Dagens FSV-oversigt: Collaborative care for depression in European countries: a systematic review and meta-analysis.

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Date: Sun, 04 Jan 2015 11:25:01 -0000
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------------- Seneste opslag -------------

Dagens #fsvoversigt:

Collaborative care for depression in European countries: a systematic review 
and meta-analysis.

J Psychosom Res. 2014 Oct;77(4):247-63

Authors: Sighinolfi C, Nespeca C, Menchetti M, Levantesi P, Belvederi Murri M, 
Berardi D

Abstract

OBJECTIVES: This is a systematic review and meta-analysis of randomized 
controlled trials (RCTs) investigating the effectiveness of collaborative care 
compared to Primary Care Physician's (PCP's) usual care in the treatment of 
depression, focusing on European countries.

METHODS: A systematic review of English and non-English articles, from 
inception to March 2014, was performed using database PubMed, British Nursing 
Index and Archive, Ovid Medline (R), PsychINFO, Books@Ovid, PsycARTICLES Full 
Text, EMBASE Classic+Embase, DARE (Database of Abstract of Reviews of 
Effectiveness) and the Cochrane Library electronic database. Search term 
included depression, collaborative care, physician family and allied health 
professional. RCTs comparing collaborative care to usual care for depression in 
primary care were included. Titles and abstracts were independently examined by 
two reviewers, who extracted from the included trials information on 
participants' characteristics, type of intervention, features of collaborative 
care and type of outcome measure.

RESULTS: The 17 papers included, regarding 15 RCTs, involved 3240 participants. 
Primary analyses showed that collaborative care models were associated with 
greater improvement in depression outcomes in the short term, within 3 months 
(standardized mean difference (SMD) -0.19, 95% CI=-0.33; -0.05; p=0.006), 
medium term, between 4 and 11 months (SMD -0.24, 95% CI=-0.39; -0.09; p=0.001) 
and medium-long term, from 12 months and over (SMD -0.21, 95% CI=-0.37; -0.04; 
p=0.01), compared to usual care.

CONCLUSIONS: The present review, specifically focusing on European countries, 
shows that collaborative care is more effective than treatment as usual in 
improving depression outcomes.

PMID: 25201482 [PubMed - indexed for MEDLINE]

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Dette abstract er hentet via PubMed fra National Library of Medicine, USA 
(http://www.ncbi.nlm.nih.gov/About/disclaimer.html).
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Dagens FSV-oversigt: Collaborative care for depression in European countries: a systematic review and meta-analysis.

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