PDF(Pubmed)
Abstract：
BACKGROUND: Major Depressive Disorder (MDD) is one of the most prevalent mental disorders worldwide with significant personal and public health consequences. After an episode of MDD, the likelihood of relapse is high. Therefore, there is a need for interventions that prevent relapse of depression when outpatient mental health care treatment has ended. This scoping review aimed to systematically map the evidence and identify knowledge gaps in interventions that aimed to promote recovery from MDD for patients transitioning from outpatient mental health services to primary care.
METHODS: We followed the guidance by Joanna Briggs Institute in tandem with the PRISMA extension for Scoping Reviews checklist. Four electronic databases were systematically searched using controlled index-or thesaurus terms and free text terms, as well as backward and forward citation tracking of included studies. The search strategy was based on the identification of any type of intervention, whether simple, multicomponent, or complex. Three authors independently screened for eligibility and extracted data.
RESULTS: 18 studies were included for review. The studies had high heterogeneity in design, methods, sample size, recovery rating scales, and type of interventions. All studies used several elements in their interventions; however, the majority used cognitive behavioural therapy conducted in outpatient mental health services. No studies addressed the transitioning phase from outpatient mental health services to primary care. Most studies included patients during their outpatient mental health care treatment of MDD.
CONCLUSIONS: We identified several knowledge gaps. Recovery interventions for patients with MDD transitioning from outpatient mental health services to primary care are understudied. No studies addressed interventions in this transitioning phase or the patient\'s experience of the transitioning process. Research is needed to bridge this gap, both regarding interventions for patients transitioning from secondary to primary care, and patients\' and health care professionals\' experiences of the interventions and of what promotes recovery.
BACKGROUND: A protocol was prepared in advance and registered in Open Science Framework (https://osf.io/ah3sv), published in the medRxiv server (https://doi.org/10.1101/2022.10.06.22280499) and in PLOS ONE (https://doi.org/10.1371/journal.pone.0291559).
METHODS: We followed the guidance by Joanna Briggs Institute in tandem with the PRISMA extension for Scoping Reviews checklist. Four electronic databases were systematically searched using controlled index-or thesaurus terms and free text terms, as well as backward and forward citation tracking of included studies. The search strategy was based on the identification of any type of intervention, whether simple, multicomponent, or complex. Three authors independently screened for eligibility and extracted data.
RESULTS: 18 studies were included for review. The studies had high heterogeneity in design, methods, sample size, recovery rating scales, and type of interventions. All studies used several elements in their interventions; however, the majority used cognitive behavioural therapy conducted in outpatient mental health services. No studies addressed the transitioning phase from outpatient mental health services to primary care. Most studies included patients during their outpatient mental health care treatment of MDD.
CONCLUSIONS: We identified several knowledge gaps. Recovery interventions for patients with MDD transitioning from outpatient mental health services to primary care are understudied. No studies addressed interventions in this transitioning phase or the patient\'s experience of the transitioning process. Research is needed to bridge this gap, both regarding interventions for patients transitioning from secondary to primary care, and patients\' and health care professionals\' experiences of the interventions and of what promotes recovery.
BACKGROUND: A protocol was prepared in advance and registered in Open Science Framework (https://osf.io/ah3sv), published in the medRxiv server (https://doi.org/10.1101/2022.10.06.22280499) and in PLOS ONE (https://doi.org/10.1371/journal.pone.0291559).
摘要：
背景：重度抑郁症（MDD）是全球范围内最普遍的精神障碍之一，对个人和公共健康造成重大影响。在一段MDD之后，复发的可能性很高。因此,当门诊精神保健治疗结束时,需要采取干预措施来防止抑郁症复发.本范围审查旨在系统地绘制证据图，并确定旨在促进从门诊精神卫生服务过渡到初级保健的患者从MDD恢复的干预措施的知识差距。
方法：我们遵循了JoannaBriggsInstitute与PRISMA扩展范围审查清单的指导。使用受控的索引或同义词库术语和自由文本术语系统地搜索了四个电子数据库，以及对纳入研究的后向和前向引用跟踪。搜索策略基于对任何类型干预的识别，是否简单，多组分,或复杂。三位作者独立筛选资格并提取数据。
结果：18项研究纳入综述。这些研究在设计上有很高的异质性，方法,样本量,恢复等级量表，以及干预措施的类型。所有研究都在干预措施中使用了几种元素；然而，大多数人在门诊精神卫生服务中使用认知行为疗法.没有研究涉及从门诊精神卫生服务到初级保健的过渡阶段。大多数研究包括在门诊精神保健治疗MDD期间的患者。
结论：我们发现了几个知识缺口。对从门诊精神卫生服务过渡到初级保健的MDD患者的康复干预措施研究不足。没有研究涉及这一过渡阶段的干预措施或患者对过渡过程的经验。需要研究来弥合这一差距，关于从二级保健过渡到初级保健的患者的干预措施，以及患者和医疗保健专业人员对干预措施和促进康复的经验。
背景：事先准备了一个协议，并在开放科学框架（https://osf.io/ah3sv）中注册，在medRxiv服务器（https://doi.org/10.1101/2022.10.06.22280499）和PLOSONE（https://doi.org/10.1371/journal）中发布。pone.0291559).
方法：我们遵循了JoannaBriggsInstitute与PRISMA扩展范围审查清单的指导。使用受控的索引或同义词库术语和自由文本术语系统地搜索了四个电子数据库，以及对纳入研究的后向和前向引用跟踪。搜索策略基于对任何类型干预的识别，是否简单，多组分,或复杂。三位作者独立筛选资格并提取数据。
结果：18项研究纳入综述。这些研究在设计上有很高的异质性，方法,样本量,恢复等级量表，以及干预措施的类型。所有研究都在干预措施中使用了几种元素；然而，大多数人在门诊精神卫生服务中使用认知行为疗法.没有研究涉及从门诊精神卫生服务到初级保健的过渡阶段。大多数研究包括在门诊精神保健治疗MDD期间的患者。
结论：我们发现了几个知识缺口。对从门诊精神卫生服务过渡到初级保健的MDD患者的康复干预措施研究不足。没有研究涉及这一过渡阶段的干预措施或患者对过渡过程的经验。需要研究来弥合这一差距，关于从二级保健过渡到初级保健的患者的干预措施，以及患者和医疗保健专业人员对干预措施和促进康复的经验。
背景：事先准备了一个协议，并在开放科学框架（https://osf.io/ah3sv）中注册，在medRxiv服务器（https://doi.org/10.1101/2022.10.06.22280499）和PLOSONE（https://doi.org/10.1371/journal）中发布。pone.0291559).
