Research Article
Volume 16 Issue 11 - 2020
Effectiveness of Psychological and Educational Interventions to Prevent Depression in Primary Care: A Systematic Review of Randomized Controlled Trials
Khalid Kulaib Aloufi1*, Rashad Mohammed Khoj2, Muhannad Yahya Alqahtani3, Rayan Ahmed Satih4, Sefana Abdulhaleem Abdulmajeid5, Alwaleed Mahmoud Albalawi2, Saif Saad Altuwairqi6, Lana Alaa AlDahleh7, Turki Ali Alalyani8, Tamim Saeed Altamimi9 and Nawaf Mohammed Alnefaie10
1Consultant of Psychiatry and Addiction, Department of Psychiatry, Al-Amal Mental Health and Addiction Treatment Hospital, Jeddah, Saudi Arabia
2College of Medicine, Ibn Sina National College, Country
3College of Medicine, King Khalid University, Abha, Saudi Arabia
4Primary Health Care, National Guard Health Affairs, Medina, Saudi Arabia
5General Physician, Batterjee Medical College, Jeddah, Saudi Arabia
6College of Medicine, Imam Muhammad Ibn Saud Islamic University, Riyadh, Saudi Arabia
7College of Medicine, Alfasial University, Riyadh, Saudi Arabia
8General Physician, Ministry of Health, Abha, Saudi Arabia
9College of Medicine, Taibah University, Medina, Saudi Arabia
10College of Medicine, Jordan University of Science and Technology, Irbid, Jordan
*Corresponding Author: Khalid Kulaib Aloufi, Consultant of Psychiatry and Addiction, Department of Psychiatry, Al-Amal Mental Health and Addiction Treatment Hospital, Jeddah, Saudi Arabia.
Received: October 12, 2020; Published: December 30, 2020


Objectives: Depression is ranked as the second cause of morbidity and mortality worldwide. Early diagnosis and management are considered the cornerstone of its prevention. Primary care centers are considered the first stop for any patients, targeting depression at these stations will greatly help early detection and management.

Methods: Six databases were searched using specific search terms. We included randomized controlled trials that assess the efficacy of any intervention applied in primary care centers for the prevention of depression. The studies were assessed for the quality of evidence using the Cochrane quality assessment tool before being included for the review.

Results: Eighteen studies fulfilled our inclusion criteria and had passed the quality assessment to be included for the qualitative evidence synthesis. Based on these studies, only cognitive behavioral therapy had the best results and successfully prevented the progression of depression into major depressive disorders.

Conclusion: Cognitive-behavioral therapy had the best results for the prevention of depressive symptoms in primary care, however, more studies are needed to understand factors affecting its efficacy.

Keywords: Depression; Primary Care; Psychological Interventions; Educational Interventions; Cognitive Behavioral Therapy; Mindfulness; Problem-Solving Therapy


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Citation: Khalid Kulaib Aloufi., et al. “Effectiveness of Psychological and Educational Interventions to Prevent Depression in Primary Care: A Systematic Review of Randomized Controlled Trials”. EC Microbiology 16.11 (2020): 50-60.

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