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

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), pp. 120-125. (doi:10.1016/j.jad.2012.04.042). (PMID:22819205).

Record type: Article


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.

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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


Local EPrints ID: 342865
ISSN: 0165-0327
PURE UUID: 4cdc0f47-e3a2-4f0c-9b3e-254eac951a6f
ORCID for Michael Moore: ORCID iD
ORCID for Tony Kendrick: ORCID iD

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Date deposited: 17 Sep 2012 12:43
Last modified: 18 Jul 2017 05:26

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Author: Michael Moore ORCID iD
Author: Richard Byng
Author: Beth Stuart
Author: Tirril Harris
Author: Tony Kendrick ORCID iD

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