Population Health Sciences Institute, Newcastle University, Newcastle NE1 8PB, UK.
National Institute for Health Research (NIHR) Applied Research Collaboration (ARC) for the North-East and North Cumbria (NENC), Newcastle Upon Tyne NE3 3XT, UK.
Int J Environ Res Public Health. 2021 Dec 9;18(24):12978. doi: 10.3390/ijerph182412978.
Common mental health disorders (CMDs) represent a major public health concern and are particularly prevalent in people experiencing disadvantage or marginalisation. Primary care is the first point of contact for people with CMDs. Pharmaceutical interventions, such as antidepressants, are commonly used in the treatment of CMDs; however, there is concern that these treatments are over-prescribed and ineffective for treating mental distress related to social conditions. Non-pharmaceutical primary care interventions, such as psychological therapies and "social prescribing", provide alternatives for CMDs. Little is known, however, about which such interventions reduce social inequalities in CMD-related outcomes, and which may, unintentionally, increase them. The aim of this protocol (PROSPERO registration number CRD42021281166) is to describe how we will undertake a systematic review to assess the effects of non-pharmaceutical primary care interventions on CMD-related outcomes and social inequalities. A systematic review of quantitative, qualitative and mixed-methods primary studies will be undertaken and reported according to the PRISMA-Equity guidance. The following databases will be searched: Assia, CINAHL, Embase, Medline, PsycInfo and Scopus. Retrieved records will be screened according to pre-defined eligibility criteria and synthesised using a narrative approach, with meta-analysis if feasible. The findings of this review will guide efforts to commission more equitable mental health services.
常见精神健康障碍（CMDs）是一个主要的公共卫生关注点，在处于劣势或边缘化的人群中尤为普遍。初级保健是 CMD 患者的第一接触点。药物干预，如抗抑郁药，常用于 CMD 的治疗；然而，人们担心这些治疗方法被过度开具，并且对治疗与社会条件相关的精神困扰无效。非药物性初级保健干预措施，如心理疗法和“社会处方”，为 CMD 提供了替代方案。然而，对于哪些干预措施可以减少 CMD 相关结果的社会不平等，以及哪些干预措施可能无意中加剧这些不平等，人们知之甚少。本方案（PROSPERO 注册号 CRD42021281166）旨在描述我们将如何进行系统评价，以评估非药物性初级保健干预措施对 CMD 相关结果和社会不平等的影响。将对定量、定性和混合方法的原始研究进行系统评价，并根据 PRISMA-Equity 指南进行报告。将搜索以下数据库：Assia、CINAHL、Embase、Medline、PsycInfo 和 Scopus。根据预先定义的资格标准筛选检索到的记录，并使用叙述性方法进行综合，如果可行的话，还将进行荟萃分析。本综述的结果将指导努力委托更公平的精神卫生服务。
