A cross-sectional study of primary care physicians’ knowledge, attitudes, and practices toward the treatment of depression and anxiety at primary care facilities in Eastern and North-Central Trinidad

BACKGROUND: Primary care physicians are often the first point of contacts for patients and therefore play a critical role in identifying and managing depression and anxiety. AIMS: To determine the knowledge, attitudes and practices of Primary care physicians (PCPs) towards the treatment of depression and anxiety at primary health care facilities in Eastern and North Central Trinidad. SUBJECTS AND METHODS: A validated questionnaire derived from previous studies- (Haddad et al., 2015; Zada et al., 2020; Meredith et al., 2000) with similar study populations was utilised. The questionnaire was uploaded to Google forms and disseminated to eligible PCPs via email and WhatsApp. RESULTS: Most respondents were between 25-35 years (54%) and practiced medicine for 11-13 years (23%). PCPs strongly agreed on the use of screening tools during patient consultations, referrals to specialists, appropriate prescriptions and follow up care. 76.9% of PCPs felt confident in recognizing depression and anxiety and acknowledged the importance of mental health. However, knowledge gaps were identified for pharmacological treatments and psychotherapy. CONCLUSION: PCPs should be trained and updated on evidence-based guidelines for the effective management of common mental health conditions presenting in primary care.