Please use this identifier to cite or link to this item: http://hdl.handle.net/1893/12916
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dc.contributor.authorMacdonald, Sara Ren_UK
dc.contributor.authorMorrison, Jillen_UK
dc.contributor.authorMaxwell, Margareten_UK
dc.contributor.authorMunoz-Arroyo, Rosaliaen_UK
dc.contributor.authorPower, Andrewen_UK
dc.contributor.authorSmith, Michaelen_UK
dc.contributor.authorSutton, Matten_UK
dc.contributor.authorWilson, Philipen_UK
dc.date.accessioned2014-09-15T10:30:13Z-
dc.date.available2014-09-15T10:30:13Zen_UK
dc.date.issued2009-09en_UK
dc.identifier.urihttp://hdl.handle.net/1893/12916-
dc.description.abstractBackground: Levels of antidepressant prescribing have dramatically increased in Western countries in the last two decades.Aim: To explore GPs' views about, and explanations for, the increase in antidepressant prescribing in Scotland between 1995 and 2004.Design: Qualitative, interview study.Setting: General practices, Scotland.Participants: GPs in 30 practices (n = 63) purposively selected to reflect a range of practice characteristics and levels of antidepressant prescribing.Method: Interviews with GPs were taped and transcribed. Analysis followed a Framework Approach.Results: GPs offered a range of explanations for the rise in antidepressant prescribing in Scotland. Few doctors thought that the incidence of depression had increased, and many questioned the appropriateness of current levels of prescribing. A number of related factors were considered to have contributed to the increase. These included: the success of campaigns to raise awareness of depression; a willingness among patients to seek help; and the perceived safety of selective serotonin reuptake inhibitors, making it easier for GPs to manage depression in primary care. Many GPs believed that unhappiness, exacerbated by social deprivation and the breakdown of traditional social structures, was being 'medicalised' inappropriately.Conclusion: Most antidepressant prescriptions in Scotland are issued by GPs, and current policy aims to reduce levels of prescribing. To meet this aim, GPs' prescribing behaviour needs to change. The findings suggest that GPs see themselves as responders to, rather than facilitators of, change and this has obvious implications for initiatives to reduce prescribing.en_UK
dc.language.isoenen_UK
dc.publisherRoyal College of General Practitionersen_UK
dc.relationMacdonald SR, Morrison J, Maxwell M, Munoz-Arroyo R, Power A, Smith M, Sutton M & Wilson P (2009) 'A coal face option': GPs' perspectives on the rise in antidepressant prescribing. British Journal of General Practice, 59 (566), pp. 658-659. https://doi.org/10.3399/bjgp09X454106en_UK
dc.rightsThe publisher does not allow this work to be made publicly available in this Repository. Please use the Request a Copy feature at the foot of the Repository record to request a copy directly from the author. You can only request a copy if you wish to use this work for your own research or private study.en_UK
dc.rights.urihttp://www.rioxx.net/licenses/under-embargo-all-rights-reserveden_UK
dc.subjectdepressionen_UK
dc.subjectdrugsen_UK
dc.subjectmental healthen_UK
dc.subjectqualitative researchen_UK
dc.subjectprimary careen_UK
dc.subjectDepression, Mental Treatmenten_UK
dc.subjectAntidepressantsen_UK
dc.title'A coal face option': GPs' perspectives on the rise in antidepressant prescribingen_UK
dc.typeJournal Articleen_UK
dc.rights.embargodate2999-12-31en_UK
dc.rights.embargoreason[Maxwell_2009_A_coal_face_option.pdf] The publisher does not allow this work to be made publicly available in this Repository therefore there is an embargo on the full text of the work.en_UK
dc.identifier.doi10.3399/bjgp09X454106en_UK
dc.citation.jtitleBritish Journal of General Practiceen_UK
dc.citation.issn1478-5242en_UK
dc.citation.issn0960-1643en_UK
dc.citation.volume59en_UK
dc.citation.issue566en_UK
dc.citation.spage658en_UK
dc.citation.epage659en_UK
dc.citation.publicationstatusPublisheden_UK
dc.citation.peerreviewedRefereeden_UK
dc.type.statusVoR - Version of Recorden_UK
dc.author.emailmargaret.maxwell@stir.ac.uken_UK
dc.contributor.affiliationUniversity of Glasgowen_UK
dc.contributor.affiliationUniversity of Glasgowen_UK
dc.contributor.affiliationNMAHPen_UK
dc.contributor.affiliationNHS National Services Scotlanden_UK
dc.contributor.affiliationVictoria Infirmaryen_UK
dc.contributor.affiliationUniversity of Glasgowen_UK
dc.contributor.affiliationUniversity of Manchesteren_UK
dc.contributor.affiliationUniversity of Glasgowen_UK
dc.identifier.isiWOS:000271455500009en_UK
dc.identifier.scopusid2-s2.0-70350068567en_UK
dc.identifier.wtid708770en_UK
dc.contributor.orcid0000-0003-3318-9500en_UK
dcterms.dateAccepted2009-09-30en_UK
dc.date.filedepositdate2013-05-15en_UK
rioxxterms.typeJournal Article/Reviewen_UK
rioxxterms.versionVoRen_UK
local.rioxx.authorMacdonald, Sara R|en_UK
local.rioxx.authorMorrison, Jill|en_UK
local.rioxx.authorMaxwell, Margaret|0000-0003-3318-9500en_UK
local.rioxx.authorMunoz-Arroyo, Rosalia|en_UK
local.rioxx.authorPower, Andrew|en_UK
local.rioxx.authorSmith, Michael|en_UK
local.rioxx.authorSutton, Matt|en_UK
local.rioxx.authorWilson, Philip|en_UK
local.rioxx.projectInternal Project|University of Stirling|https://isni.org/isni/0000000122484331en_UK
local.rioxx.freetoreaddate2999-12-31en_UK
local.rioxx.licencehttp://www.rioxx.net/licenses/under-embargo-all-rights-reserved||en_UK
local.rioxx.filenameMaxwell_2009_A_coal_face_option.pdfen_UK
local.rioxx.filecount1en_UK
local.rioxx.source0960-1643en_UK
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