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Interventions for Adult Depression in Primary Health-Care Clinics

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Prevention and Early Treatment of Depression Through the Life Course

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Abstract

Depression is frequent in the general population and among people who attend primary health-care clinics. Therefore, primary health-care clinicians play an essential role in providing timely and quality depression care, including the detection, diagnosis, treatment, monitoring, and referral of depressed patients. However, depression is usually underdiagnosed and undertreated in primary health care, with structural, organizational, provider, and patient barriers. Several studies have demonstrated that psychosocial, psychological, and pharmacological interventions for depression are feasible and effective in primary health-care settings. Systematic reviews and meta-analyses have consistently found that combined interventions, provided in a stepped-care manner, under a team-driven approach, and accompanied by system-level improvements, are the most effective. Although most of the evidence comes from developed countries, packages of low-resource interventions for depression have been proposed for developing nations.

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Acknowledgments

This work was supported by ANID – Millennium Science Initiative Program – ICS13_005, ANID – FONDECYT – 1180224, and U Redes Consolidación (Grant URC 007/18).

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Authors and Affiliations

  1. Faculté de Médecine et des Sciences de la Santé, Université de Sherbrooke, Longueuil, QC, Canada

    Pablo Martínez

  2. Centre de Recherche Charles-Le Moyne (CRCLM), Longueuil, QC, Canada

    Pablo Martínez

  3. Millennium Institute for Depression and Personality Research (MIDAP), Santiago, Chile

    Pablo Martínez & Graciela Rojas

  4. Millennium Nucleus to Improve the Mental Health of Adolescents and Youths (Imhay), Santiago, Chile

    Pablo Martínez & Graciela Rojas

  5. Hospital Clínico Universidad de Chile, Santiago, Chile

    Graciela Rojas

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  1. Pablo Martínez
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Editors and Affiliations

  1. Faculty of Medicine, Universidad de Chile, Santiago, Chile

    Vania Martínez

  2. Faculty of Nursing, Universidad Andrés Bello, Santiago, Chile

    Claudia Miranda-Castillo

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Martínez, P., Rojas, G. (2023). Interventions for Adult Depression in Primary Health-Care Clinics. In: Martínez, V., Miranda-Castillo , C. (eds) Prevention and Early Treatment of Depression Through the Life Course. Depression and Personality. Springer, Cham. https://doi.org/10.1007/978-3-031-13029-8_7

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