Mental health

Brief, structured psychological treatment

Question 3: Is brief, structured psychological treatment in non-specialist health care settings better (more effective than/as safe as) than treatment as usual in people with depressive episode/disorder?

  • Population: adults with depressive episode/disorder
  • Interventions: brief psychological treatment in non-specialist health care settings
  • Comparison: treatment as usual
  • Outcomes:
    • symptom severity post intervention
    • functioning post intervention
    • symptom severity at 6 to 12 months follow-up
    • adverse effects (including tolerability).

Final recommendation(s)

Interpersonal therapy, cognitive behavioural therapy and problem-solving treatment should be considered as psychological treatment of depressive episode/disorder in non-specialized health care settings if there are sufficient human resources (e.g., supervised community health workers).
Strength of recommendation: STANDARD

In moderate and severe depression, problem-solving treatment should be considered as adjunct to antidepressants.
Strength of recommendation: STANDARD

Evidence profile

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