Do antidepressant advertisements educate consumers and promote communication between patients with depression and their physicians?

Do antidepressant advertisements educate consumers and promote communication between patients with depression and their physicians?
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DOI:
10.1016/j.pec.2010.01.014
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发表时间:
2010-11
影响因子:
3.5
通讯作者:
Kravitz, Richard L.
Kravitz, Richard L.
中科院分区:
医学2区
文献类型:
--
作者:
Bell, Robert A.;Taylor, Laramie D.;Kravitz, Richard L.

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研究在线抑郁症支持小组成员对直接面向消费者(DTC)的抗抑郁药广告的反应。148抑郁症论坛成员的调查,通过在线问卷管理。慢性程度很高,因为79.1%的人在3年或3年以上前被诊断为抑郁症。受访者报告说,他们平均看到了7个品牌中4.3个的广告。大多数人将这些广告的信息质量评为“差”或“一般”。对抗抑郁药广告的态度是中性的(平均值:2.96在5点量表)。超过一半(52.4%)的人访问了这些广告中提供的官方网站,39.9%的人在看到广告后与医生交谈,20.3%的人提出了药物诱导处方请求,25.7%的人表示这些广告提醒他们服用抗抑郁药。对这些广告的关注量与大脑化学失衡因果模型的信念呈正相关,但这种模型的信念并不能预测处方请求。DTC抗抑郁药广告的认知度在抑郁症患者中很高,但怀疑态度也很高。在一个在线支持小组的成员中,这些广告鼓励患者与医生的对话、处方请求和依从性,但也可能降低心理治疗的可接受性,并鼓励少数患者更换医生。
To examine how online depression support group members respond to direct-to-consumer (DTC) antidepressant advertising. Survey of 148 depression forum members, administered via an online questionnaire. Chronicity was high, as 79.1% had received a diagnosis of depression 3 or more years earlier. Respondents reported seeing advertisements for an average of 4.3 of 7 brands investigated. A majority rated the information quality of these advertisements as “poor” or “fair.” Attitudes toward antidepressant advertisements were neutral (mean: 2.96 on a 5-point scale). More than half (52.4%) visited official websites provided in these advertisements, 39.9% had talked with a doctor after seeing an advertisement, 20.3% made an advertisement-induced prescription request, and 25.7% said these advertisements reminded them to take their antidepressants. Amount of attention given to these advertisements correlated positively with belief in the brain chemical imbalance causal model, but belief in this model did not predict prescription requests. Awareness of DTC antidepressant advertisements is high among individuals with depression, but so is skepticism. Among members of an on-line support group, these advertisements encourage patient-doctor dialogue, prescription requests, and adherence, but might also reduce the acceptability of psychotherapy and encourage doctor switching in a small number of patients.
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