Dagens FSV-oversigt: Depression self-management support: a systematic review.

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Date: Tue, 30 Dec 2014 11:13:30 -0000
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Dagens #fsvoversigt:

Depression self-management support: a systematic review.

Patient Educ Couns. 2013 Jun;91(3):271-9

Authors: Houle J, Gascon-Depatie M, Bélanger-Dumontier G, Cardinal C

Abstract

OBJECTIVE: To systematically review empirical evidence regarding the efficacy 
of depression self-management support (SMS) interventions for improving 
depression symptomatology and preventing relapse.

METHODS: Pubmed and PsycINFO databases were searched for relevant articles on 
depression SMS interventions. Scanning of references in the articles and 
relevant reviews and communications with field experts yielded additional 
articles. Two independent reviewers analyzed the articles for inclusion and 
data was extracted from the selected articles.

RESULTS: 13 papers met the inclusion criteria and reported the results of six 
separate studies, including three pilot studies. The results were mostly 
positive. A majority of the trials assessing depression severity changes found 
SMS to be superior to care as usual. SMS interventions were found to improve 
self-management behaviors and self-efficacy. Mixed results were found 
concerning relapse rates. Promising results were found on assessments of 
functional status. Based on the findings, cost-effectiveness remains unclear.

CONCLUSION: SMS has been mostly examined through pilot studies with 
insufficient power. The results are promising, but larger randomized controlled 
trials are needed.

PRACTICE IMPLICATIONS: SMS interventions can be administered by non-physician 
professionals and are well accepted by patients, but more research is needed 
before we can recommend implementing specific depression SMS approaches in 
primary care.

PMID: 23414831 [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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Se abstractet i PubMed: http://evidens.link/1HdIPja

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Dagens FSV-oversigt: Depression self-management support: a systematic review.

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