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. 2019 Jun 28;9(6):e026847. doi: 10.1136/bmjopen-2018-026847

Table 1.

Key questions and inclusion/exclusion criteria

Question Population Intervention/Exposure Comparison Outcomes Exclusions
1. Which treatment therapy or method for depression is more successful for long-term remission or recovery? Participants of any age diagnosed with depression ADM, psychotherapy alone or in combination Any other depression treatment Remission, relapse Comparisons of individual ADMs or CAMs
2. What are the long-term physical implications of pharmacotherapy for treating depression? Participants of any age diagnosed with depression Current or past treatment with any ADM No ADM treatment or treatment with a different ADM Long-term (>1 year) physical harms of ADMs Outcome: Short term harms
3a. For various non-pharmacological treatment options, what are the advantages in terms of cost? Participants of any age with depression Psychological treatment (psychotherapy, individual or group therapies, psychosocial support) Any other psychological treatment Cost effectiveness of psychological therapies Comparator: pharmacological treatment, treatment as usual or no treatment.
3b. For various non-pharmacological treatment options, what are the advantages in terms of safety? Participants of any age with depression Psychological treatment (psychotherapy, individual or group therapies, psychosocial support) Any other psychotherapeutic treatment Safety, adverse events, harms Comparators of pharmacological treatment, treatment as usual, no treatment or CAMs
3c. For various non-pharmacological treatment options, what are the advantages in terms of effectiveness and relapse prevention? Participants of any age with depression Psychological treatment (psychotherapy, individual or group therapies, psychosocial support) Any other psychological treatment Progression or severity of depression, relapse Intervention: depression prevention;
Comparator: ADMs, treatment as usual or no treatment
4. What are the prevention strategies/tactics for reducing self-harm and suicide in children, youth and adults with depression? Participants of any age diagnosed with depression Suicide or self-harm prevention programmes None Suicide attempts and self-harm Pharmacological interventions
7. Can diet or exercise affect the development of depression? Participants of any age diagnosed with depression Intervention related to current or modified dietary intake or exercise Antidepressant pharmacotherapy or a different dietary or exercise programme Development, progression and/or severity of depressive symptoms None
8. What are the functional, social, intellectual, physical and psychological problems experienced by children and teens living with an immediate family member who has depression? Children and/or adolescent participants 18 years of age or younger living with an immediate family member (parent or sibling living in the same residence) who had been diagnosed with depression No intervention. Exposure is living with an immediate family member who had been diagnosed with depression None Functional, social, intellectual, physical and psychological problems None
9. What interventions are effective in preventing and treating workplace depression and reducing stigma associated with depression in the workplace? Participants of any age with depression Workplace interventions None Change in symptom progression or severity; reduction in stigma Studies with general outcomes of mental health and psychological well-being that did not specifically report depression outcomes
10. Are there structural or functional changes in brains due to antidepressant therapy during brain development (in children)? Children and/or adolescent participants 18 years of age or younger diagnosed with depression Treatment with ADMs None Structural or functional development of the brain None
11. What is the role of the family in the treatment and trajectory of depression? Participants of any age Involvement of family members in the patient’s management of depression None Symptom progression or severity; family’s influence on treatment decisions or remission rates None

ADM, antidepressant medication; CAM, complementary or complementary medicine.