PMID- 28414013
OWN - NLM
STAT- MEDLINE
DCOM- 20180831
LR  - 20180925
IS  - 1477-1128 (Electronic)
IS  - 1463-4236 (Linking)
VI  - 18
IP  - 4
DP  - 2017 Jul
TI  - The efficacy of primary care chaplaincy compared with antidepressants: a 
      retrospective study comparing chaplaincy with antidepressants.
PG  - 354-365
LID - 10.1017/S1463423617000159 [doi]
AB  - Aim To determine the effectiveness of primary care chaplaincy (PCC) when used as 
      the sole intervention, with outcomes being compared directly with those of 
      antidepressants. This was to be carried out in a homogenous study population 
      reflective of certain demographics in the United Kingdom. BACKGROUND: Increasing 
      numbers of patients are living with long-term conditions and 'modern maladies' 
      and are experiencing loss of well-being and depression. There is an increasing 
      move to utilise non-pharmacological interventions such as 'talking therapies' 
      within this context. Chaplaincy is one such 'talking therapy' but within primary 
      care its evidence base is sparse with only one quantitative study to date. There 
      is therefore a need to evaluate PCC excluding those co-prescribed 
      antidepressants, as this is not evidenced in the literature as yet. PCC also 
      needs to be directly compared with the use of antidepressants to justify its use 
      as a valid alternative treatment for loss of well-being and depression. METHODS: 
      This was a retrospective observational study based on routinely collected data. 
      There were 107 patients in the PCC group and 106 in the antidepressant group. 
      Socio-demographic data were collected. Their pre- and post-intervention (either 
      chaplaincy or antidepressant) well-being was assessed, by the Warwick-Edinburgh 
      Mental Well-being Scale (WEMWBS) which is a validated Likert scale. Findings The 
      majority of both groups were female with both groups showing marked ethnic 
      homogeneity. PCC was associated with a significant and clinically meaningful 
      improvement in well-being at a mean follow-up of 80 days. This treatment effect 
      was maintained after those co-prescribed antidepressants were removed. PCC was 
      associated with an improvement in well-being similar to that of antidepressants 
      with no significant difference between the two groups.
FAU - Macdonald, Gordon
AU  - Macdonald G
AD  - GP Principal,Regent Gardens Medical Practice,Kirkintilloch,Glasgow,UK.
LA  - eng
PT  - Comparative Study
PT  - Journal Article
PT  - Observational Study
DEP - 20170417
PL  - England
TA  - Prim Health Care Res Dev
JT  - Primary health care research & development
JID - 100897390
RN  - 0 (Antidepressive Agents)
SB  - IM
MH  - Adolescent
MH  - Adult
MH  - Aged
MH  - Antidepressive Agents/*therapeutic use
MH  - *Chaplaincy Service, Hospital
MH  - Depressive Disorder/*drug therapy
MH  - Female
MH  - Humans
MH  - Male
MH  - Middle Aged
MH  - *Primary Health Care
MH  - *Psychotherapy
MH  - Retrospective Studies
MH  - Treatment Outcome
MH  - United Kingdom
MH  - Young Adult
OTO - NOTNLM
OT  - antidepressants
OT  - chaplaincy
OT  - talking therapy
OT  - well-being
EDAT- 2017/04/18 06:00
MHDA- 2018/09/01 06:00
CRDT- 2017/04/18 06:00
PHST- 2017/04/18 06:00 [pubmed]
PHST- 2018/09/01 06:00 [medline]
PHST- 2017/04/18 06:00 [entrez]
AID - S1463423617000159 [pii]
AID - 10.1017/S1463423617000159 [doi]
PST - ppublish
SO  - Prim Health Care Res Dev. 2017 Jul;18(4):354-365. doi: 10.1017/S1463423617000159. 
      Epub 2017 Apr 17.