The self-management of longer-term depression: learning from the patient, a qualitative study

BMC Psychiatry

Tom Ricketts¹  Glenys Parry²  Rebecca Hutten²  Sue Shaw⁴  Alexis Foster²  Anna Thake⁵  Sarah Cook³  Eleni Chambers³ 

[1] Sheffield Health and Social Care NHS Foundation Trust, St George’s Community Health Centre, Winter Street, Sheffield, S3 7ND, UK;University of Sheffield, School of Health and Related Research, Regent Court, 30 Regent Street, Sheffield S1 4DA, UK;Sheffield Hallam University, Centre for Health & Social Care Research, Collegiate Crescent Campus, Sheffield S10 2BP, UK;Sheffield, UK;University of Hertfordshire, Doctorate in Clinical Psychology, Health Research Building, College Lane Campus, Hatfield AL10 9AB, UK

关键词: Self-management;    Self-help;    Recovery;    Qualitative research;    Patients’ perspective;    Depression;   

Others  :  1221340
DOI  :  10.1186/s12888-015-0550-6

 received in 2015-01-16, accepted in 2015-07-06,  发布年份 2015

【 摘 要 】

Background

Depression is a common mental health condition now viewed as chronic or long-term. More than 50 % of people will have at least one further episode of depression after their first, and therefore it requires long-term management. However, little is known about the effectiveness of self-management in depression, in particular from the patients’ perspective. This study aimed to understand how people with longer-term depression manage the condition, how services can best support self-management and whether the principles and concepts of the recovery approach would be advantageous.

Methods

Semi-structured in depth interviews were carried out with 21 participants, recruited from a range of sources using maximum variation sampling. Interpretative Phenomenological Analysis was used by a diverse team comprised of service users, practitioners and academics.

Results

Four super-ordinate themes were found: experience of depression, the self, the wider environment, self-management strategies. Within these, several prominent sub-themes emerged of importance to the participants. These included how aspects of themselves such as hope, confidence and motivation could be powerful agents; and how engaging in a wide range of chosen activities could contribute to their emotional, mental, physical, social, spiritual and creative wellbeing.

Conclusions

Services in general were not perceived to be useful in specifically facilitating self-management. Increased choice and control were needed and a greater emphasis on an individualised holistic model. Improved information was needed about how to develop strategies and locate resources, especially during the first episode of depression. These concepts echoed those of the recovery approach, which could therefore be seen as valuable in aiding the self-management of depression.

【 授权许可】

   
2015 Chambers et al.

【 图 表 】

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