Skip to main content

Main menu

  • HOME
  • ARTICLES
    • Current Issue
    • Ahead of Print
    • Archives
    • Abstracts In Press
    • Special Issue Archive
    • Subject Collections
  • INFO FOR
    • Authors
    • Reviewers
    • Call For Papers
    • Subscribers
    • Advertisers
  • SUBMIT
    • Manuscript
    • Peer Review
  • ABOUT
    • The JABFM
    • The Editing Fellowship
    • Editorial Board
    • Indexing
    • Editors' Blog
  • CLASSIFIEDS
  • Other Publications
    • abfm

User menu

Search

  • Advanced search
American Board of Family Medicine
  • Other Publications
    • abfm
American Board of Family Medicine

American Board of Family Medicine

Advanced Search

  • HOME
  • ARTICLES
    • Current Issue
    • Ahead of Print
    • Archives
    • Abstracts In Press
    • Special Issue Archive
    • Subject Collections
  • INFO FOR
    • Authors
    • Reviewers
    • Call For Papers
    • Subscribers
    • Advertisers
  • SUBMIT
    • Manuscript
    • Peer Review
  • ABOUT
    • The JABFM
    • The Editing Fellowship
    • Editorial Board
    • Indexing
    • Editors' Blog
  • CLASSIFIEDS
  • JABFM on Bluesky
  • JABFM On Facebook
  • JABFM On Twitter
  • JABFM On YouTube
Research ArticleOriginal Research

National Survey of Decision-Making for Antidepressants and Educational Level

Suzanne Brodney, Floyd J. Fowler, Vickie Stringfellow, K. D. Valentine and Michael J. Barry
The Journal of the American Board of Family Medicine January 2020, 33 (1) 80-90; DOI: https://doi.org/10.3122/jabfm.2020.01.190120
Suzanne Brodney
From Division of General Internal Medicine, Massachusetts General Hospital, Boston (SB, KDV, MJB); Center for Survey Research, University of Massachusetts, Boston, (FJF).
PhD, RD
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Floyd J. Fowler Jr
From Division of General Internal Medicine, Massachusetts General Hospital, Boston (SB, KDV, MJB); Center for Survey Research, University of Massachusetts, Boston, (FJF).
PhD
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Vickie Stringfellow
From Division of General Internal Medicine, Massachusetts General Hospital, Boston (SB, KDV, MJB); Center for Survey Research, University of Massachusetts, Boston, (FJF).
BA
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
K. D. Valentine
From Division of General Internal Medicine, Massachusetts General Hospital, Boston (SB, KDV, MJB); Center for Survey Research, University of Massachusetts, Boston, (FJF).
PhD
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Michael J. Barry
From Division of General Internal Medicine, Massachusetts General Hospital, Boston (SB, KDV, MJB); Center for Survey Research, University of Massachusetts, Boston, (FJF).
MD
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
  • Article
  • Figures & Data
  • References
  • Info & Metrics
  • PDF
Loading

Article Figures & Data

Figures

  • Tables
  • Figure 1.
    • Download figure
    • Open in new tab
    Figure 1.

    Mean percent of knowledge questions answered correctly.

Tables

  • Figures
    • View popup
    Table 1.

    Characteristics of Respondents Considering Starting or Stopping Antidepressants by Educational Level

    CharacteristicEducation Levelχ2P Value
    Less Than High School (N = 55)High School Grad (N = 118)Some College (N = 116)College Grad (N = 55)Graduate Work (N = 41)
    Age, years (%)
        <606859686966.186
        60 to 741730272619
        75+14115415
    Sex (%)
        Female6968657271.088
    Race (%)
        White, non-Hispanic7480727588.032
        Black, non-Hispanic196961
        Other714191911
    Marital status (%)
        Married/living with partner5360545855.906
        Not married/living with partner4740464245
    Work status (%)
        Working1526525071.000
        Not working (not retired)634530258
        Retired2229192521
    Household income (%)
        <$50,0008275564024.000
        $50,000-$99,9991321272628
        $100,000 or more54173448
    Health insurance (%)
        Yes8888859297.241
        No12121583
    Self-reported health (%)
        Excellent821165.000
        Very good614232646
        Good1752443931
        Fair5623251917
        Poor139801
    • View popup
    Table 2.

    Level of Involvement in the Antidepressant Decision by Education

    Decision ProcessEducation LevelP Value
    Less than High School (N = 55)High School Grad (N = 118)Some College (N = 116)College Grad (N = 55)Graduate Work (N = 41)
    SDM Process score, mean (SD)2.26 (1.3)2.60 (1.2)2.64 (1.2)3.04 (1.0)3.22 (1.2).001*
    Discussed pros (%)
        Not at all94542.271†
        A little201215137
        Some2238403527
        A lot4947414963
    Discussed cons (%)
        Not at all4140321310.000†
        A little1820272815
        Some1828263361
        A lot2312152613
    Explained choices (%)
        Yes7567808783.022†
        No2533201317
    Provider asked tou (%)
        Yes4370657476.004†
        No5731352624
    Who made the final decision (%)
        Mainly patient3536484459.001†
        Made together3851435239
        Mainly provider2713942
    Would you make the same decision again (%)
        Definitely yes5353526370.000†
        Probably yes3331423323
        Probably no013425
        Definitely no153223
    • ↵* Analysis of variance used to test difference in means across education level.

    • ↵† χ2 test used to test for difference across categorical variables.

    • View popup
    Appendix.

    Survey Questions

    Survey InstrumentQuestions
    Shared Decision Making Process ScaleHow much did you and the health care provider discuss with you the reasons to [continue taking/take] antidepressant medication?
    o A lot
    o Some
    o A little
    o Not at all
    Shared Decision Making Process ScaleHow much did you and the health care provider discuss with you the reasons not to [continue taking/take] antidepressant medication?
    o A lot
    o Some
    o A little
    o Not at all
    Shared Decision Making Process ScaleDid the health care provider explain there were choices in what you could do to treat your depression?
    o Yes
    o No
    Shared Decision Making Process ScaleDid the health care provider ask you whether or not you wanted to [continue taking/take] antidepressant medication at the time?
    o Yes
    o No
    KnowledgeOut of 100 people who have been told they have mild to moderate depression and who do not do anything to treat it, about how many will feel better within a year?
    Range 0–100
    Correct answer39: Between 25 to 49
    KnowledgeIf a person starts feeling better after taking antidepressant medicine, when should he or she talk with the doctor about stopping the medicine?
    o As soon as the person feels better
    o 6 to 12 months after feeling better
    o A person should never stop taking the medication
    Correct answer10,40: 6 to 12 months after feeling better
    KnowledgeFor most people who have been told they have mild to moderate depression, which treatment is more effective?
    o Antidepressant medication
    o Depression counseling or therapy
    o There is little or no difference
    Correct answer10,40,41: There is little or no difference
    KnowledgeFor most people who have been told they have severe depression, which treatment is more effective?
    o Antidepressant medication
    o Depression counseling or therapy
    o A combination of medication and counseling or therapy
    Correct answer 10,42,43: A combination of medication and counseling or therapy
    KnowledgeHow long does a person usually need to get depression counseling to reduce symptoms of depression?
    o Less than 6 months
    o 6 to 12 months
    o 1 to 2 years
    o More than 2 years
    Correct answer:40,44 Less than 6 months
    Who made the decision?Who made the final decision whether or not to [take/continue taking] antidepressant medicine?
    o Mainly my decision
    o Mainly the health care [providers'/provider's] decision
    o We made the decision together
    Make the same decision again?If you knew then what you know now, do you think you would make the same decision about antidepressant medicine?
    o Definitely yes
    o Probably yes
    o Probably no
    o Definitely no
PreviousNext
Back to top

In this issue

The Journal of the American Board of Family     Medicine: 33 (1)
The Journal of the American Board of Family Medicine
Vol. 33, Issue 1
January-February 2020
  • Table of Contents
  • Table of Contents (PDF)
  • Cover (PDF)
  • Index by author
  • Back Matter (PDF)
  • Front Matter (PDF)
Print
Download PDF
Article Alerts
Sign In to Email Alerts with your Email Address
Email Article

Thank you for your interest in spreading the word on American Board of Family Medicine.

NOTE: We only request your email address so that the person you are recommending the page to knows that you wanted them to see it, and that it is not junk mail. We do not capture any email address.

Enter multiple addresses on separate lines or separate them with commas.
National Survey of Decision-Making for Antidepressants and Educational Level
(Your Name) has sent you a message from American Board of Family Medicine
(Your Name) thought you would like to see the American Board of Family Medicine web site.
CAPTCHA
This question is for testing whether or not you are a human visitor and to prevent automated spam submissions.
12 + 8 =
Solve this simple math problem and enter the result. E.g. for 1+3, enter 4.
Citation Tools
National Survey of Decision-Making for Antidepressants and Educational Level
Suzanne Brodney, Floyd J. Fowler, Vickie Stringfellow, K. D. Valentine, Michael J. Barry
The Journal of the American Board of Family Medicine Jan 2020, 33 (1) 80-90; DOI: 10.3122/jabfm.2020.01.190120

Citation Manager Formats

  • BibTeX
  • Bookends
  • EasyBib
  • EndNote (tagged)
  • EndNote 8 (xml)
  • Medlars
  • Mendeley
  • Papers
  • RefWorks Tagged
  • Ref Manager
  • RIS
  • Zotero
Share
National Survey of Decision-Making for Antidepressants and Educational Level
Suzanne Brodney, Floyd J. Fowler, Vickie Stringfellow, K. D. Valentine, Michael J. Barry
The Journal of the American Board of Family Medicine Jan 2020, 33 (1) 80-90; DOI: 10.3122/jabfm.2020.01.190120
Twitter logo Facebook logo Mendeley logo
  • Tweet Widget
  • Facebook Like
  • Google Plus One

Jump to section

  • Article
    • Abstract
    • Methods
    • Results
    • Discussion
    • Conclusion
    • Acknowledgments
    • Appendix
    • Notes
    • References
  • Figures & Data
  • References
  • Info & Metrics
  • PDF

Related Articles

  • No related articles found.
  • PubMed
  • Google Scholar

Cited By...

  • Family Medicine and the "New" Opioid Epidemic
  • Google Scholar

More in this TOC Section

  • Integrating Adverse Childhood Experiences and Social Risks Screening in Adult Primary Care
  • A Pilot Comparison of Clinical Data Collection Methods Using Paper, Electronic Health Record Prompt, and a Smartphone Application
  • Associations Between Modifiable Preconception Care Indicators and Pregnancy Outcomes
Show more Original Research

Similar Articles

Keywords

  • Antidepressants
  • Chi-Square Test
  • Clinical Decision-Making
  • Demography
  • Depression
  • Mental Health
  • Patient Participation
  • Patient Preference
  • Primary Health Care
  • Surveys and Questionnaires
  • Variance Analysis

Navigate

  • Home
  • Current Issue
  • Past Issues

Authors & Reviewers

  • Info For Authors
  • Info For Reviewers
  • Submit A Manuscript/Review

Other Services

  • Get Email Alerts
  • Classifieds
  • Reprints and Permissions

Other Resources

  • Forms
  • Contact Us
  • ABFM News

© 2025 American Board of Family Medicine

Powered by HighWire