Intervention mittels Kurz-Psychotherapie bei Depression: Umsetzbarkeit in der hausärztlichen Praxis
摘要
Depression has a high lifetime prevalence and is commonly encountered in general practice. The waiting times for guideline psychotherapy are usually many months. There is therefore a need for general practitioner (GP)-administered therapeutic interventions for depressive patients to bridge the waiting time until psychotherapeutic treatment.
Aim of the studyOur study examined whether the consultation cards for brief psychiatric psychotherapy (PKP) can be practically applied in the GP setting for patients with mild to moderate depression as part of structured verbal interventions (feasibility).
Materials and methodsThirteen GPs were trained in the use of PKP cards. The cards are based on principles of cognitive behavioral therapy. Before and after using the cards with depressed patients, the GPs were asked about their attitudes and experiences. A total of 33 depressed patients were treated with the PKP cards over a period of 8 months.
Results and conclusionThe GPs described the introductory training on the use of the cards as very useful. The majority of GPs rated the cards as suitable for treating depressive patients in the general practice setting and described the cards as an efficient tool in everyday practice. Further prospective studies including patient data should examine whether and how the use of PKP cards has a lasting effect on depressive symptoms, gaps in care, and treatment satisfaction.