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September/October 2011 Annals of Family Medicine Tip Sheet
Date:9/12/2011

Why Patients Don't Disclose Depression to Their Physicians

Many adults subscribe to beliefs that inhibit them from disclosing symptoms of depression to their primary care physician. In a survey of 1,054 adults, 43 percent of patients reported one or more reasons for not talking to a primary care physician about their depression, with the most frequently cited reason being concern the physician would recommend antidepressants (23 percent). Other barriers reported by patients include the belief it is not the primary care physician's job to deal with emotional issues (16 percent) and concerns about medical record confidentiality (15 percent). Other concerns reported by at least 10 percent of respondents included fear of referral to a counselor or psychiatrist, and being labeled a psychiatric patient. The authors note that ironically, those who most subscribed to potential reasons for not talking to a primary care physician about their depression tended to be those who had the greatest potential to benefit from such conversations individuals with moderate to severe depressive symptoms. The authors call for the development of office-based interventions that address these patient concerns and encourage patients with depression symptoms to begin a conversation with their doctors.

Suffering in Silence: Reasons for Not Disclosing Depression in Primary Care
By Robert A. Bell, Ph. D., et al
University of California, Davis

Though Contraindicated, NSAIDs Commonly Used by Patients with Chronic Kidney Disease

Although avoidance of nonsteroidal anti-inflammatory drugs is recommended for most patients with chronic kidney disease, large numbers of individuals with CKD, many of whom are unaware of their condition, are using them and may be at risk for further kidney injury. Analyzing nationally representative data on 12,065 adults, researchers found current use of any NSAID (nearly every day for 30 days or longer) was
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Contact: Angela Sharma
asharma@aafp.org
913-269-2269
American Academy of Family Physicians
Source:Eurekalert

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