1st Edition

Anxiety and Depression in Primary Care International Perspectives

Edited By Sherina Mohd Sidik, Felicity Goodyear-Smith Copyright 2024
    224 Pages 14 B/W Illustrations
    by CRC Press

    224 Pages 14 B/W Illustrations
    by CRC Press

    This book provides practical information about depression and anxiety in primary care, with a focus on the approach in different countries and incorporating global ranges/prevalence, risk factors and health burden including that associated with COVID-19 and its pandemic.

    To ensure the challenges of a wide international primary care community are reflected fully, authors from different world regions – Africa, Asia Pacific, East Mediterranean, Europe, IberoAmericana-CIMF, North America and South Asia – have co-contributed to individual chapters on the detection and management of depression and anxiety in primary care in their own countries, including the screening tools used, how widely these tools are adopted and by whom, and current policies. As well as the medical model, it also presents the alternative viewpoint that feeling low or anxious is part of the human condition and the attention should be on supporting people in their journey through life, struggling to deal with the mainly social challenges they meet, rather than defining these problems as disorders or diseases requiring identification and treatment.

    Key Features:

    • Explores the instruments used for the detection of depression and anxiety in primary care in various countries, and why and how these instruments are being used
    • Describes the pharmaceutical and non-drug interventions for treating depression and anxiety in primary care and compares the similarities and differences in detecting and managing depression and anxiety in primary care among different countries
    • Includes in-depth regional examples of how screening tools are used in practice and how policies can be established in the management of depression and anxiety in primary care
    • Concludes with lessons learned from various countries and from different stakeholders with clear advice on what to do and, importantly, what not to do

    Addressing primary care detection and management of mental health issues across the globe, the book will be an invaluable practical aid for family medicine practitioners and the wider primary and community care teams and a useful reference for those involved in policy setting at regional and national levels including ministries of health.

    Foreword by Karen Flegg

    Preface

    Editors

    Contributors

    1. Global perspective on depression and anxiety

    Dawit Wondimagegn

    2. Alternative approaches to the 'diagnose and treat' model of care

    Richard Byng

    3. Assessment for depression and anxiety in primary care

    3.1. The case for and against screening

    Felicity Goodyear-Smith

    3.2. Tools used for assessing and screening for depression and anxiety in primary care

    Sherina Mohd Sidik and Felicity Goodyear-Smith

    4. Depression and anxiety in primary care in Africa

    4.1. Depression and anxiety in Ethiopia

    Dawit Wondimagegn

    4.2. Depression and anxiety in Ghana

    Henry J. Lawson

    4.3. Depression and anxiety in Nigeria

    Tijani Idris Ahmad Oseni

    4.4. Depression and anxiety in South Africa

    Bob Mash and Vanessa Lomas-Marais

    5. Depression and anxiety in primary care in Asia Pacific

    5.1. Depression and anxiety in Australia

    Alison Flehr, Caroline Johnson, Catherine Kaylor-Hughes and Jane Gunn

    5.2. Depression and anxiety in Hong Kong, SAR

    Amy Pui Pui Ng, Weng Yee Chin and Julie Yun Chen

    5.3. Depression and anxiety in Malaysia

    Sherina Mohd Sidik, Noor Ani Ahmad and Nurashikin Ibrahim

    6. Depression and anxiety in primary care in the East Mediterranean

    6.1. Anxiety and depression in Egypt

    Nagwa Nashat Hegazy

    6.2. Depression and anxiety in Tunisia

    Malek Chaabouni and Asma Chaabouni

    7. Depression and anxiety in primary care in Europe

    7.1. Depression and anxiety in Greece

    Christos Lionis

    7.2. Depression and anxiety in Luxembourg

    Raquel Gómez Bravo

    7.3. Depression and anxiety in Türkiye

    Sabah Tuzun, Pemra Cöbek Ünalan and Saliha Serap Cifcili

    7.4. Depression and anxiety in the United Kingdom

    Amanda Howe

    8. Depression and anxiety in primary care in Ibero-Americana

    8.1. Depression and anxiety in Argentina

    Lidia Caballero, Matías Tonnelier and Silvia Reina

    8.2. Depression and anxiety in Brazil

    Adelson Guaraci Jantsch

    8.3. Depression and anxiety in Ecuador

    Miriann Mora Verdugo, Diana López and Yolanda Dávila

    9. Depression and anxiety in primary care in North America

    9.1. Depression and anxiety in Canada

    Alan Ng Cheng Hin

    9.2. Depression and anxiety in the United States of America

    Lesca Cherise Hadley and Thomas Shima

    10. Depression and anxiety in primary care in South Asia

    10.1. Depression and anxiety in Nepal

    Pramendra Prasad Gupta

    10.2. Depression and anxiety in Pakistan

    Saniya Sabzwari

    11. Depression and anxiety in migrant, refugee and war-zone populations

    11.1. S creening of migrants in Canada

    David Ponka

    11.2. Mental health screening of Syrian, Iraqi, Afghan and other refugees awaiting migration from Türkiye to the United States

    Mehmet Ungan and Aysegul Cömert

    11.3. Mental health disorders, anxiety and depression in Ukrainians associated with war and migration

    Victoria Tkachenko

    12. Interventions for treating depression and anxiety in primary care

    12.1. ‘Watchful waiting’ – a powerful approach

    Anna Stavdal and Susan Senstad

    12.2. Psychotherapeutic interventions for depression and anxiety in primary care

    Vinicius Jobim Fischer, Raquel Gómez Bravo and Alice Einloft Brunnet

    12.3. Use of pharmaceutical interventions for primary care management of depression and anxiety

    Allen F. Shaughnessy and Lisa Cosgrove

    13. Improving practice

    13.1. Nice guidelines on depression and anxiety

    Sherina Mohd Sidik and Felicity Goodyear-Smith

    13.2. A team approach to health and well-being in primary care - the Aotearoa (New Zealand) example

    Felicity Goodyear-Smith

    13.3. Integrating physical and mental health services in primary care

    Mehmet Akman

    14. Conclusion

    Sherina Mohd Sidik and Felicity Goodyear-Smith

    Index

    Biography

    Sherina Mohd Sidik, MBBS, MMED (Fam Med), PhD (Community Health) is a family medicine specialist and professor in family medicine at Universiti Putra Malaysia (UPM), Malaysia.

    Felicity Goodyear-Smith, MBChB, MGP, MD, FRNZCGP (Dist) is a general practitioner and professor of general practice and primary health care at The University of Auckland, Auckland, New Zealand.