Publication:
Effectiveness of Psychological and Educational Interventions to Prevent Depression in Primary Care: A Systematic Review and Meta-Analysis.

dc.contributor.authorConejo-Cerón, Sonia
dc.contributor.authorMoreno-Peral, Patricia
dc.contributor.authorRodríguez-Morejón, Alberto
dc.contributor.authorMotrico, Emma
dc.contributor.authorNavas-Campaña, Desirée
dc.contributor.authorRigabert, Alina
dc.contributor.authorMartín-Pérez, Carlos
dc.contributor.authorRodríguez-Bayón, Antonina
dc.contributor.authorBallesta-Rodríguez, María Isabel
dc.contributor.authorLuna, Juan de Dios
dc.contributor.authorGarcía-Campayo, Javier
dc.contributor.authorRoca, Miquel
dc.contributor.authorBellón, Juan Ángel
dc.date.accessioned2023-01-25T09:46:01Z
dc.date.available2023-01-25T09:46:01Z
dc.date.issued2017
dc.description.abstractAlthough evidence exists for the efficacy of psychosocial interventions to prevent the onset of depression, little is known about its prevention in primary care. We aimed to evaluate the effectiveness of psychological and educational interventions to prevent depression in primary care. We conducted a systematic review and meta-analysis of relevant randomized controlled trials (RCTs) examining the effect of psychological and educational interventions to prevent depression in nondepressed primary care attendees. We searched MEDLINE, PsycINFO, Web of Science, OpenGrey Repository, Cochrane Central Register of Controlled Trials, and other sources up to May 2016. At least 2 reviewers independently evaluated the eligibility criteria, extracted data, and assessed the risk of bias. We calculated standardized mean differences (SMD) using random-effects models. We selected 14 studies (7,365 patients) that met the inclusion criteria, 13 of which were valid to perform a meta-analysis. Most of the interventions had a cognitive-behavioral orientation, and in only 4 RCTs were the intervention clinicians primary care staff. The pooled SMD was -0.163 (95%CI, -0.256 to -0.070; P = .001). The risk of bias and the heterogeneity (I2 = 20.6%) were low, and there was no evidence of publication bias. Meta-regression detected no association between SMD and follow-up times or SMD and risk of bias. Subgroup analysis suggested greater effectiveness when the RCTs used care as usual as the comparator compared with those using placebo. Psychological and educational interventions to prevent depression had a modest though statistically significant preventive effect in primary care. Further RCTs using placebo or active comparators are needed.
dc.identifier.doi10.1370/afm.2031
dc.identifier.essn1544-1717
dc.identifier.pmcPMC5422089
dc.identifier.pmid28483893
dc.identifier.pubmedURLhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC5422089/pdf
dc.identifier.unpaywallURLhttps://www.annfammed.org/content/annalsfm/15/3/262.full.pdf
dc.identifier.urihttp://hdl.handle.net/10668/11184
dc.issue.number3
dc.journal.titleAnnals of family medicine
dc.journal.titleabbreviationAnn Fam Med
dc.language.isoen
dc.organizationÁrea de Gestión Sanitaria Nordeste de Granada
dc.organizationJaén
dc.organizationArea de Gestión Sanitaria Norte de Jaén
dc.organizationMálaga
dc.organizationValle del Guadalhorce
dc.organizationInstituto de Investigación Biomédica de Málaga-IBIMA
dc.organizationAGS- Nordeste de Granada
dc.organizationAGS - Norte de Jaén
dc.page.number262-271
dc.pubmedtypeJournal Article
dc.pubmedtypeMeta-Analysis
dc.pubmedtypeReview
dc.pubmedtypeSystematic Review
dc.rights.accessRightsopen access
dc.subjectdelivery of health care
dc.subjectdepression/prevention & control
dc.subjecteducational interventions
dc.subjectmeta-analysis
dc.subjectprimary health care
dc.subjectpsychological interventions
dc.subjectsystematic review
dc.subject.meshDepression
dc.subject.meshFemale
dc.subject.meshHumans
dc.subject.meshMale
dc.subject.meshPrimary Health Care
dc.subject.meshRandomized Controlled Trials as Topic
dc.titleEffectiveness of Psychological and Educational Interventions to Prevent Depression in Primary Care: A Systematic Review and Meta-Analysis.
dc.typeresearch article
dc.type.hasVersionVoR
dc.volume.number15
dspace.entity.typePublication

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