{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,5]],"date-time":"2026-03-05T07:18:45Z","timestamp":1772695125626,"version":"3.50.1"},"reference-count":27,"publisher":"Oxford University Press (OUP)","issue":"2","license":[{"start":{"date-parts":[[2026,3,3]],"date-time":"2026-03-03T00:00:00Z","timestamp":1772496000000},"content-version":"vor","delay-in-days":24,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2026,2,7]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>The decision-making process, from diagnosing depression to treatment proposal, involves many interrelated factors. Patient age has been identified as a factor that influences care proposals. Our aim is to investigate the association between how prescribers perceive ageing and their decision-making when treating depression.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A cross-sectional survey of 57 physicians was conducted. The questionnaire collected socio-demographic data, and ageing semantic differential (ASD) scale to assess ageism. It also examined the reactions to treatment proposals in a clinical vignette about an 82-year-old woman with a single-episode depressive disorder of unspecified severity (mild or moderate). Physicians' reactions to two treatment options\u2014antidepressant medication and psychotherapy\u2014were assessed independently. For each option, participants could indicate whether they were in favor of initiation, against initiation, or had no opinion. Multiple linear regression was used to study the association between ASD and attitudes toward the initiation of antidepressant medication and psychotherapy.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Prescribers' representations of ageing were significantly associated with their therapeutic decisions for late-life depression. When presented with the same clinical vignette, physicians showed substantial variability in treatment preferences. After adjustment, physicians in favor of initiating psychotherapy exhibited significantly more negative views of ageing compared with those opposed to this option. No significant association was observed between ageist attitudes and the decision to initiate antidepressant treatment.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>The research underscores the complex role of ageism in medical decision-making and highlights the need for targeted training to mitigate its impact on late-life depression care.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1093\/fampra\/cmag003","type":"journal-article","created":{"date-parts":[[2026,2,3]],"date-time":"2026-02-03T12:30:29Z","timestamp":1770121829000},"source":"Crossref","is-referenced-by-count":0,"title":["Is ageism among prescribers an influential factor in the management of depression in the elderly? A vignette-based study"],"prefix":"10.1093","volume":"43","author":[{"given":"Amina","family":"Stolz","sequence":"first","affiliation":[{"name":"Department of Psychiatry, Service of Old Age Psychiatry, Lausanne University Hospital and University of Lausanne , Prilly 1008 ,","place":["Switzerland"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Julie","family":"Pluies","sequence":"additional","affiliation":[{"name":"Department of Psychiatry, Service of Old Age Psychiatry, Lausanne University Hospital and University of Lausanne , Prilly 1008 ,","place":["Switzerland"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Setareh","family":"Ranjbar","sequence":"additional","affiliation":[{"name":"Department of Psychiatry, Psychiatric Epidemiology and Psychopathology Research Center, Lausanne University Hospital and University of Lausanne , 1008 Prilly ,","place":["Switzerland"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Beatriz","family":"Pozuelo Moyano","sequence":"additional","affiliation":[{"name":"Department of Psychiatry, Service of Old Age Psychiatry, Lausanne University Hospital and University of Lausanne , Prilly 1008 ,","place":["Switzerland"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"St\u00e9phane","family":"Mouchabac","sequence":"additional","affiliation":[{"name":"ICRIN Psychiatry (Infrastructure of Clinical Research in Neurosciences-Psychiatry), Sorbonne Universit\u00e9, Brain Institute (Institut du Cerveau et de la Mo\u00eblle (ICM)), Institut National de la Sant\u00e9 et de la Recherche M\u00e9dicale (INSERM), Centre National de la Recherche Scientifique (CNRS) , 75013 Paris ,","place":["France"]},{"name":"Department of Psychiatry, Saint-Antoine Hospital, Sorbonne University , 75012 Paris ,","place":["France"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Pierre","family":"Vandel","sequence":"additional","affiliation":[{"name":"Department of Psychiatry, Service of Old Age Psychiatry, Lausanne University Hospital and University of Lausanne , Prilly 1008 ,","place":["Switzerland"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"St\u00e9phane","family":"Adam","sequence":"additional","affiliation":[{"name":"Department of Psychology, Psychology of Aging Unit, University of Li\u00e8ge , 4000 Li\u00e8ge ,","place":["Belgium"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6324-2873","authenticated-orcid":false,"given":"Jean-Pierre","family":"Schuster","sequence":"additional","affiliation":[{"name":"Department of Psychiatry, Service of Old Age Psychiatry, Lausanne University Hospital and University of Lausanne , Prilly 1008 ,","place":["Switzerland"]}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2026,3,3]]},"reference":[{"key":"2026030501463147100_cmag003-B1","doi-asserted-by":"publisher","first-page":"2114","DOI":"10.1001\/jama.2017.5706","article-title":"Management of depression in older adults: a review","volume":"317","author":"Kok","year":"2017","journal-title":"JAMA"},{"key":"2026030501463147100_cmag003-B2","doi-asserted-by":"publisher","first-page":"953","DOI":"10.1007\/s00127-021-02193-8","article-title":"Healthcare use for major depressive disorders among middle-aged and older adults in the community","volume":"57","author":"Schuster","year":"2022","journal-title":"Soc Psychiatry Psychiatr Epidemiol"},{"key":"2026030501463147100_cmag003-B3","doi-asserted-by":"publisher","first-page":"1201","DOI":"10.1186\/s12913-022-08579-x","article-title":"Practice characteristics influencing variation in provision of depression care in general practice in Norway; 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