Interventions promoting recovery from depression for patients transitioning from outpatient mental health services to primary care: A scoping review.

<h4>Introduction</h4>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 rel...

Full description

Saved in:
Bibliographic Details
Main Authors: Anne Sofie Aggestrup, Frederik Martiny, Line Lund Henriksen, Annette Sofie Davidsen, Klaus Martiny
Format: Article
Language:English
Published: Public Library of Science (PLoS) 2024-01-01
Series:PLoS ONE
Online Access:https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0302229&type=printable
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1832540112718659584
author Anne Sofie Aggestrup
Frederik Martiny
Line Lund Henriksen
Annette Sofie Davidsen
Klaus Martiny
author_facet Anne Sofie Aggestrup
Frederik Martiny
Line Lund Henriksen
Annette Sofie Davidsen
Klaus Martiny
author_sort Anne Sofie Aggestrup
collection DOAJ
description <h4>Introduction</h4>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.<h4>Materials and methods</h4>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.<h4>Results</h4>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.<h4>Conclusions</h4>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.<h4>Registration</h4>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).
format Article
id doaj-art-6c381aa572374bd9857b8b66812be1b0
institution Kabale University
issn 1932-6203
language English
publishDate 2024-01-01
publisher Public Library of Science (PLoS)
record_format Article
series PLoS ONE
spelling doaj-art-6c381aa572374bd9857b8b66812be1b02025-02-05T05:32:27ZengPublic Library of Science (PLoS)PLoS ONE1932-62032024-01-01195e030222910.1371/journal.pone.0302229Interventions promoting recovery from depression for patients transitioning from outpatient mental health services to primary care: A scoping review.Anne Sofie AggestrupFrederik MartinyLine Lund HenriksenAnnette Sofie DavidsenKlaus Martiny<h4>Introduction</h4>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.<h4>Materials and methods</h4>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.<h4>Results</h4>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.<h4>Conclusions</h4>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.<h4>Registration</h4>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).https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0302229&type=printable
spellingShingle Anne Sofie Aggestrup
Frederik Martiny
Line Lund Henriksen
Annette Sofie Davidsen
Klaus Martiny
Interventions promoting recovery from depression for patients transitioning from outpatient mental health services to primary care: A scoping review.
PLoS ONE
title Interventions promoting recovery from depression for patients transitioning from outpatient mental health services to primary care: A scoping review.
title_full Interventions promoting recovery from depression for patients transitioning from outpatient mental health services to primary care: A scoping review.
title_fullStr Interventions promoting recovery from depression for patients transitioning from outpatient mental health services to primary care: A scoping review.
title_full_unstemmed Interventions promoting recovery from depression for patients transitioning from outpatient mental health services to primary care: A scoping review.
title_short Interventions promoting recovery from depression for patients transitioning from outpatient mental health services to primary care: A scoping review.
title_sort interventions promoting recovery from depression for patients transitioning from outpatient mental health services to primary care a scoping review
url https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0302229&type=printable
work_keys_str_mv AT annesofieaggestrup interventionspromotingrecoveryfromdepressionforpatientstransitioningfromoutpatientmentalhealthservicestoprimarycareascopingreview
AT frederikmartiny interventionspromotingrecoveryfromdepressionforpatientstransitioningfromoutpatientmentalhealthservicestoprimarycareascopingreview
AT linelundhenriksen interventionspromotingrecoveryfromdepressionforpatientstransitioningfromoutpatientmentalhealthservicestoprimarycareascopingreview
AT annettesofiedavidsen interventionspromotingrecoveryfromdepressionforpatientstransitioningfromoutpatientmentalhealthservicestoprimarycareascopingreview
AT klausmartiny interventionspromotingrecoveryfromdepressionforpatientstransitioningfromoutpatientmentalhealthservicestoprimarycareascopingreview