Abstract Body

Background and purpose: In this study, family physicians' views on Cognitive behavioral therapy (CBT) were taken in a small sample.

Methods: 36 participants participated in the study. An online questionnaire consisting of 27 questions was applied (8 open-ended, 13 closed-ended questions included 6 likert-type questions). A purposeful sample was selected. Questions about sociodemographic, views on CBT in family medicine (Response rate = 72%).

Results: The median age was 40.5 (min-max = 24-58) and most were male (n = 20; 56%) and married (n = 26, 72%). They worked in the public sector (n = 30, 82%), had a median of 9 (min-max = 0-33) years of professional experience, and most had no psychotherapy training (n = 31, 86%). Most patients were referred to a psychiatrist (n = 28, 78%). Prescribing medication (n = 21, 58%), referral to community health center (TSM) (n = 9, 25%), giving psychotherapy (n = 6, 17%) were other approaches. “The reason for referring a mentally ill patient directly” was the most common reason for consulting a specialist (n = 9). Additional explanations of family physicians were " high workload", "Family physicians should have psychotherapy training", “exhaustion and need of therapy”.

Conclusion: Family physicians are among the first to see individuals with mental problems. Their support (time, location, fee, prescription authority, place to receive consultation, etc.) will further increase the quality of the health care they provide. Although they are not expected to provide psychotherapy, increasing their cooperation with psychotherapists will help individuals with mental problems.

Abstract Body

Background: To establish the diagnostic accuracy of the Turkish version of the General

Practitioner Assessment of Cognition (GPCOG-Tr) in Turkish individuals.

Methods: The cross-sectional study was conducted in Antalya, Turkey, from February 2016 to April 2017. The purposive sampling method on of consecutively visited or attending participants was used in the study. MOCA Scale, GPCOG , and SMMT Scale were applied to the participants. Face validity was determined by two experts in this field. Construct validity was determined by factor analysis with principal component extraction method.

Results: 301 participants participated in this study (participation rate: 95%). Most of the participants were men (n=183, 60.8%). Their mean age were 71.02 years (SD=4.7 years, min-max= 65-87, n=301). Using The MOCA Scale as a reference (gold) standard, GPCOG showed accuracy (AUC=0.774). Using The SMMT Scale as a reference (gold) standard, GPCOG showed accuracy (AUC=0.752). Cronbach’s α coefficient was 0.515 for GPCOG scale. Intraclass Correlation for single measures and for average measures were 0.106 (p<0.001) and 0.515 (p<0.001), respectively. The area under the ROC curve (AUC) for GPCOG scale versus the MOCA Scale was 0.774. A cut-off point of 6 or lover for GPCOG was applied and indicated the sensitivity of 84.4%, and specificity of 55.8%. The area under the ROC curve (AUC) for GPCOG scale versus the SMMT Scale was 0.752. A cut-off point of 6 or lover for GPCOG was applied and indicated the sensitivity of 64.8%, and specificity of 75.7%.

Conclusion: The GPCOG-Tr is clinically well-suited for use in clinical practice

Abstract Body

1. Background Cognitive behavioral therapy (CBT) is an evidence-based, effective therapy method. Despite its therapeutic success CBT is under-utilized in primary care. Since CBT needs a special training and family physicians (FPs) are overwhelmed with clinical work, therapies are provided by psychotherapists in community. The integration of mental health has developed to an imperative, because mental health issues are increasing (especially during covid-19 pandemia). Patients in need for therapy need to be coordinated and supported by FPs.

2. Aim and learning objectives

The aim of this workshop is to built a CBT capacity in Family Practice.

The participant will be able to

- appropriately refer the patient to CBT

- support patient and encourage them to adhere to CBT rules and home work

- follow-up patients after CBT and help during their remission

3. Methods and timetable

The workshop will be divided into two sessions:

- Session 1: Interactive lecture (20 min.)

- Session 2: Role Play (60 min.) + Round-up (10 min.)

4. (Proposed) Results / Conclusions

FPs are among the first to see individuals with mental problems in the society. Their support (time, location, fee, prescription authority, consultation, etc.) will further increase the quality of the health care they provide. Although family physicians are not a therapist among their primary duties, increasing their cooperation with the therapists and units that provide the therapy will contribute to individuals with mental problems. Appropriate instruments and facilities should be provided to family physicians to participate in integrated mental health services.