How much do we know about the functional effectiveness of interventions for depression? A systematic review

Journal of Affective Disorders
Kaloyan KamenovJosé Luis Ayuso-Mateos

Abstract

Functional difficulties are determined as one of the reasons for the public health priority given to depression. However, previous literature shows that the evidence on treatment effectiveness in depression does not reflect all relevant functional areas affected. This paper aimed to review recent literature and identify which areas are addressed and what are the gaps in the measurement of treatment effectiveness in depression. Electronic search was performed in PsycINFO, PubMed, Web of science, and the Cochrane Central Register of Controlled Trials. A content item analysis of outcome measures was performed. Two hundred and fourty-seven studies were included. The functional areas addressed in the measurement process did not vary across studies assessing psychotherapeutic, pharmacological or alternative interventions. The content analysis revealed that 80% of the areas covered by instruments represented symptomatology. Many functional areas were insufficiently covered, whereas others like handling stress, solving problems, maintaining daily routine, problems in education, or participation in community, political or religious life were not addressed at all. Only articles in English were included and the time frame was limited. Mor...Continue Reading

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Citations

Sep 16, 2016·Frontiers in Psychology·Kaloyan KamenovMaria Cabello
Aug 4, 2016·Canadian Journal of Psychiatry. Revue Canadienne De Psychiatrie·Sidney H KennedyUNKNOWN CANMAT Depression Work Group
Jun 15, 2017·Revista brasileira de psiquiatria : orgão oficial da Associação Brasileira de Psiquiatria, Asociación Psiquiátrica de la América Latina·Ângela RibeiroOrlando von Doellinger
Sep 25, 2019·European Psychiatry : the Journal of the Association of European Psychiatrists·Sanne Wassink-VossenRichard C Oude Voshaar
Mar 25, 2017·Frontiers in Psychology·Kaloyan KamenovJosé L Ayuso-Mateos
May 16, 2020·Psychiatry Research·Ai Ling Tang, Susan J Thomas

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