Obstacles Facing Primary Health Care Physicians in Diagnosing and Managing Depressed Patients in the Tabuk Area of Saudi Arabia

Ahmad, Hashim Hassan

doi:10.5742/mejfm.2013.112209

Cited by 3 publications

(5 citation statements)

References 127 publications

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“…Of these, one randomised waiting-list control (WLC) study was conducted on effectiveness of narrative exposure therapy (NET) as a short-term treatment for reducing post-traumatic stress disorder (PTSD) symptoms among Saudi firefighters [33]. Five quantitative studies were conducted on knowledge of computerised cognitive behavioural therapy (cCBT) among mental healthcare professionals and their attitudes and preferences towards cCBT [52], perceptions of GPs and family medicine physicians on the use of cognitive behavioural therapy (CBT) for depression [34], the proportion of family physicians referring patients to psychiatrists and conducting psychotherapy or mental health consultations themselves [35], use of mobile health applications for mental health patients [36], and barriers facing primary healthcare physicians in diagnosing and managing depressed patients in primary healthcare centres [37].…”

Section: Resultsmentioning

confidence: 99%

“…A nondirective counselling service is also available for clients with depression in Islamic culture through the work of one Muslim person-centred counsellor in Qatar [32]. In Saudi Arabia, the diagnosis and management of depressed patients in primary healthcare centres were reported by Ahmad [37], as well as ACT in a group format for Saudi women who struggled with depression and anxiety disorders by Bahattab and AlHadi [39].…”

Section: Resultsmentioning

confidence: 99%

“…Nondirective counselling service was also found therapeutically effective for nine clients in treating their depression through the work of one Muslim person-centred counsellor in Qatar [32]. In Saudi Arabia, diagnosis and management of depressed patients were performed by 75 primary healthcare physicians [37], and there is evidence supporting the effectiveness of using the ACT in decreasing depressive and anxiety symptoms of eight Saudi women [39]. In comparison, a meta-analysis revealed robust evidence that collaborative care is effective to improve the management of depression, including adherence and response to treatment, recovery from and remission of symptoms, functional status and/or quality of life, and satisfaction with care provided to the patients [59].…”

Section: Discussionmentioning

confidence: 99%

“…and barriers facing primary healthcare physicians in diagnosing and managing depressed patients in primary healthcare centres [37].…”

Section: Studies Conducted In Saudi Arabiamentioning

confidence: 99%

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The Nature and Availability of Mental Health Services in Arab Gulf Countries: A Scoping Review

Alanazi,

McKenna,

Buck

2023

Saudi J Health Syst Res

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Introduction: Given that mental health services are developing across Gulf Cooperation Council (GCC) or Arab Gulf countries, there is a need to examine the nature of these services to explore how they are developing, expanding, or evolving. This study aimed to explore what is known about the scope and nature of available mental health services for adult populations in Arab Gulf countries. Methods: This scoping review was informed by the 2005 methodological framework of Arksey and O’Malley. The databases MEDLINE, PsycINFO, CINAHL, ProQuest Central, EMBASE, Web of Science/Scopus, DOAJ, and Saudi Digital Library were searched for studies published between 2011 and 2021. Studies were included if they focused on reported scope and nature of available mental health services for adult populations in Arab Gulf countries, excluding those related to drug and alcohol, intellectual disability, and behavioural problems. Results: The search identified 8,884 articles, from which a total of 28 were included in the final review. The majority of studies were from the Kingdom of Saudi Arabia, with fewer studies from other Arab Gulf countries, and only one conducted in Bahrain. Mental health services described were primarily referral services, psychotherapy and cognitive behavioural therapy, telepsychiatry and mobile health services, screening, early detection and management of depression and anxiety, and other mental health services. Conclusion: This review revealed that the most available and utilised mental health services in Arab Gulf countries for treating adult mental disorders are psychotherapy and cognitive behavioural therapy, telepsychiatry and mobile health services, especially during the COVID-19 pandemic.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

“…and barriers facing primary healthcare physicians in diagnosing and managing depressed patients in primary healthcare centres [37].…”

Section: Studies Conducted In Saudi Arabiamentioning

confidence: 99%

See 2 more Smart Citations

The Nature and Availability of Mental Health Services in Arab Gulf Countries: A Scoping Review

Alanazi,

McKenna,

Buck

2023

Saudi J Health Syst Res

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“…The data were collected using a self‐administered adapted version of a questionnaire used in previous studies (Ahmad, ; Williams et al, ). The original questionnaire (Williams et al, ) consisted of 33 questions, divided into six sets of questions.…”

Section: Methodsmentioning

confidence: 99%

General practitioners' views towards diagnosing and treating depression in five southeastern European countries

Đurić

Harhaji

O’May

et al. 2018

Early Intervention Psych

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Aim: To assess and compare general practitioners' (GPs') views of diagnosing and treating depression in five southeastern European countries. Methods:A cross-sectional study was conducted in Albania, Bulgaria, Moldova, Romania, and Serbia. The sample included 467 GPs who completed a hard-copy self-administered questionnaire, consisting of self-assessment questions related to diagnosing and treating depression. Results:The most common barriers to managing depression in general practice reported by GPs were: patients' unwillingness to discuss depressive symptoms (92.3%); appointment time too short to take an adequate history (91.9%), barriers for prescribing appropriate treatment (90.6%); and patients' reluctance to be referred to a psychiatrist (89.1%). Most GPs (78.4%) agreed that recognizing depression was their responsibility, 71.7% were confident in diagnosing depression, but less than one-third (29.6%) considered that they should treat it.Conclusions: Improvements to the organization of mental healthcare in all five countries should consider better training for GPs in depression diagnosis and treatment; the availability of mental healthcare specialists at primary care level, with ensured equal and easy access for all patients; and the removal of potential legal barriers for diagnosis and treatment of depression.

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Client Satisfaction and Quality of Life at Primary Healthcare Clinics and Psychiatric Hospitals in the Eastern Province of Saudi Arabia

Al-Jama¹,

Awadalla²,

Arikawa³

2019

OJPsych

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Over the past few years, greater attention has been paid to the importance of incorporating behavioral health treatment into primary health care (PHC) settings in the Kingdom of Saudi Arabia (KSA). The purpose of the present study was to compare the participants' satisfaction on psychological services and quality of life (QOL) among primary healthcare clinics, psychiatric hospitals and healthy controls. The Arabic version of the World Health Organization Quality of Life-short version (WHOQOL-Bref) and Client Satisfaction Questionnaire (CSQ) were administered to 36 PHC participants, 60 hospital participants, and 63 healthy controls. In all QOL domains, there was no significant difference obtained on participants' QOL between PHC and hospital settings. Except for similar score to PHC participants on overall QOL (OQOL), healthy controls scored higher than the other two groups on four QOL domains and General Health (GH) facet. As for clients' satisfaction, participants under PHC setting reported significantly higher satisfaction compared to hospitals and healthy controls. Hospital participants reported higher client care satisfaction than healthy controls. Improvement in the quality of mental health care such as ease of referrals and detection of undiagnosed mental health conditions could be the cause for higher satisfaction with PHC services. Stigma associated with mental illness creates serious barriers to Saudi patient's access to psychiatric clinics of large hospitals. There is a need for incorporating qualified mental health providers into PHC and educating the general public to become aware of certain beliefs and attitudes that limit access to treatment and prospects for recovery of persons with mental

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Obstacles Facing Primary Health Care Physicians in Diagnosing and Managing Depressed Patients in the Tabuk Area of Saudi Arabia

Cited by 3 publications

References 127 publications

The Nature and Availability of Mental Health Services in Arab Gulf Countries: A Scoping Review

The Nature and Availability of Mental Health Services in Arab Gulf Countries: A Scoping Review

General practitioners' views towards diagnosing and treating depression in five southeastern European countries

Client Satisfaction and Quality of Life at Primary Healthcare Clinics and Psychiatric Hospitals in the Eastern Province of Saudi Arabia

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