Under detection of depression in primary care settings in low and middle-income countries: a systematic review and meta-analysis.

ABSTRACT:

Background

Depression is one of the commonest mental disorders in primary care but is poorly identified. The objective of this review was to determine the level of detection of depression by primary care clinicians and its determinants in studies from low- to middle-income countries (LMICs).

Methods

A systematic review and meta-analysis was conducted using PubMed, PsycINFO, MEDLINE, EMBASE, LILAC, and AJOL with no restriction of year of publication. Risk of bias within studies was evaluated with the Effective Public Health Practice Project (EPHPP). "Gold standard" diagnosis for the purposes of this review was based on the 9-item Patient Health Questionnaire (PHQ-9; cutoff scores of 5 and 10), other standard questionnaires and interview scales or expert diagnosis. Meta-analys

SUBMITTER: Fekadu A 

PROVIDER: S-EPMC8818168 | biostudies-literature | 2022 Feb

REPOSITORIES: biostudies-literature