{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,28]],"date-time":"2026-07-28T15:51:27Z","timestamp":1785253887383,"version":"3.55.0"},"reference-count":67,"publisher":"Royal College of Psychiatrists","issue":"1","license":[{"start":{"date-parts":[[2023,5,12]],"date-time":"2023-05-12T00:00:00Z","timestamp":1683849600000},"content-version":"unspecified","delay-in-days":131,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Eur. Psychiatr."],"published-print":{"date-parts":[[2023]]},"abstract":"<jats:title>Abstract<\/jats:title>\n\t  <jats:sec id=\"S0924933823024070_sec1\">\n\t    <jats:title>Background<\/jats:title>\n\t    <jats:p>Major depressive disorder (MDD) is a leading cause of disability worldwide, and yet delivery of care for this illness is rife with gaps. The COVID-19 pandemic has had far reaching implications for every facet of healthcare, and MDD is no exception. This scoping review aimed to ascertain the impacts of COVID-19 on the delivery of MDD care in Europe, as well as to evaluate any novel MDD care strategies trialled in this period.<\/jats:p>\n\t  <\/jats:sec>\n\t  <jats:sec id=\"S0924933823024070_sec2\" sec-type=\"methods\">\n\t    <jats:title>Methods<\/jats:title>\n\t    <jats:p>We searched the PubMed and PsycINFO databases up to January 2022 with a strategy centred around COVID-19 and MDD. Full texts of eligible studies examining working-age adults and conducted in Europe were evaluated against several criteria. All outcomes were then extracted and a narrative synthesis was constructed to summarise identified themes.<\/jats:p>\n\t  <\/jats:sec>\n\t  <jats:sec id=\"S0924933823024070_sec3\" sec-type=\"results\">\n\t    <jats:title>Results<\/jats:title>\n\t    <jats:p>Of 1,744 records identified in our search, 11 articles were eligible for inclusion in the review. In general, these studies reported a decrease in treatment rates, access to care, and perceived access to care during the COVID-19 pandemic. In addition, digital interventions trialled during the pandemic were broadly well-received by users, though their efficacy in improving MDD care was ambiguous.<\/jats:p>\n\t  <\/jats:sec>\n\t  <jats:sec id=\"S0924933823024070_sec4\" sec-type=\"conclusions\">\n\t    <jats:title>Conclusions<\/jats:title>\n\t    <jats:p>Despite a limited number of pertinent studies, this scoping review identified a trend of exacerbated treatment gaps in MDD care during the pandemic. Several of our pre-specified gaps, including delays to detection or treatment of depression and rates of follow-up contacts, remained unexplored in the context of COVID-19. This highlights the need for further investigation to obtain a full understanding of the relationship between COVID-19 and MDD care in Europe.<\/jats:p>\n\t  <\/jats:sec>","DOI":"10.1192\/j.eurpsy.2023.2407","type":"journal-article","created":{"date-parts":[[2023,5,12]],"date-time":"2023-05-12T10:04:55Z","timestamp":1683885895000},"source":"Crossref","is-referenced-by-count":7,"title":["The effects of COVID-19 on European healthcare provision for working-age adults with major depressive disorder"],"prefix":"10.1192","volume":"66","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6905-6449","authenticated-orcid":false,"given":"Win Lee 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