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Psychosocial interventions by general practitioners.

M J H Huibers1, A J H M Beurskens, G Bleijenberg

  • 1Maastricht University, Department of Clinical Psychological Science, P.O. Box 616, Maastricht, Netherlands, 6200 MD. m.huibers@dmkep.unimaas.nl

The Cochrane Database of Systematic Reviews
|July 20, 2007
PubMed
Summary
This summary is machine-generated.

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General practitioners (GPs) can effectively use problem-solving treatment for depression. However, more research is needed to confirm the effectiveness of other psychosocial interventions in primary care settings.

Area of Science:

  • Primary Care Medicine
  • Psychosocial Interventions
  • Evidence-Based Practice

Background:

  • Many patients present to general practitioners (GPs) with psychosocial issues.
  • Evidence-based treatments for these issues are often unavailable in primary care.
  • GPs require effective tools to manage these time-consuming patient demands efficiently.

Purpose of the Study:

  • To assess the effectiveness of psychosocial interventions delivered by GPs.
  • To evaluate clinical outcomes and methodological quality of relevant studies.
  • To determine the suitability of structured psychosocial interventions for primary care.

Main Methods:

  • Conducted a comprehensive literature search up to November 2005.
  • Included randomised controlled trials, controlled clinical trials, and controlled patient preference trials.

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  • Assessed methodological quality using the Maastricht-Amsterdam Criteria List and performed meta-analysis where appropriate.

    • Main Results:

    • Ten studies were included, covering diverse psychosocial interventions for various conditions.
    • Problem-solving treatment by GPs demonstrated good evidence of effectiveness for major depression.
    • Evidence for other interventions (e.g., for somatisation, fatigue, smoking cessation, alcohol reduction) was limited or conflicting.

    Conclusions:

    • Limited evidence exists for most psychosocial interventions delivered by GPs.
    • Problem-solving treatment shows promise for depression but requires further validation in routine practice.
    • Further research is essential to strengthen the evidence base for psychosocial interventions in primary care.