisher>Philadelphia, PA: Mosby, Inc</publisher><subject>Adult ; Attitude of Health Personnel ; Biological and medical sciences ; depression ; Depression - diagnosis ; Depression - therapy ; Depressive disorders ; Diseases of mother, fetus and pregnancy ; education ; Female ; Female genital diseases ; graduate ; gynecology ; Gynecology - education ; Gynecology - trends ; Gynecology. Andrology. Obstetrics ; Humans ; Internship and Residency ; Male ; medical ; Medical sciences ; Non tumoral diseases ; obstetrics ; Obstetrics - education ; Obstetrics - trends ; Physicians ; postpartum ; Pregnancy. Fetus. Placenta ; Surveys and Questionnaires</subject><ispartof>American journal of obstetrics and gynecology, 2003-07, Vol.189 (1), p.267-273</ispartof><rights>2003</rights><rights>2004 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c364t-e91d17025c7b1cbdd2f643bf18b968145335ab7b6e7c1f144c7bfb8d4b0702d3</citedby><cites>FETCH-LOGICAL-c364t-e91d17025c7b1cbdd2f643bf18b968145335ab7b6e7c1f144c7bfb8d4b0702d3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1067/mob.2003.410$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,780,784,3550,27924,27925,45995</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=15015392$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/12861173$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Dietrich, Allen J.</creatorcontrib><creatorcontrib>Williams, John W.</creatorcontrib><creatorcontrib>Ciotti, Mary C.</creatorcontrib><creatorcontrib>Schulkin, Jay</creatorcontrib><creatorcontrib>Stotland, Nada</creatorcontrib><creatorcontrib>Rost, Kathryn</creatorcontrib><creatorcontrib>Baram, David</creatorcontrib><creatorcontrib>Cornell, John</creatorcontrib><title>Depression care attitudes and practices of newer obstetrician-gynecologists: A national survey</title><title>American journal of obstetrics and gynecology</title><addtitle>Am J Obstet Gynecol</addtitle><description>Objective: The study was undertaken to assess attitudes and behavior of newer obstetricians/gynecologists in depression care. Study Design: One thousand randomly selected physicians in their final year of training or recent practice received a survey about depression: training; related attitudes, responsibility, confidence; and self-reported care for the last depressed patient. Results: Of those eligible, 437 (64%) returned the survey. Current residents reported more didactic mental health training, but practice patterns were similar to recent graduates. Overall, 94% felt responsible for recognition, whereas about half indicated asking about substance abuse, sexual abuse, or physical abuse, 37% expressed confidence in their ability to treat with medications, and 22% felt confident in their ability to manage depression overall. Conclusion: Residents are receiving more didactic mental health training, yet changes in training are not yet reflected in reported practice patterns or confidence. The use of antidepressant medications and assessment of contributing conditions such as abuse deserve more emphasis in training. (Am J Obstet Gynecol 2003;189:267-73.)</description><subject>Adult</subject><subject>Attitude of Health Personnel</subject><subject>Biological and medical sciences</subject><subject>depression</subject><subject>Depression - diagnosis</subject><subject>Depression - therapy</subject><subject>Depressive disorders</subject><subject>Diseases of mother, fetus and pregnancy</subject><subject>education</subject><subject>Female</subject><subject>Female genital diseases</subject><subject>graduate</subject><subject>gynecology</subject><subject>Gynecology - education</subject><subject>Gynecology - trends</subject><subject>Gynecology. Andrology. Obstetrics</subject><subject>Humans</subject><subject>Internship and Residency</subject><subject>Male</subject><subject>medical</subject><subject>Medical sciences</subject><subject>Non tumoral diseases</subject><subject>obstetrics</subject><subject>Obstetrics - education</subject><subject>Obstetrics - trends</subject><subject>Physicians</subject><subject>postpartum</subject><subject>Pregnancy. Fetus. Placenta</subject><subject>Surveys and Questionnaires</subject><issn>0002-9378</issn><issn>1097-6868</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2003</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpt0D1rHDEQgGEREuKzky51UJNU3otmpZV20xnnEwxpXEfoY9Yo7EkXSWtz_z467sBNKjHwzCBeQt4B2wKT6tMu2W3PGN8KYC_IBtikOjnK8SXZMMb6buJqvCCXpfw5jv3UvyYX0I8SQPEN-f0F9xlLCSlSZzJSU2uoq8dCTfR0n42rwbUpzTTiE2aabKlYc3DBxO7hENGlJT2EUstnekOjqe2UWWhZ8yMe3pBXs1kKvj2_V-T-29f72x_d3a_vP29v7jrHpagdTuBBsX5wyoKz3vezFNzOMNpJjiAGzgdjlZWoHMwgRHOzHb2wrG15fkU-ns7uc_q7Yql6F4rDZTER01q04kKBBNHg9Qm6nErJOOt9DjuTDxqYPubULac-5tQtZ-Pvz3dXu0P_jM_9GvhwBqY4s8zZRBfKsxsYDHzqm5Mnhy3CY8CsiwsYHfqQ0VXtU_j_D_4BUQuRTg</recordid><startdate>20030701</startdate><enddate>20030701</enddate><creator>Dietrich, Allen J.</creator><creator>Williams, John W.</creator><creator>Ciotti, Mary C.</creator><creator>Schulkin, Jay</creator><creator>Stotland, Nada</creator><creator>Rost, Kathryn</creator><creator>Baram, David</creator><creator>Cornell, John</creator><general>Mosby, Inc</general><general>Elsevier</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20030701</creationdate><title>Depression care attitudes and practices of newer obstetrician-gynecologists: A national survey</title><author>Dietrich, Allen J. ; Williams, John W. ; Ciotti, Mary C. ; Schulkin, Jay ; Stotland, Nada ; Rost, Kathryn ; Baram, David ; Cornell, John</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c364t-e91d17025c7b1cbdd2f643bf18b968145335ab7b6e7c1f144c7bfb8d4b0702d3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2003</creationdate><topic>Adult</topic><topic>Attitude of Health Personnel</topic><topic>Biological and medical sciences</topic><topic>depression</topic><topic>Depression - diagnosis</topic><topic>Depression - therapy</topic><topic>Depressive disorders</topic><topic>Diseases of mother, fetus and pregnancy</topic><topic>education</topic><topic>Female</topic><topic>Female genital diseases</topic><topic>graduate</topic><topic>gynecology</topic><topic>Gynecology - education</topic><topic>Gynecology - trends</topic><topic>Gynecology. Andrology. Obstetrics</topic><topic>Humans</topic><topic>Internship and Residency</topic><topic>Male</topic><topic>medical</topic><topic>Medical sciences</topic><topic>Non tumoral diseases</topic><topic>obstetrics</topic><topic>Obstetrics - education</topic><topic>Obstetrics - trends</topic><topic>Physicians</topic><topic>postpartum</topic><topic>Pregnancy. Fetus. Placenta</topic><topic>Surveys and Questionnaires</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Dietrich, Allen J.</creatorcontrib><creatorcontrib>Williams, John W.</creatorcontrib><creatorcontrib>Ciotti, Mary C.</creatorcontrib><creatorcontrib>Schulkin, Jay</creatorcontrib><creatorcontrib>Stotland, Nada</creatorcontrib><creatorcontrib>Rost, Kathryn</creatorcontrib><creatorcontrib>Baram, David</creatorcontrib><creatorcontrib>Cornell, John</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>American journal of obstetrics and gynecology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Dietrich, Allen J.</au><au>Williams, John W.</au><au>Ciotti, Mary C.</au><au>Schulkin, Jay</au><au>Stotland, Nada</au><au>Rost, Kathryn</au><au>Baram, David</au><au>Cornell, John</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Depression care attitudes and practices of newer obstetrician-gynecologists: A national survey</atitle><jtitle>American journal of obstetrics and gynecology</jtitle><addtitle>Am J Obstet Gynecol</addtitle><date>2003-07-01</date><risdate>2003</risdate><volume>189</volume><issue>1</issue><spage>267</spage><epage>273</epage><pages>267-273</pages><issn>0002-9378</issn><eissn>1097-6868</eissn><coden>AJOGAH</coden><abstract>Objective: The study was undertaken to assess attitudes and behavior of newer obstetricians/gynecologists in depression care. Study Design: One thousand randomly selected physicians in their final year of training or recent practice received a survey about depression: training; related attitudes, responsibility, confidence; and self-reported care for the last depressed patient. Results: Of those eligible, 437 (64%) returned the survey. Current residents reported more didactic mental health training, but practice patterns were similar to recent graduates. Overall, 94% felt responsible for recognition, whereas about half indicated asking about substance abuse, sexual abuse, or physical abuse, 37% expressed confidence in their ability to treat with medications, and 22% felt confident in their ability to manage depression overall. Conclusion: Residents are receiving more didactic mental health training, yet changes in training are not yet reflected in reported practice patterns or confidence. The use of antidepressant medications and assessment of contributing conditions such as abuse deserve more emphasis in training. (Am J Obstet Gynecol 2003;189:267-73.)</abstract><cop>Philadelphia, PA</cop><pub>Mosby, Inc</pub><pmid>12861173</pmid><doi>10.1067/mob.2003.410</doi><tpages>7</tpages></addata></record> |
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| ispartof | American journal of obstetrics and gynecology, 2003-07, Vol.189 (1), p.267-273 |
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| subjects | Adult Attitude of Health Personnel Biological and medical sciences depression Depression - diagnosis Depression - therapy Depressive disorders Diseases of mother, fetus and pregnancy education Female Female genital diseases graduate gynecology Gynecology - education Gynecology - trends Gynecology. Andrology. Obstetrics Humans Internship and Residency Male medical Medical sciences Non tumoral diseases obstetrics Obstetrics - education Obstetrics - trends Physicians postpartum Pregnancy. Fetus. Placenta Surveys and Questionnaires |
| title | Depression care attitudes and practices of newer obstetrician-gynecologists: A national survey |
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