A descriptive qualitative study of the roles of family members in older men's depression treatment from the perspectives of older men and primary care providers

W Ladson Hinton, Ester Carolina Apesoa-Varano, Jürgen Unützer, Megan Dwight-Johnson, Mijung Park, Judith C. Barker

Research output: Contribution to journalArticlepeer-review

15 Scopus citations

Abstract

Objective The aim of this study is to describe the roles of family members in older men's depression treatment from the perspectives of older men and primary care physicians (PCPs). Methods Cross-sectional, descriptive qualitative study conducted from 2008-2011 in primary care clinics in an academic medical center and a safety-net county teaching hospital in California's Central Valley. Participants in this study were the following: (1) 77 age≥60, noninstitutionalized men with a 1-year history of clinical depression and/or depression treatment who were identified through screening in primary care clinics and (2) a convenience sample of 15 PCPs from the same recruitment sites. Semi-structured and in-depth qualitative interviews were conducted and audiotaped then transcribed and analyzed thematically. Results Treatment-promoting roles of family included providing an emotionally supportive home environment, promoting depression self-management and facilitating communication about depression during primary care visits. Treatment-impeding roles of family included triggering or worsening men's depression, hindering depression care during primary care visits, discouraging depression treatment and being unavailable to assist men with their depression care. Overall, more than 90% of the men and the PCPs described one or more treatment-promoting roles of family and over 75% of men and PCPs described one or more treatment-impeding roles of family. Conclusions Families play important roles in older men's depression treatment with the potential to promote as well as impede care. Interventions and services need to carefully assess the ongoing roles and attitudes of family members and to tailor treatment approaches to build on the positive aspects and mitigate the negative aspects of family support.

Original languageEnglish (US)
Pages (from-to)514-522
Number of pages9
JournalInternational Journal of Geriatric Psychiatry
Volume30
Issue number5
DOIs
StatePublished - May 1 2015

Keywords

  • depression
  • family
  • men
  • primary care
  • qualitative

ASJC Scopus subject areas

  • Geriatrics and Gerontology
  • Psychiatry and Mental health

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