Evidence map›Paper›PMID 40767953›Full record

ArticleEuropean archives of psychiatry and clinical neuroscience2026

PACIC: patient activation and problem solving not related to age in patients with depressive symptoms.

Karoline Lukaschek, H Schillok, L Junker, C Jung-Sievers, P Falkai, P Henningsen, T Dreischulte, G Pitschel-Walz, H Krcmar, A Schneider and 10 more

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In one paragraph

Article in European archives of psychiatry and clinical neuroscience, 2026. 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

20 authors.

Karoline LukaschekInstitute of General Practice and Family Medicine, University Hospital, LMU Munich, Munich, Germany. karoline.lukaschek@med.uni-muenchen.de.ORCID http://orcid.org/0000-0002-7966-2001
H SchillokInstitute of General Practice and Family Medicine, University Hospital, LMU Munich, Munich, Germany.
L JunkerPsychological Methods and Assessment, Department of Psychology, Ludwig Maximilian University of Munich, Munich, Germany.
C Jung-SieversChair of Public Health and Health Services Research, Institute for Medical Information Processing, Biometry and Epidemiology, Pettenkofer School of Public Health, LMU Munich, Munich, Germany.
P FalkaiDepartment of Psychiatry and Psychotherapy, University Hospital, LMU Munich, Munich, Germany.
P HenningsenDepartment of Psychosomatic Medicine and Psychotherapy, Klinikum rechts der Isar, Technical University of Munich, Munich, Germany.
T DreischulteInstitute of General Practice and Family Medicine, University Hospital, LMU Munich, Munich, Germany.
G Pitschel-WalzInstitute of General Practice and Family Medicine, University Hospital, LMU Munich, Munich, Germany.
H KrcmarSchool of Computation, Information and Technology, Technical University of Munich, Garching, Munich, Germany.
A SchneiderInstitute of General Practice and Health Services Research, School of Medicine, Technical University of Munich, Munich, Germany.
P SchoenwegerGraduate Program "POKAL-Predictors and Outcomes in Primary Care Depression Care" (DFG-GrK 2621), Munich, Germany.
C HaasInstitute of General Practice and Family Medicine, University Hospital, LMU Munich, Munich, Germany.
V BrisnikInstitute of General Practice and Family Medicine, University Hospital, LMU Munich, Munich, Germany.
F GökceGraduate Program "POKAL-Predictors and Outcomes in Primary Care Depression Care" (DFG-GrK 2621), Munich, Germany.
J EderGraduate Program "POKAL-Predictors and Outcomes in Primary Care Depression Care" (DFG-GrK 2621), Munich, Germany.
L PfeifferGraduate Program "POKAL-Predictors and Outcomes in Primary Care Depression Care" (DFG-GrK 2621), Munich, Germany.
V von SchrottenbergGraduate Program "POKAL-Predictors and Outcomes in Primary Care Depression Care" (DFG-GrK 2621), Munich, Germany.
C TeusenGraduate Program "POKAL-Predictors and Outcomes in Primary Care Depression Care" (DFG-GrK 2621), Munich, Germany.
M BühnerPsychological Methods and Assessment, Department of Psychology, Ludwig Maximilian University of Munich, Munich, Germany.
J GensichenInstitute of General Practice and Family Medicine, University Hospital, LMU Munich, Munich, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The Patient Assessment of Chronic Illness Care (PACIC) assesses alignment of chronic care with the Chronic Care Model (CCM). We analysed PACIC subscales in patients with depressive symptoms to identify gaps in patient-centred care. A total of N = 2741 patients (59.5% women, mean age 45.3 ± 16.9) were assessed for depression (PHQ-9), anxiety (GAD-7) and socioeconomic data. PACIC data from 1210 patients (62.7% women, mean age 47.2 years ± 16.8) revealed low scores in subscales patient activation, goal setting, problem-solving, and follow-up. Patient activation and problem-solving were age-independent. Overall, the low PACIC scores highlight poor CCM alignment in German depression care.

Indexed as

DepressionPatient-Centered CarePatient ParticipationProblem SolvingAdultAgedAge FactorsChronic DiseaseFemaleGermanyHumansMaleMiddle AgedChronic care model (CCM)DepressionGeneral anxiety disorderPatient assessment of chronic illness care (PACIC)

Identifiers

PMID40767953
PMCPMC12953342

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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.