Brief interventions for depression in primary care: a systematic review.
Objective: To assess existing, brief nonpharmacologic interventions that are available for primary care physicians with minimal training in psychotherapy to use in managing depression in adult patients.Data Sources: MEDLINE was searched from 1996 to 2007, EMBASE was searched from 1980 to 2007, and E...
| Publicado en: | Canadian Family Physician / Médecin de Famille Canadien Vol. 55; no. 8; pp. 789 - 797 |
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| Autores principales: | , |
| Formato: | research systematic review Journal Article |
| Publicado: |
College of Family Physicians of Canada
Aug2009
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=105406048&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 105406048 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 0008350X 1076 jtl: Canadian Family Physician / Médecin de Famille Canadien issn: 0008350X maglogo: N pubinfo: dt: Aug2009 vid: 55 iid: 8 pid: 2207 pub: College of Family Physicians of Canada place: Mississauga, Ontario artinfo: ui: 105406048 105406048 NLM19675262 2010369702 NLM19675262 105406048 ppf: 789 ppct: 8 formats: tig: atl: Brief interventions for depression in primary care: a systematic review. aug: au: McNaughton JL McNaughton, Jennifer L affil: c/o Royal Victoria Hospital, 201 Georgian Dr, Barrie, ON L4M 6M2 sug: subj: Depression Diagnosis Depression Therapy Patient Care Primary Health Care Adult Bibliotherapy Cognitive Therapy Embase Medline Meta Analysis Psychological Tests Treatment Outcomes Human Adult: 19-44 years ab: Objective: To assess existing, brief nonpharmacologic interventions that are available for primary care physicians with minimal training in psychotherapy to use in managing depression in adult patients.Data Sources: MEDLINE was searched from 1996 to 2007, EMBASE was searched from 1980 to 2007, and EBM Reviews was searched from 1999 to 2007.Study Selection: Several randomized controlled trials were selected using specified criteria. Selected articles were subsequently appraised and qualitatively analyzed.Synthesis: Significant improvements on depression scales were found in 6 out of 8 studies (P < .05) using various brief interventions and formal control groups. Successful interventions included bibliotherapy, websites based on cognitive-behavioural therapy (CBT), and CBT-based computer programs. Completion rates were highest when interventions were shorter, more structured, and included frequent contact or reminders from study staff. Validity limitations included small sample sizes, non-blinding of studies, and an uncertain degree of generalizability.Conclusion: Bibliotherapy, CBT-based websites, and CBT-based computer programs might be effective in assisting primary care physicians who have minimal training in psychotherapy in treating adult patients with depression. Health care personnel contact with patients undergoing these interventions might result in increased effectiveness. Future research is warranted in this area, and despite several limitations, findings from this study could help guide efforts in the development and evaluation of such research. pubtype: Academic Journal doctype: research systematic review Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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