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Related Concept Videos

Depression: Overview01:18

Depression: Overview

Depression is a prevalent mental illness marked by persistent sadness and lack of interest in previously enjoyable activities. It can take several forms, including major depression, persistent depressive disorder, and bipolar I and II disorders. Symptoms range from emotional changes like chronic worry to physical changes like sleep disturbances and suicidal thoughts. From a neurobiological perspective, depression is believed to be triggered by abnormalities in the brain's prefrontal cortex,...
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Depressive Disorders: MDD and Dysthymia

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Preventive Healthcare Services

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The Diagnostic and Statistical Manual of Mental Disorders (DSM) serves as the primary classification system for mental health disorders, providing standardized diagnostic criteria for clinicians and researchers. First published by the American Psychiatric Association (APA) in 1952, the DSM has undergone several revisions to reflect evolving psychiatric understanding. The fifth edition, DSM-5, released in 2013, introduced key updates that expanded diagnostic categories and modified diagnostic...

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Related Experiment Video

Updated: Jun 29, 2026

Association Between Sleep Quality and Cognitive Symptoms in Patients with Major Depressive Disorder
04:33

Association Between Sleep Quality and Cognitive Symptoms in Patients with Major Depressive Disorder

Published on: April 26, 2024

Patients' view on screening for depression in general practice.

K A Wittkampf1, M van Zwieten, F Th Smits

  • 1Department of Psychiatry, Programme for Mood Disorders, University of Amsterdam and Jellinenk Mentrum Mental Health Care, Amsterdam, The Netherlands. k.a.wittkampf@amc.uva.nl

Family Practice
|October 7, 2008
PubMed
Summary

Many patients screened positive for depression but resisted diagnosis due to stigma and doubts about treatment effectiveness. Understanding patient perspectives is crucial before offering depression treatment.

Related Experiment Videos

Last Updated: Jun 29, 2026

Association Between Sleep Quality and Cognitive Symptoms in Patients with Major Depressive Disorder
04:33

Association Between Sleep Quality and Cognitive Symptoms in Patients with Major Depressive Disorder

Published on: April 26, 2024

Area of Science:

  • Mental Health
  • General Practice
  • Qualitative Research

Background:

  • Depression is often unrecognized in general practice, leading to 'hidden morbidity'.
  • Screening programs for depression aim to improve detection, but results on patient outcomes are inconsistent.
  • Patient acceptance of depression diagnosis and subsequent treatment remains a challenge.

Purpose of the Study:

  • To explore the perspectives of patients who screened positive for depression in a general practice setting.
  • To understand patient acceptance of a depression diagnosis following screening.
  • To identify factors influencing patient willingness to engage with depression treatment.

Main Methods:

  • A qualitative study involving semi-structured in-depth interviews.
  • 17 adult patients diagnosed with major depressive disorder via a screening program in Dutch general practices participated.
  • Interview transcripts were independently analyzed by two researchers.

Main Results:

  • All interviewed patients appreciated the active screening approach.
  • While 15 patients recognized their depressive symptoms, 9 rejected the diagnosis.
  • Reasons for non-acceptance included fear of stigmatization, skepticism about labeling, viewing symptoms as normal reactions to adversity, and doubts about treatment necessity/effectiveness.

Conclusions:

  • Some patients identified through depression screening programs resist the diagnosis.
  • Factors such as stigma, perceived normality of symptoms, and treatment skepticism contribute to this resistance.
  • Eliciting patient views on depression is recommended before diagnosis and treatment initiation in screening contexts.