Treatment approaches of palliative medicine specialists for depression in the palliative care setting: findings from a qualitative, in-depth interview study.

摘要: Background Treatment of depression in the palliative care setting is complicated by varied treatment preferences, a small body research, and unique challenges associated with end-of-life. Little known about practices medical practitioners this setting. Objective This study aimed to investigate characterise approaches medicine specialists for depression. Design Semistructured, in-depth interviews were conducted explore explanatory models from specialists, including focus on treatment. Verbatim interview transcripts analysed themes. Setting/participants Palliative practising Australia recruited purposively sampled. Nine participants interviewed reach data saturation. Results Five themes identified relation depression: (1) guiding principles treatment; (2) approaches; (3) factors underpinning decisions; (4) difficulties arising (5) interdisciplinary roles. Participants described five distinct approaches, consisting biological orientation, psychosocial combination approach, undifferentiated approach ambivalence. decisions contingent patient, depression, clinician sociocultural factors. Difficulties included discomfort treating being inadequately equipped confronting therapeutic limitations. Treating was considered require multidisciplinary team effort. Conclusions specialists’ are linked their concepts causal explanations Future guidelines could aim consider specific varieties be more differentiated modality type, decision-shaping Continuing mental health education incorporation psychiatry psychology into services may have enduring benefits.