Evidence map›Paper›PMID 40471896›Full record

ArticlePloS one2025

Beyond the medical file: A scoping review on patients' perspectives on depression treatment in primary care.

Katharina Biersack, Heribert Sattel, Petra Schönweger, Lea Kaspar, Nadine Lehnen, Jochen Gensichen, Peter Henningsen, POKAL group

Abstract readScoping Review
In one paragraph

Article in PloS one, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Katharina BiersackDepartment of Psychosomatic Medicine and Psychotherapy, University Hospital of Technical University of Munich, Munich, Germany.ORCID https://orcid.org/0009-0004-1111-2267
Heribert SattelDepartment of Psychosomatic Medicine and Psychotherapy, University Hospital of Technical University of Munich, Munich, Germany.
Petra SchönwegerFaculty of Medicine, Chair of Public Health and Health Service Research, Institute of Medical Information Processing, Biometry and Epidemiology (IBE), LMU Munich, Munich, Germany.
Lea KasparDepartment of Psychosomatic Medicine and Psychotherapy, University Hospital of Technical University of Munich, Munich, Germany.
Nadine LehnenDepartment of Psychosomatic Medicine and Psychotherapy, University Hospital of Technical University of Munich, Munich, Germany.
Jochen GensichenInstitute of General Practice and Family Medicine, University Hospital of Ludwig-Maximilian-University Munich, Munich, Germany.
Peter HenningsenDepartment of Psychosomatic Medicine and Psychotherapy, University Hospital of Technical University of Munich, Munich, Germany.
POKAL group

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesDepressive 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.

methodsWe 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.

resultsAfter 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.

conclusionThis 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).

Indexed as

DepressionDepressive DisorderPrimary Health CareHumans

Identifiers

PMID40471896
PMCPMC12140281

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.