Patient attitudes regarding causes of depression: implications for psychoeducation

Can J Psychiatry. 2003 Aug;48(7):493-5. doi: 10.1177/070674370304800711.

Abstract

Objective: Patient attitudes toward mental illness are an important determinant of treatment compliance and treatment outcome. A patient's age, sex, style of thinking, lifestyle, and beliefs all may influence perceptions. This study aimed to determine patient attitudes.

Method: Patients with a depressive disorder (n = 102) who were referred for psychiatric consultation and treatment to a community general hospitial psychiatric outpatient clinic completed a 9-item self-report questionnaire to determine their perceptions of the biological, psychological, cognitive, and spiritual causes of their depressive disorder.

Results: Women were more likely to endorse their depressive disorder as related to a biological abnormality. With respect to age, older individuals were less likely to identify cognitive factors and loss of spirituality as causal factors in their depression.

Conclusions: A relation exists between demographic variables, including sex and age, and beliefs about causes of depression and related disorders. These findings have implications for refining patient psychoeducation.

MeSH terms

  • Adult
  • Aged
  • Attitude to Health*
  • Bipolar Disorder / epidemiology
  • Bipolar Disorder / etiology*
  • Bipolar Disorder / psychology
  • Causality
  • Depressive Disorder, Major / epidemiology
  • Depressive Disorder, Major / etiology*
  • Depressive Disorder, Major / psychology
  • Dysthymic Disorder / epidemiology
  • Dysthymic Disorder / etiology*
  • Dysthymic Disorder / psychology
  • Female
  • Health Education
  • Hospitals, Community
  • Humans
  • Internal-External Control
  • Male
  • Middle Aged
  • Ontario
  • Outpatient Clinics, Hospital
  • Personality Assessment
  • Psychiatric Department, Hospital
  • Referral and Consultation
  • Sex Factors