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'Watchful waiting' or 'active monitoring' in depression management in primary care: exploring the recalled content of general practitioner consultations

'Watchful waiting' or 'active monitoring' in depression management in primary care: exploring the recalled content of general practitioner consultations
'Watchful waiting' or 'active monitoring' in depression management in primary care: exploring the recalled content of general practitioner consultations
Background: Despite the great burden of depression on sufferers and society, there is a lack of reliable information regarding the full range of psychosocial difficulties associated with depression and their related variables. This systematic review aimed to demonstrate the utility of the International Classification of Functioning, Disability and Health (ICF) in describing the psychosocial difficulties that shape the lived experience of persons with depression.

Methods: An electronic search that included publications from 2005 to 2010 in the MEDLINE and PsycHINFO databases was conducted to collect psychosocial outcomes. Quality of studies was also considered.

Results: 103 studies were included. 477 outcomes referring psychosocial difficulties were extracted and grouped into 32 ICF related categories. Emotional functions (19% of studies), followed by energy and drive (17% of studies), were the most frequent psychosocial outcomes. The onset, course, determinants, and related variables of the most important psychosocial difficulties, reported in at least 10% of studies, were described. Medication played a dual role as determinant of onset and change in some psychosocial areas, e.g. in pain, sleep, and energy and drive.

Limitations: The search was limited by year of publication and focused only on minor and major depression diagnoses: other depressive disorders were not included. Some underresearched, but relevant psychosocial areas could have not been analyzed.

Conclusions: The present systematic review provides information on the psychosocial difficulties that depressive patients face in their daily lives. Future studies on depression should include outcome instruments that cover these relevant areas in order to comprehensively describe psychosocial functioning.
depression, consultation, primary care
0165-0327
120-125
Moore, Michael
1be81dad-7120-45f0-bbed-f3b0cc0cfe99
Byng, Richard
33c40dc1-57c9-48c0-81b0-84aefed32ad5
Stuart, Beth
626862fc-892b-4f6d-9cbb-7a8d7172b209
Harris, Tirril
8cf557ab-94bd-43e8-a460-bdbc7d77492e
Kendrick, Tony
c697a72c-c698-469d-8ac2-f00df40583e5
Moore, Michael
1be81dad-7120-45f0-bbed-f3b0cc0cfe99
Byng, Richard
33c40dc1-57c9-48c0-81b0-84aefed32ad5
Stuart, Beth
626862fc-892b-4f6d-9cbb-7a8d7172b209
Harris, Tirril
8cf557ab-94bd-43e8-a460-bdbc7d77492e
Kendrick, Tony
c697a72c-c698-469d-8ac2-f00df40583e5

Moore, Michael, Byng, Richard, Stuart, Beth, Harris, Tirril and Kendrick, Tony (2013) 'Watchful waiting' or 'active monitoring' in depression management in primary care: exploring the recalled content of general practitioner consultations. Journal of Affective Disorders, 145 (1), 120-125. (doi:10.1016/j.jad.2012.04.042). (PMID:22819205)

Record type: Article

Abstract

Background: Despite the great burden of depression on sufferers and society, there is a lack of reliable information regarding the full range of psychosocial difficulties associated with depression and their related variables. This systematic review aimed to demonstrate the utility of the International Classification of Functioning, Disability and Health (ICF) in describing the psychosocial difficulties that shape the lived experience of persons with depression.

Methods: An electronic search that included publications from 2005 to 2010 in the MEDLINE and PsycHINFO databases was conducted to collect psychosocial outcomes. Quality of studies was also considered.

Results: 103 studies were included. 477 outcomes referring psychosocial difficulties were extracted and grouped into 32 ICF related categories. Emotional functions (19% of studies), followed by energy and drive (17% of studies), were the most frequent psychosocial outcomes. The onset, course, determinants, and related variables of the most important psychosocial difficulties, reported in at least 10% of studies, were described. Medication played a dual role as determinant of onset and change in some psychosocial areas, e.g. in pain, sleep, and energy and drive.

Limitations: The search was limited by year of publication and focused only on minor and major depression diagnoses: other depressive disorders were not included. Some underresearched, but relevant psychosocial areas could have not been analyzed.

Conclusions: The present systematic review provides information on the psychosocial difficulties that depressive patients face in their daily lives. Future studies on depression should include outcome instruments that cover these relevant areas in order to comprehensively describe psychosocial functioning.

Text
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More information

Accepted/In Press date: 25 April 2012
e-pub ahead of print date: 20 July 2012
Published date: 15 February 2013
Keywords: depression, consultation, primary care
Organisations: Primary Care & Population Sciences

Identifiers

Local EPrints ID: 342865
URI: https://eprints.soton.ac.uk/id/eprint/342865
ISSN: 0165-0327
PURE UUID: 4cdc0f47-e3a2-4f0c-9b3e-254eac951a6f
ORCID for Michael Moore: ORCID iD orcid.org/0000-0002-5127-4509
ORCID for Tony Kendrick: ORCID iD orcid.org/0000-0003-1618-9381

Catalogue record

Date deposited: 17 Sep 2012 12:43
Last modified: 20 Jul 2019 01:12

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