{"id":"https://openalex.org/W3159949976","doi":null,"title":"Meningen van huisartsen en pati\u00ebnten rond langdurig antidepressivagebruik \u2013 een kwalitatief onderzoek.","display_name":"Meningen van huisartsen en pati\u00ebnten rond langdurig antidepressivagebruik \u2013 een kwalitatief onderzoek.","publication_year":2015,"publication_date":"2015-01-01","ids":{"openalex":"https://openalex.org/W3159949976","mag":"3159949976"},"language":"nl","primary_location":{"id":"mag:3159949976","doi":null,"is_oa":false,"landing_page_url":"https://umcg.studenttheses.ub.rug.nl/1772/","pdf_url":null,"source":null,"license":null,"license_id":null,"version":null,"is_accepted":false,"is_published":false,"raw_source_name":null,"raw_type":null},"volume":null,"type":"dissertation","is_traditional":true,"indexed_in":[],"open_access":{"is_oa":false,"oa_status":"closed","oa_url":null,"any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5067215957","display_name":"J. Zuur","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":true,"raw_author_name":"J. Zuur","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]}],"institutions":[],"countries_distinct_count":0,"institutions_distinct_count":0,"corresponding_author_ids":["https://openalex.org/A5067215957"],"corresponding_institution_ids":[],"apc_list":null,"apc_paid":null,"fwci":null,"has_fulltext":false,"cited_by_count":0,"citation_normalized_percentile":null,"cited_by_percentile_year":null,"biblio":{"volume":null,"issue":null,"first_page":null,"last_page":null},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10272","display_name":"Mental Health Treatment and Access","score":0.46389999985694885,"subfield":{"id":"https://openalex.org/subfields/2738","display_name":"Psychiatry and Mental health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T10272","display_name":"Mental Health Treatment and Access","score":0.46389999985694885,"subfield":{"id":"https://openalex.org/subfields/2738","display_name":"Psychiatry and Mental health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11071","display_name":"Treatment of Major Depression","score":0.31859999895095825,"subfield":{"id":"https://openalex.org/subfields/2736","display_name":"Pharmacology (medical)"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11620","display_name":"Medication Adherence and Compliance","score":0.0731000006198883,"subfield":{"id":"https://openalex.org/subfields/2714","display_name":"Family Practice"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/long-term-antidepressant-use","display_name":"long-term antidepressant use","score":0.9639999866485596},{"id":"https://openalex.org/keywords/antidepressant-discontinuation","display_name":"antidepressant discontinuation","score":0.9639999866485596},{"id":"https://openalex.org/keywords/general-practitioners","display_name":"general practitioners","score":0.7009999752044678},{"id":"https://openalex.org/keywords/patient-perspectives","display_name":"patient perspectives","score":0.8029999732971191},{"id":"https://openalex.org/keywords/relapse-prevention","display_name":"relapse prevention","score":0.8100000023841858},{"id":"https://openalex.org/keywords/depression","display_name":"depression","score":0.5540000200271606},{"id":"https://openalex.org/keywords/anxiety-disorders","display_name":"anxiety disorders","score":0.9789999723434448},{"id":"https://openalex.org/keywords/psychological-dependence","display_name":"psychological dependence","score":0.6159999966621399},{"id":"https://openalex.org/keywords/stigma","display_name":"stigma","score":0.5370000004768372},{"id":"https://openalex.org/keywords/fear-of-recurrence","display_name":"fear of recurrence","score":0.8840000033378601},{"id":"https://openalex.org/keywords/treatment-policy","display_name":"treatment policy","score":0.3370000123977661},{"id":"https://openalex.org/keywords/patient-physician-communication","display_name":"patient-physician communication","score":0.5450000166893005},{"id":"https://openalex.org/keywords/treatment-adherence","display_name":"medication adherence","score":0.3479999899864197},{"id":"https://openalex.org/keywords/primary-care","display_name":"primary care","score":0.32100000977516174},{"id":"https://openalex.org/keywords/help-seeking","display_name":"help-seeking","score":0.4090000092983246}],"concepts":[{"id":"https://openalex.org/C558461103","wikidata":"https://www.wikidata.org/wiki/Q154430","display_name":"Anxiety","level":2,"score":0.6264874935150146},{"id":"https://openalex.org/C156325361","wikidata":"https://www.wikidata.org/wiki/Q1152864","display_name":"Grounded theory","level":3,"score":0.603719174861908},{"id":"https://openalex.org/C2779177272","wikidata":"https://www.wikidata.org/wiki/Q76560","display_name":"Antidepressant","level":3,"score":0.5087752938270569},{"id":"https://openalex.org/C2777855551","wikidata":"https://www.wikidata.org/wiki/Q12310021","display_name":"Subject (documents)","level":2,"score":0.4654204547405243},{"id":"https://openalex.org/C2779911313","wikidata":"https://www.wikidata.org/wiki/Q845224","display_name":"Generalized anxiety disorder","level":3,"score":0.45784491300582886},{"id":"https://openalex.org/C118552586","wikidata":"https://www.wikidata.org/wiki/Q7867","display_name":"Psychiatry","level":1,"score":0.45268714427948},{"id":"https://openalex.org/C15744967","wikidata":"https://www.wikidata.org/wiki/Q9418","display_name":"Psychology","level":0,"score":0.45162054896354675},{"id":"https://openalex.org/C190248442","wikidata":"https://www.wikidata.org/wiki/Q839486","display_name":"Qualitative research","level":2,"score":0.41131824254989624},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.4085949659347534},{"id":"https://openalex.org/C144024400","wikidata":"https://www.wikidata.org/wiki/Q21201","display_name":"Sociology","level":0,"score":0.12107399106025696},{"id":"https://openalex.org/C41008148","wikidata":"https://www.wikidata.org/wiki/Q21198","display_name":"Computer science","level":0,"score":0.09982264041900635},{"id":"https://openalex.org/C36289849","wikidata":"https://www.wikidata.org/wiki/Q34749","display_name":"Social science","level":1,"score":0.07382440567016602},{"id":"https://openalex.org/C161191863","wikidata":"https://www.wikidata.org/wiki/Q199655","display_name":"Library science","level":1,"score":0.0}],"mesh":[],"locations_count":1,"locations":[{"id":"mag:3159949976","doi":null,"is_oa":false,"landing_page_url":"https://umcg.studenttheses.ub.rug.nl/1772/","pdf_url":null,"source":null,"license":null,"license_id":null,"version":null,"is_accepted":false,"is_published":false,"raw_source_name":null,"raw_type":null}],"best_oa_location":null,"sustainable_development_goals":[{"id":"https://metadata.un.org/sdg/3","display_name":"Good health and well-being","score":1.0}],"study_designs":[],"awards":[],"funders":[],"has_content":{"pdf":false,"grobid_xml":false},"content_urls":null,"referenced_works_count":0,"referenced_works":[],"related_works":["https://openalex.org/W2516288241","https://openalex.org/W4200065164","https://openalex.org/W3121635919","https://openalex.org/W4409901560","https://openalex.org/W4385064435","https://openalex.org/W3143146515","https://openalex.org/W4399908284","https://openalex.org/W2170851379","https://openalex.org/W4206743723","https://openalex.org/W2975986642"],"abstract_inverted_index":{"Introduction:":[0],"In":[1,148,446],"2013":[2],"about":[3,61,145],"1.1":[4],"million":[5],"people":[6],"in":[7,240,267,354,439,529,628],"the":[8,37,62,85,128,141,165,202,210,222,259,268,272,296,310,355,362,391,395,426,441,447,470,473,492,516,530,586,607,619],"Netherlands":[9],"used":[10,25,174,424,638],"antidepressant":[11,26,175,242,252,286,311,476,533,579,595,613,623],"drugs":[12,96,176,243,253,580],"during":[13,425],"a":[14,28,161,178,236,276,292,299,339,413,558,640],"certain":[15],"period":[16],"of":[17,22,64,130,164,167,205,212,261,271,278,289,298,334,338,359,443,449,462,472,510,532,552,555,571,594],"time.":[18],"Approximately":[19],"thirty":[20],"percent":[21],"these":[23,498],"patients":[24,50,65,92,109,120,132,169,279,319,347,367,371,575],"on":[27,71,80,135,197,201,258,325,331,464,475,485,523,561,585,597,606,646],"long-term":[29,94,154,540,612,622],"basis,":[30],"while":[31],"guidelines":[32,450],"recommend":[33],"to":[34,41,102,112,123,143,249,328,342,351,378,402,436,452,506,538,549,577,630],"phase":[35],"out":[36],"antidepressants":[38,332],"between":[39,489],"six":[40],"twelve":[42],"months":[43],"after":[44,264],"remission.":[45],"This":[46,74,156,407,514,602,615,634],"implies":[47],"that":[48,230,318,343,394,431,567],"many":[49],"have":[51,228,235,383,576],"unnecessary":[52,632],"side-effects":[53],"and":[54,66,97,110,121,133,170,190,207,219,283,336,478,609],"receive":[55],"cost-inefficient":[56],"treatment.":[57,633],"Little":[58],"is":[59,137,195,254,291,322,361,421,433,467,565,582,590,600],"known":[60],"opinions":[63,484,499],"their":[67,98,171,314,326,374,385,434,458],"General":[68],"Practitioners":[69],"(GPs)":[70],"this":[72,81,152,465,486,545,598,647],"subject.":[73,648],"study":[75,157],"will":[76],"generate":[77],"more":[78,520],"knowledge":[79,522],"subject":[82],"by":[83,412,469],"answering":[84],"following":[86],"questions:\r\n1.":[87],"To":[88],"what":[89,149],"extent":[90,150],"are":[91,106,116,127,400,500,569],"using":[93,221,241,251,285],"antidepressive":[95],"attending":[99],"GPs":[100,111,122,134,172,232,303,388,455,504,568],"willing":[101],"discontinue":[103,124,403],"medication?\r\n2.":[104],"What":[105,115,126],"reasons":[107],"for":[108,119,139,177,295,519,643],"continue":[113,250,284,368],"medication?\r\n3.":[114],"necessary":[117,566],"preconditions":[118],"medication?\r\n4.":[125],"expectations":[129],"both":[131],"who":[136,173,399,536],"responsible":[138],"taking":[140],"initiative":[142,307,438],"talk":[144],"discontinuing":[146,444],"antidepressants?":[147],"does":[151],"influence":[153],"antidepressants?\r\nMethod:":[155],"was":[158],"performed":[159],"as":[160,244,639],"qualitative":[162],"analysis":[163,194],"views":[166],"12":[168],"depressive":[179,479],"or":[180,380,415,480],"anxiety":[181,481],"disorder.":[182],"The":[183,193,226,247,316,460,483,573,588],"interviews":[184],"were":[185,217],"tape-recorded":[186],"with":[187,313],"informed":[188],"consent,":[189],"transcribed":[191],"verbatim.":[192],"based":[196,257,324,584,596],"grounded":[198],"theory,":[199],"focusing":[200],"systematic":[203],"development":[204],"theories":[206],"hypotheses":[208],"through":[209],"inspection":[211],"interview":[213],"responses.":[214],"Emerging":[215],"themes":[216],"discussed":[218],"refined":[220],"constant":[223],"comparative":[224],"method.\r\nResults:":[225],"results":[227],"shown":[229],"most":[231,255,346,363],"do":[233,348,544],"not":[234,349,376,422],"clear":[237],"defined":[238],"policy":[239,275,620],"relapse":[245,360,453],"prevention.":[246],"decision":[248],"commonly":[256],"occurrence":[260],"recurrent":[262],"episodes":[263],"having":[265],"stopped":[266],"past.":[269],"Because":[270],"\u2018ad":[273],"hoc\u2019":[274],"lot":[277],"escape":[280],"GP\u2019s":[281],"attention":[282],"drugs.":[287],"Lack":[288],"time":[290],"common":[293,364],"threshold":[294],"implementation":[297],"structural":[300],"treatment":[301],"policy.":[302],"generally":[304],"take":[305,437],"limited":[306],"when":[308],"discussing":[309,440],"use":[312,477,578,593,624],"patients.":[315],"reason":[317,365,574],"stop":[320,352,539],"medication":[321,353,386,396,404,541,556],"usually":[323,543],"aversion":[327],"being":[329],"dependant":[330],"Feelings":[333],"failure":[335],"fears":[337],"stigma":[340],"contribute":[341],"aversion.":[344],"However":[345,491],"intent":[350,401],"near":[356],"future.":[357],"Fear":[358],"why":[366],"medication.":[369,553],"Furthermore":[370],"often":[372,423,583],"consider":[373],"circumstances":[375],"right":[377],"stop,":[379],"they":[381,547],"simply":[382],"accepted":[384],"needs.":[387],"however":[389],"recognize":[390],"psychological":[392],"dependence":[393],"induces.":[397],"Patients":[398,429,535],"seek":[405],"help.":[406],"help":[408,420],"can":[409,636],"be":[410,495,550,626,637],"given":[411],"GP":[414,474],"another":[416],"aid":[417],"worker.":[418],"Psychological":[419],"stopping":[427],"process.":[428],"assume":[430],"it":[432],"responsibility":[435],"topic":[442],"medication.\r\nDiscussion:":[445],"absence":[448],"pertaining":[451],"prevention":[454],"treat":[456],"according":[457],"discretion.":[459],"level":[461],"commitment":[463],"issue":[466],"influenced":[468],"opinion":[471],"disorders.":[482],"matter":[487],"differ":[488],"GPs.":[490],"question":[493,589],"should":[494,625],"asked":[496],"whether":[497,618],"always":[501],"correctly":[502],"founded.":[503],"seem":[505],"find":[507],"themselves":[508],"capable":[509],"leading":[511,524],"discontinuation":[512,531],"processes.":[513],"contrasts":[515],"indicated":[517],"need":[518],"in-depth":[521],"different":[525],"vulnerable":[526],"target":[527],"groups":[528],"use.":[534,614],"want":[537,548],"usage":[542],"because":[546],"independent":[551],"Use":[554],"has":[557],"great":[559],"impact":[560],"patient":[562],"self-image.":[563],"It":[564],"aware":[570],"this.":[572],"continuously":[581],"\u2018serotonin-theory\u2019.":[587],"if":[591],"chronic":[592],"theory":[599],"justified.\r\n5\r\nConclusion:":[601],"research":[603,635,645],"offers":[604],"insights":[605],"options":[608],"ideas":[610],"considering":[611],"also":[616],"includes":[617],"concerning":[621],"improved":[627],"order":[629],"prevent":[631],"starting":[641],"point":[642],"further":[644]},"counts_by_year":[],"updated_date":"2026-11-04T10:54:05.112534","created_date":"2021-05-10T00:00:00"}