Collaborative Care for Women With Depression: A Systematic Review

Huang Hsiang, M. Tabb Karen, M. Cerimele Joseph, Ahmed Nahida, Bhat Amritha, Kester Rachel

Research output: Contribution to journalReview articlepeer-review

Abstract

Background The collaborative care model has been found to be effective for depression management in various primary care populations; however, no review has synthesized trials tailored to treat women. Objective The purpose of this systematic review is to evaluate the current evidence for collaborative depression care for women. Methodology We searched for English language articles via MEDLINE, CINAHL, PsycINFO, EMBASE, Cochrane Library, and reference lists of key articles. Published English language studies were included if they described collaborative care models that targeted women, regardless of study design. Studies were excluded if components of collaborative care were absent (based on criteria described by the Advancing Integrated Mental Health Solutions Center at the University of Washington), if the focus of the intervention was not women, if the studies were not conducted in primary care or gynecological settings, or if there were no outcome data. Results This review resulted in 7 articles that met the inclusion criteria. Included studies were 6 randomized controlled trials and 1 observational study. Among those, 4 studies focused on pregnant or postpartum women. In general, collaborative care interventions focusing on women were more effective than usual care for the management of depressive disorders in women with 5 of the 6 randomized studies showing positive depression outcomes. Conclusions There is evidence that collaborative care interventions are effective for treating depressed women in nonmental health settings. Future studies should examine differences in implementation of collaborative care in “real world” settings and define modifications needed based on a woman's reproductive life stage.

Original languageEnglish (US)
Pages (from-to)11-18
Number of pages8
JournalPsychosomatics
Volume58
Issue number1
DOIs
StatePublished - Jan 1 2017

Keywords

  • anxiety disorder
  • depressive disorder
  • mental health services
  • primary care
  • women's health

ASJC Scopus subject areas

  • Arts and Humanities (miscellaneous)
  • Applied Psychology
  • Psychiatry and Mental health

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