Guidelines of the Polish Psychiatric Association – Wroclaw Division, the Polish Society of Family Medicine and the College of Family Physicians in Poland for diagnosis and treatment of depressive disorders in primary health care

Complementary and alternative medicine recommendations for depression: a systematic review and assessment of clinical practice guidelines

“…Searches retrieved 1043 total items, 931 were unique, and 863 titles and abstracts were eliminated, leaving 68 full-text guidelines that were considered. Of those, 49 were not eligible, because they were not clinical practice guidelines (n = 16), they were not focused on depression (n = 1), they addressed depression associated with another condition or disease (n = 5), there was a more recent version of the guideline available (n = 4), they were not in English (n = 9), they were published prior to the eligible timeframe (n = 5), they did not focus on the target population (n = 7), they were not treatment focused (n = 1), or they were withdrawn/invalid guidelines (n = 1), leaving 19 guidelines eligible for review [52][53][54][55][56][57][58][59][60][61][62][63][64][65][66][67][68][69][70].…”

“…With regard to the overall scaled scores, the overall objectives and health questions were specific and clear for all the guidelines except one [52]. Moreover, for those guidelines with high overall scaled scores, the purpose and health intent were well defined.…”

“…Eligible guidelines were published from 2008 to 2018 in the USA (n = 5), Canada (n = 4), Germany (n = 3), the UK (n = 2), Australia (n = 1), China (n = 1), Poland (n = 1), Scotland (n = 1), and Spain (n = 1) [52][53][54][55][56][57][58][59][60][61][62][63][64][65][66][67][68][69][70]. The guidelines were funded and/or developed by professional associations or societies (n = 5), academic institutions (n = 2), international organizations (n = 2), specialty/expert groups (n = 7), a combination of a specialty/expert body and a government agency (n = 1), a combination of a specialty/expert group and an international organization (n = 1), and a specialty/expert group and an academic body (n = 1).…”

“…The guidelines were funded and/or developed by professional associations or societies (n = 5), academic institutions (n = 2), international organizations (n = 2), specialty/expert groups (n = 7), a combination of a specialty/expert body and a government agency (n = 1), a combination of a specialty/expert group and an international organization (n = 1), and a specialty/expert group and an academic body (n = 1). CAM recommendations were made in 16 guidelines [52][53][54][55][56][57][58][59][60][61][62][63][64][65][66][67] and included the following therapies: St. John's Wort (Hypercium perforatum) (n = 9), SAMe (S-adenosyl-L-methionine) (n = 4), exercise/physical activity (n = 12), yoga (n = 1), acupuncture (n = 3), specialized forms of acupuncture including electro-acupuncture, scalp acupuncture, filiform needle acupuncture, body acupuncture involving regulating mind and soothing the 'Gan', scalp electro-acupuncture (n = 1), ear (pressure) therapy/ pressing of ear points with herbal seeds (n = 1), relaxation training/therapy (n = 1), (bright) light therapy (n = 5), (guided) self-help/self-management (n = 5), bibliotherapy (n = 3), mindfulness based therapy/mindfulness based cognitive therapy (MBT/MCBT) (n = 6), acceptance and commitment therapy (ACT) (n = 2), sleep deprivation/wake therapy (n = 2), saffron (Crocus sativus) (n = 1), omega-3/ polyunsaturated fatty acids (n = 4), vitamin D (n = 1), folate/L-methylfolate (n = 3), inositol (n = 1), dehydroepiandrosterone (DHEA) (n = 1), tryptophan (n = 1), acetyl-Lcarnitine (ALC) (n = 1), lavender (Lavendula) (n = 1), and rose root (Rhodiola rosea) (n = 1). The aforementioned characteristics of these 16 guidelines are described in Table 1 and a summary of the CAM recommendations in these eligible guidelines are presented in Fig.…”

The influence of psychosocial factors on distress expression

“…as mental health declines, physical health could be worn down; consequently, if the physical health declines, it can make a person feel mentally "down" [3]. additionally, it is emphasized that the majority of primary care patients report symptoms of psychosomatic disorders that are aggravated by daily stressful situations [20]. it is also argued that stress alters interpersonal relationships in and outside the family unit and weakens the sense of safety [21].…”