Health professional’s perception about antidepressants medication

Authors

  • Lilian Lopes Sharovsky Instituto de Psicologia Universidade de São Paulo https://orcid.org/0000-0001-8850-6310
  • Sílvia C. S. Gonçalves Centro Universitário das Faculdades Metropolitanas Unidas (FMU) https://orcid.org/0000-0002-4506-9947
  • Patrícia R. Vieira Centro Universitário das Faculdades Metropolitanas Unidas (FMU)
  • Natália Camargo Centro Universitário das Faculdades Metropolitanas Unidas (FMU)
  • Luciene Soares Centro Universitário das Faculdades Metropolitanas Unidas (FMU)
  • Bellkiss W. Romano Centro Universitário das Faculdades Metropolitanas Unidas (FMU)

DOI:

https://doi.org/10.5433/2236-6407.2013v4n1p2

Keywords:

treatment refusal, depression, occupational health, qualitative investigation

Abstract

The aim of the present study is to understand the health professional’s perception about the phenomenon of nonadherence the antidepressant medication when they are themselves patients. The participants were health professionals of a tertiary hospital in the city of São Paulo who were treated in the Ocupational Medicine Service and demonstrated nonadherence to antidepressant medication. A Qualitative clinical method was used and the collection of data was conducted through semi directed interviews. The results indicate that the participants perceived the medication as causing side effect, they expressed fear to a potential dependence to the psychoactive medication and were also afraid of being control over their mind. It s concluded that previous beliefs about their emotional problems and the use of antidepressant medication influenced the nonadherence the treatment, despite of their experience as health professionals.

Author Biographies

Lilian Lopes Sharovsky, Instituto de Psicologia Universidade de São Paulo

PhD in Health Sciences, Faculdade de Medicina, Universidade de São Paulo. Professor at the FMU University Center.

Sílvia C. S. Gonçalves, Centro Universitário das Faculdades Metropolitanas Unidas (FMU)

Psychologist graduated from the Centro Universitário das Faculdades Metropolitanas Unidas (FMU)

Patrícia R. Vieira, Centro Universitário das Faculdades Metropolitanas Unidas (FMU)

Psychologist graduated from the Centro Universitário das Faculdades Metropolitanas Unidas (FMU)

Natália Camargo, Centro Universitário das Faculdades Metropolitanas Unidas (FMU)

Psychologist graduated from the Centro Universitário das Faculdades Metropolitanas Unidas (FMU)

Luciene Soares, Centro Universitário das Faculdades Metropolitanas Unidas (FMU)

Psychologist graduated from the Centro Universitário das Faculdades Metropolitanas Unidas (FMU)

Bellkiss W. Romano, Centro Universitário das Faculdades Metropolitanas Unidas (FMU)

Associate Professor in Psychology at the Universidade de São Paulo, Director of the Psychology Service at the Heart Institute of HCFMUSP, Coordinator of the Faculty of Psychology at Centro Universitário FMU.

References

Bardin, L. (2007). Análise de conteúdo (L.A. Reto & A. Pinheiro, Trad.). São Paulo: Edições 70, Livraria Martins Fontes (Obra Original publicada em 1977).

Campos, E. P. (2005). Quem cuida do cuidador: Uma proposta para os profissionais da saúde. Petrópolis, RJ: Vozes.

Cunha, M. F. & Gandini, R. de C. (2009). Adesão e não-adesão ao tratamento farmacológico para depressão. Psicologia: Teoria e Pesquisa, 25(3), 409- 418. doi: 10.1590/S0102-37722009000300015.

De Schryver, E. L., van Gijn, J., Kappelle, L. J., Koudstaal, P. J., Algra, A., Dutch, & TIA trial and SPIRIT study groups (2005). Non-adherence to aspirin or oral anticoagulants in secondary prevention after ischaemic strok. J Neurol, 252(11), 1315-21. https://bit.ly/33oey50

DiMatteo, M. R.(2004). Variations in patients' adherence to medical recommendations: A quantitative review of 50 years of research. Med Care, 42(3), 200-9.

DiMatteo, M. R., Lepper, H. S., & Croghan, T. W. (2000). Depression is a risk factor for noncompliance with medical treatment: Meta-analysis of the effects of anxiety and depression on patient adherence. Arch Intern Med, 160(14), 2101-2107.

Gunnell, D. & Ashby D. (2004). Antidepressants and suicide: What is the balance of benefit and harm. BMJ, 329(7456): 34–38.

Haslam, C., Atkinson, S., Brown, S., Haslam, C. (2005). Perceptions of the impact of depression and anxiety and the medication for these conditions on safety in the workplace. Occup Environ Med, 62(8), 538–545. doi: 10.1136/oem.2004.016196. PMCID: PMC1741070.

Ho, P. M., Spertus, J. A, Masoudi, F. A., Reid, K. J., Peterson, E. D., Magid, D. J., Krumholz, H. M., & Rumsfeld, J. S. (2006). Impact on medication therapy discontinuation on mortality after myocardial infarction. Arch Intern Med, 166(17), 1842-1847.

Hopfield, J., Linden, R. M., Tevelow, B. J. (2006). Getting patients to take their medicine. McKinsey Quarterly. http://www.mckinseyquarterly.com/Getting_patients_to_take_their_medici ne_1872. Jacobs, L. (2002). Are your patients taking what you prescribe? A major determinant: Clinician-patient communication. The Permanent Journal, 6(3), pp. 59-61.

Kehl, M. R. (2009). O tempo e o cão: A atualidade das depressões. São Paulo: Boitempo.

Manber, R., Chambers, A. S., Hitt, S. K., McGauhney, C., Delgado, P., & Allen, J. J. B. (2003). Patients' perception of their depressive illness. Journal of Psychiatric Research, 37, 335-343. Disponível em http://128.196.99.80/JJBAReprints/Manber_et_al_J_Psych_Res_2003.pdf

Middleton, N., Gunnel, D., Whitley, E., Dorling, D., & Frankel, S. (2001). Secular trends in antidepressant prescribing in the UK, 1975-1998. J Public Health Med, 23(4), pp.262-267.

Nogueira-Martins, L. A. (2003). Saúde mental dos profissionais de saúde. Revista Brasileira de Medicina do Trabalho, 1(1), 56-68.

Nutt, D. J. (2010). Rationale for, barriers to, and appropriate medication for the long-term treatment of depression. J Clin Psychiatry,71(Suppl E1:e02).

Organização Mundial da Saúde (OMS). (2012). Depression. Acessado em outubro 2012. http://www.emro.who.int/health-topics/depression/

Oeler-Canet S., Lacasta-Tintorer, D., Rodriguez, J.C., Flamarich_Zampato, D., & Front-Canal, T. (2011). Do depression patients comply with treatments prescribed? A cross-sectional study of adherence to the antidepressant treatment. Acta Esp Psiquiatr, 39(5), 288-93.

Pampallona, S., Bollini, P., Tibaldi, G., Kupelnick, B., & Munizza, C. (2004). Combined pharmacotherapy and psychological treatment for depression: A systematic review. Arch Gen Psychiatry, 61(7), 714-719.

Sirriyeh, R., Lawton,R., Gardner, P., Armitage,G. (2010). Coping with medical error: A systematic review of papers to assess the effects of involvement in medical errors on healthcare professionals psychological well-being. Qual Saf Health Care, 19(Suppl e:43), doi:10.1136/qshc.2009.035253.

Turato, E. R. (2010). Tratado da Metodologia da pesquisa clínica-qualitativa: Construção tórica-epistemológica, discussão comparada e aplicação nas áreas da saúde e humanas. 4ª edição. Petrópolis, RJ:Vozes.

Wade, A. G., Häring, J. A. (2010). A review of the costs associated with depression and treatment noncompliance: The potential benefits of online support. Intern Clin Psychopharmacol, 25(5), 288-96.

Published

2013-05-08

How to Cite

Sharovsky, L. L., Gonçalves, S. C. S., Vieira, P. R., Camargo, N., Soares, L., & Romano, B. W. (2013). Health professional’s perception about antidepressants medication. Estudos Interdisciplinares Em Psicologia, 4(1), 2–14. https://doi.org/10.5433/2236-6407.2013v4n1p2

Issue

Section

Original Articles