Primary care and community interventions for multimorbidity involving depression or anxiety: systematic review with meta-analysis
Kieran Sweeney e outros, 2026 · BMJ Medicine
Organisational primary care interventions reduced depressive symptoms by 0.25 standard deviations compared to control at the end of intervention.
Estimativa · Depression symptom score, standardised mean difference
-0,250 [-0,430; -0,0600]
standardised mean difference
- Desenho
- Meta-análise. Systematic review and random-effects meta-analysis of randomised controlled trials
- População
- Adults with depression or anxiety and one or more long-term physical health conditions
- Amostra
- 1.410 · participants across 6 randomised controlled trials
Onde está o número
Abstract, Results section; also Table 2, Organisational interventions / Depression / End of intervention
High quality evidence was found for organisational interventions (n=10, including collaborative care, stepped care, and post-discharge interventions) which resulted in small improvements in symptoms of depression (standardised mean difference −0.25, 95% confidence interval (CI) −0.43 to −0.06)
Contexto
What changed: Primary care and community organisational models, such as collaborative care, stepped care, and post-discharge interventions, were delivered to adults with depression or anxiety and chronic physical conditions. Comparison: Usual care, enhanced usual care, or attention control. Limits: Included trials exhibited clinical heterogeneity across physical health conditions, and effects diminished beyond 12 months.
Caminho no grafo
- FamíliaProvisão direta
- TipoProvisão de serviço público
- EixoSaúde
MAGI só cita evidência deste instrumento
Lugares do estudo
- United States · País · US
- United Kingdom · País · GB
- Netherlands · País · NL
- Licença
- CC-BY
- Revisão
- Extraído por máquina, não revisadoExtraído por: gemini-3.8-flash, 2026-10-23