Skip to main content

Advertisement

Log in

Mental Health Treatment Preferences of Primary Care Patients

  • Published:
Journal of Behavioral Medicine Aims and scope Submit manuscript

Primary care patients were surveyed about emotional symptoms, treatment history, and treatment preferences. Four hundred and one patients completed questionnaires while waiting for appointments, and 271 (68%) mailed back additional materials. Many patients expressed a desire for help with the way they were feeling; understanding the cause of one's feelings was most commonly identified as likely to be helpful. Most preferred individual intervention. A range of attitudes and pragmatic concerns were barriers to seeking care. More patients said that they would likely to attend a fitness program than counseling, stress management, or healthy living classes. Distressed patients were more likely to say that they would seek medications and less likely to feel that they weren't the type to seek care or that they could work it out themselves. This work supports the need for continued patient education and for primary care-based mental health services that are responsive to patients’ preferences.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

Notes

  1. This question was on the demographic questionnaire so is available for all participants.

REFERENCES

  • Alegria, M., Canino, G., Rios, R., Vera, M., Calderon, J., Rusch, D., and Ortega, A. N. (2002). Inequalities in use of specialty mental health services among Latinos, African Americans, and non-Latino whites. Psychiatr. Serv. 53: 1547–1555.

    Article  PubMed  Google Scholar 

  • Ballenger, J. C., Davidson, J. R. T., Lecrubier, Y., Nutt, D. J., Goldberg, D., Magruder, K. M., Schulberg, H. C., Tylee, A., and Wittchen, H.-U. (1999). Consensus statement on the primary care management of depression from the International Consensus Group on Depression and Anxiety. J. Clin. Psychiatry 60 (suppl. 7): 54–61.

    PubMed  Google Scholar 

  • Brody, D. S., Khaliq, A. A., and Thompson, T. L. (1997). Patients’ perspectives on the management of emotional distress in primary care settings. J. Gen. Intern. Med. 112: 403–406.

    Article  Google Scholar 

  • Chilvers, C., Dewey, M., Fielding, K., Gretton, V., Miller, P., Palmer, B., Weller, D., Churchill, R., Williams, I., Bedi, N. et al. (2001). Antidepressant drugs and generic counselling for treatment of major depression in primary care: Randomised trial with patient preference arms. Br. Med. J. 322: 1–5.

    Article  Google Scholar 

  • Cooper-Patrick, L., Powe, N. R., Jenckes, M. W., Gonzales, J. J., Levine, D. M., and Ford, D. E. (1997). Identification of patient attitudes and preferences regarding treatment of depression. J. Gen. Intern. Med. 12: 431–438.

    Article  PubMed  CAS  Google Scholar 

  • Derogatis, L. R. (1999). Brief Symptom Inventory 18. National Computer Systems, Inc., Minneapolis, MN.

  • Diala, C. C., Muntaner, C., Walrath, C., Nickerson, K., LaVeist, T., and Leaf, P. (2001). Racial/ethnic differences in attitudes toward seeking professional mental health services. Am. J. Public Health 91: 805–807.

    Article  PubMed  CAS  Google Scholar 

  • Dwight-Johnson, M., Sherbourne, C. D., Liao, D., and Wells, K. B. (2000). Treatment preferences among depressed primary care patients. J. Gen. Intern. Med. 15: 527–534.

    Article  PubMed  CAS  Google Scholar 

  • Dwight-Johnson, M., Unutzer, J., Sherbourne, C., Tang, L., and Wells, K. B. (2001). Can quality improvement programs for depression in primary care address patient preferences for treatment? Med. Care 39: 934–944.

    Article  PubMed  CAS  Google Scholar 

  • Ford, D. E. (1994). Recognition and underrecognition of mental disorders in adult primary care. In Miranda, J., Hohmann, A. A., Attkinsson, C. C., and Larson, D. B. (Eds.), Mental Disorders in Primary Care. Jossey-Bass, San Francisco, CA, pp. 186–205.

    Google Scholar 

  • Garteis, M., Edgman-Levitan, S., Daley, J., and Delbanco, T. L. (1993). Through the Patient's Eyes: Understanding and Promoting Patient-Centered Care. Jossey-Bass, San Francisco, CA.

    Google Scholar 

  • Goldberg, D. (1999). The management of anxious depression in primary care. J. Clin. Psychiatry 60(suppl. 7): 39–42.

    PubMed  Google Scholar 

  • Hopko, D. R., Lejeuz, C. W., Ruggerio, K. J., and Eifert, G. H. (2003). Contemporary behavioral activation treatment for depression: Procedures, principles, and progress. Clin. Psychol. Rev. 23: 699–717.

    Article  PubMed  Google Scholar 

  • Jorm, A. F., Korten, A. E., Jacomb, P. A., Christensen, H., Rodgers, B., and Pollitt, P. (1997). “Mental health literacy”: A survey of the public's ability to recognise mental disorders and their beliefs about the effectiveness of treatment. Med. J. Aust. 166: 182–186.

    PubMed  CAS  Google Scholar 

  • Olfson, M., Fireman, B., Weissman, M. M., Leon, A. C., Sheehan, D. V., Kathol, R. G., Hoven, C., and Farber, L. (1997). Mental disorders and disability among patients in a primary care group practice. Am. J. Psychiatry 154: 1734–1740.

    PubMed  CAS  Google Scholar 

  • Regier, D. A., Narrow, W. E., Rae, D. S., Manderscheid, R. W., Locke, B. Z., and Goodwin, F. K. (1993). The de facto US mental health and addictive disorders service system: Epidemiologic catchment area prospective 1-year prevalence rates of disorders and services. Arch. Gen. Psychiatry 50: 85–94.

    PubMed  CAS  Google Scholar 

  • Strosahl, K. (1996). Confessions of a behavior therapist in primary care: The odyssey and the ecstasy. Cogn. Behav. Pract. 3: 1–28.

    Article  Google Scholar 

Download references

ACKNOWLEDGMENTS

This study was funded by NIMH grant K23 MH63152.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Ariel J. Lang.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Lang, A.J. Mental Health Treatment Preferences of Primary Care Patients. J Behav Med 28, 581–586 (2005). https://doi.org/10.1007/s10865-005-9019-2

Download citation

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s10865-005-9019-2

KEY WORDS:

Navigation