caa a22 4500 397498640 CHVBK 20180308164527.0 cr unu---uuuuu 161202e199503 xx s 000 0 eng 10.1093/fampra/12.1.5 doi (NATIONALLICENCE)oxford-10.1093/fampra/12.1.5 Management of depression in the elderly by general practitioners: I. Use of antidepressants [Elektronische Daten] [Martin Orrell, Elizabeth Collins, Sukhi Shergill, Cornelius Katona] Depression is a common problem in the elderly but studies have suggested that it is often in-adequately treated by general practitioners (GPs). This study aims to investigate how GPs manage depression in the elderly. A national questionnaire study on the management of depression in the elderly was carried out. Case vignettes were used to investigate how GPs manage depression and what influenced their decision making process. Each case vignette had a factor complicating the use of the older tricyclics. The questionnaire was completed by 407 out of 667 GPs (61%). Many GPs chose the newer antidepressants but a substantial proportion preferred the older tricyclics. Many GPs selected subtherapeutic doses, particularly of the older tricyclics. Few GPs said they maintained patients on antidepressants for more than 3 months after recovery and only 1 in 12 continued antidepressants for over 6 months. If these results reflect GPs practice there is a danger that many patients will be inadequately treated and also at risk of relapse because of their antidepressants being stopped too soon after recovery. © Oxford University Press Original articles nationallicence Orrell Martin University College London Medical School, London WC1, Harlow, Essex, UK aut Collins Elizabeth Princess Alexandra Hospital Harlow, Essex, UK aut Shergill Sukhi Princess Alexandra Hospital Harlow, Essex, UK aut Katona Cornelius University College London Medical School, London WC1, Harlow, Essex, UK aut Family Practice Oxford University Press 12/1(1995-03), 5-11 0263-2136 12:1<5 1995 12 famprj https://doi.org/10.1093/fampra/12.1.5 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1093/fampra/12.1.5 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Orrell Martin University College London Medical School, London WC1, Harlow, Essex, UK aut NATIONALLICENCE 700 1- Collins Elizabeth Princess Alexandra Hospital Harlow, Essex, UK aut NATIONALLICENCE 700 1- Shergill Sukhi Princess Alexandra Hospital Harlow, Essex, UK aut NATIONALLICENCE 700 1- Katona Cornelius University College London Medical School, London WC1, Harlow, Essex, UK aut NATIONALLICENCE 773 0- Family Practice Oxford University Press 12/1(1995-03), 5-11 0263-2136 12:1<5 1995 12 famprj Metadata rights reserved CC BY-NC-4.0 http://creativecommons.org/licenses/by-nc/4.0 nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-oxford