1st Edition
Anxiety and Depression in Primary Care International Perspectives
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.