{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,6]],"date-time":"2026-04-06T10:26:12Z","timestamp":1775471172987,"version":"3.50.1"},"reference-count":45,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2024,8,1]],"date-time":"2024-08-01T00:00:00Z","timestamp":1722470400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Med."],"abstract":"<jats:sec><jats:title>Background<\/jats:title><jats:p>Many variables may affect the approaches of primary care providers (PCPs) to mental disorders. This study was aimed at reaching PCPs actively practicing in Turkey through a web-based survey and determining their practices and attitudes regarding mental disorders.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>This was a web-based, quantitative, cross-sectional, primary care approach-based observational survey.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Data from 454 PCPs (213 male, 241 female; 321 general practitioners, 133 family medicine specialists) were examined. In-service training in psychiatry (<jats:italic>p<\/jats:italic>\u2009&amp;lt;\u20090.001), using classification criteria when evaluating mental disorders (<jats:italic>p<\/jats:italic>\u2009&amp;lt;\u20090.001), and experience in diagnosing mental disorders (<jats:italic>p<\/jats:italic>\u2009=\u20090.003) were more prevalent among family medicine specialists than general practitioners. Regardless of specialization status, PCPs reported the most difficulty diagnosing bipolar disorder (62.33%) and following-up alcohol\/drug use disorder (52.20%). Significant differences in the use of psychotropic medications were observed between general practitioners and family medicine specialists. While the rate of direct referral to psychiatry without intervening in certain situations was higher among general practitioners, variety of psychotropic medication use were also more evident among them. Misinformation that antidepressants cause forgetfulness, numbness, suicide, and addiction was prevalent among all PCPs. Those who had in-service training in psychiatry had significantly more experience in using classification criteria, diagnosing and starting treatment for mental disorders, using psychotropic medications, and encountering suicide-related situations (<jats:italic>p<\/jats:italic>\u2009&amp;lt;\u20090.05). Binary logistic regression analysis demonstrated that psychiatry in-service training experience can improve the use of classification criteria, suicide detection, antidepressant choice in anxiety, and understanding the addictive nature of antidepressants (Sensitivity\u2009=\u200988.6%; Specificity\u2009=\u200998.3%; Beginning block \u22122 Log likelihood 628.946, overall <jats:italic>p<\/jats:italic> value &amp;lt; 0.001; Block one \u22122 Log likelihood 141.054<jats:sup>a<\/jats:sup>, Cox &amp;amp; Snell <jats:italic>R<\/jats:italic><jats:sup>2<\/jats:sup>\u2009=\u20090.659, Nagelkerke <jats:italic>R<\/jats:italic><jats:sup>2<\/jats:sup>\u2009=\u20090.878; Hosmer and Lemeshow Test <jats:italic>p<\/jats:italic>\u2009=\u20090.938).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>This study makes significant contributions to the literature by discussing the subject in detail and comparing general practitioners and family medicine specialists. Regardless of their specialty status, PCPs\u2019 knowledge about mental disorders needs to be improved. In-service psychiatry training is one of the tools that can be used for this purpose.<\/jats:p><\/jats:sec>","DOI":"10.3389\/fmed.2024.1427745","type":"journal-article","created":{"date-parts":[[2024,8,1]],"date-time":"2024-08-01T04:42:41Z","timestamp":1722487361000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":5,"title":["Attitudes and psychotropic preferences of primary care providers in the management of mental disorders: a web-based survey"],"prefix":"10.3389","volume":"11","author":[{"given":"Dilek","family":"\u00d6r\u00fcm","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1965","published-online":{"date-parts":[[2024,8,1]]},"reference":[{"key":"ref1","doi-asserted-by":"publisher","first-page":"553071","DOI":"10.3389\/fpubh.2021.553071","article-title":"Similarities and differences of mental health in women and men: a systematic review of findings in three large German cohorts","volume":"9","author":"Otten","year":"2021","journal-title":"Front Public Health"},{"key":"ref2","doi-asserted-by":"publisher","first-page":"2366","DOI":"10.2105\/AJPH.2010.192245","article-title":"Change in level of positive mental health as a predictor of future risk of mental illness","volume":"100","author":"Keyes","year":"2010","journal-title":"Am J Public Health"},{"key":"ref3","volume-title":"World mental health report: Transforming mental health for all","year":"2022"},{"key":"ref4","doi-asserted-by":"publisher","first-page":"1245","DOI":"10.15252\/embr.201642951","article-title":"The economic costs of mental disorders: do our societies react appropriately to the burden of mental disorders?","volume":"17","author":"Trautmann","year":"2016","journal-title":"EMBO Rep"},{"key":"ref5","doi-asserted-by":"publisher","first-page":"343","DOI":"10.1016\/j.jval.2019.09.2753","article-title":"Measuring quality-adjusted life-years when health fluctuates","volume":"23","author":"Sanghera","year":"2020","journal-title":"Value Health"},{"key":"ref6","doi-asserted-by":"publisher","first-page":"42","DOI":"10.1016\/j.socscimed.2017.11.008","article-title":"The relationship between physical and mental health: a mediation analysis","volume":"195","author":"Ohrnberger","year":"2017","journal-title":"Soc Sci Med"},{"key":"ref7","doi-asserted-by":"publisher","first-page":"165","DOI":"10.5811\/westjem.2015.12.28763","article-title":"Managing agitation associated with schizophrenia and bipolar disorder in the emergency setting","volume":"17","author":"Zeller","year":"2016","journal-title":"West J Emerg Med"},{"key":"ref8","doi-asserted-by":"publisher","first-page":"171","DOI":"10.1016\/s0165-0327(02)00087-3","article-title":"Subthreshold psychiatric disorders in primary care: prevalence and associated characteristics","volume":"76","author":"Rucci","year":"2003","journal-title":"J Affect Disord"},{"key":"ref9","doi-asserted-by":"publisher","first-page":"583","DOI":"10.1001\/archpsyc.1985.01790290065007","article-title":"Psychiatric disorders in primary care. 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