TY - JOUR
AU - K. Biersack
AU - H. Sattel
AU - P. Schönweger
AU - L. Kaspar
AU - N. Lehnen
AU - J. Gensichen
AU - P. Henningsen
A1 - 
AB - OBJECTIVES: Depressive disorders are common in the primary care setting. Despite its high prevalence, depression treatment in primary care is less guideline-oriented compared to specialized settings, which often makes it less efficient. Current research has focused on explanations on the practitioner's side but has neglected the patient's perspective and its effect on treatment largely. METHODS: We conducted a scoping review on the electronic databases Medline and Psycinfo. Eligible publications contained information of the patients' perspective on depression treatment in primary care in OECD member states. Publications until August 2nd 2023 were considered. RESULTS: After the removal of duplicates, the search yielded 14.059 articles, of which 232 were included. Current literature focuses on behavioral and obvious measures like satisfaction, and on patient-sided barriers and facilitators to adherence. Other treatment-related behaviors are less researched. Patients with undiagnosed depression often report exclusively or mainly physical symptoms in general practice. CONCLUSION: This review provides a comprehensive framework for the concept. Research on barriers and facilitators to depression treatment in primary care is still inconclusive. Educating patients and addressing stigmatizing beliefs are promising targets to promote the seeking out, initiation of, and adherence to treatment. Being aware of a hidden depression when somatic symptoms are present, can help to detect more cases. REGISTRATION: This review is registered via OSF (https://osf.io/p9rnc).
AD - Department of Psychosomatic Medicine and Psychotherapy, University Hospital of Technical University of Munich, Munich, Germany.; Faculty of Medicine, Chair of Public Health and Health Service Research, Institute of Medical Information Processing, Biometry and Epidemiology (IBE), LMU Munich, Munich, Germany.; Pettenkofer School of Public Health, Munich, Germany.; Institute of General Practice and Family Medicine, University Hospital of Ludwig-Maximilian-University Munich, Munich, Germany.
AN - 40471896
BT - PLoS One
C5 - Education & Workforce
CP - 6
DO - 10.1371/journal.pone.0293713
DP - NLM
ET - 20250605
IS - 6
JF - PLoS One
LA - eng
N2 - OBJECTIVES: Depressive disorders are common in the primary care setting. Despite its high prevalence, depression treatment in primary care is less guideline-oriented compared to specialized settings, which often makes it less efficient. Current research has focused on explanations on the practitioner's side but has neglected the patient's perspective and its effect on treatment largely. METHODS: We conducted a scoping review on the electronic databases Medline and Psycinfo. Eligible publications contained information of the patients' perspective on depression treatment in primary care in OECD member states. Publications until August 2nd 2023 were considered. RESULTS: After the removal of duplicates, the search yielded 14.059 articles, of which 232 were included. Current literature focuses on behavioral and obvious measures like satisfaction, and on patient-sided barriers and facilitators to adherence. Other treatment-related behaviors are less researched. Patients with undiagnosed depression often report exclusively or mainly physical symptoms in general practice. CONCLUSION: This review provides a comprehensive framework for the concept. Research on barriers and facilitators to depression treatment in primary care is still inconclusive. Educating patients and addressing stigmatizing beliefs are promising targets to promote the seeking out, initiation of, and adherence to treatment. Being aware of a hidden depression when somatic symptoms are present, can help to detect more cases. REGISTRATION: This review is registered via OSF (https://osf.io/p9rnc).
PY - 2025
SN - 1932-6203
SP - e0293713
ST - Beyond the medical file: A scoping review on patients' perspectives on depression treatment in primary care
T1 - Beyond the medical file: A scoping review on patients' perspectives on depression treatment in primary care
T2 - PLoS One
TI - Beyond the medical file: A scoping review on patients' perspectives on depression treatment in primary care
U1 - Education & Workforce
U3 - 10.1371/journal.pone.0293713
VL - 20
VO - 1932-6203
Y1 - 2025
ER -