{"id":75219,"date":"2026-04-08T17:43:35","date_gmt":"2026-04-08T14:43:35","guid":{"rendered":"https:\/\/www.uol.ac.cy\/?p=75219"},"modified":"2026-04-08T17:43:45","modified_gmt":"2026-04-08T14:43:45","slug":"global-research-in-primary-care-mental-health","status":"publish","type":"post","link":"https:\/\/www.uol.ac.cy\/en\/global-research-in-primary-care-mental-health\/","title":{"rendered":"Global Research in primary Care &amp; Mental Health"},"content":{"rendered":"\n<p class=\"wp-block-paragraph\"><strong>Publication 1<\/strong>&nbsp;<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Front Med (Lausanne) .&nbsp;2025 Nov 27:12:1679133.&nbsp;&nbsp;<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">doi: 10.3389\/fmed.2025.1679133.&nbsp;eCollection&nbsp;2025.&nbsp;&nbsp;<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Global educational initiative for managing major depressive disorders in&nbsp;primary&nbsp;care:&nbsp;the&nbsp;MDD minds&nbsp;project&nbsp;<\/strong>&nbsp;<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/?sort=date&amp;term=Dowrick+C&amp;cauthor_id=41393145\" target=\"_blank\" rel=\"noreferrer noopener\">Christopher Dowrick<\/a><sup>\u202f<\/sup><a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/41393145\/#full-view-equal-contrib-explanation\" target=\"_blank\" rel=\"noreferrer noopener\"><sup>#<\/sup><\/a><sup>\u202f<\/sup><a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/41393145\/#full-view-affiliation-1\" target=\"_blank\" rel=\"noreferrer noopener\"><sup>&nbsp;1&nbsp;<\/sup><\/a>,\u202f<a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/?sort=date&amp;term=Ales+M&amp;cauthor_id=41393145\" target=\"_blank\" rel=\"noreferrer noopener\">Mary Ales<\/a><sup>\u202f<\/sup><a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/41393145\/#full-view-equal-contrib-explanation\" target=\"_blank\" rel=\"noreferrer noopener\"><sup>#<\/sup><\/a><sup>\u202f<\/sup><a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/41393145\/#full-view-affiliation-2\" target=\"_blank\" rel=\"noreferrer noopener\"><sup>&nbsp;2&nbsp;<\/sup><\/a>,\u202f<a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/?sort=date&amp;term=AlKhathami+A&amp;cauthor_id=41393145\" target=\"_blank\" rel=\"noreferrer noopener\">Abdullah AlKhathami<\/a><sup>\u202f<\/sup><a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/41393145\/#full-view-equal-contrib-explanation\" target=\"_blank\" rel=\"noreferrer noopener\"><sup>#<\/sup><\/a><sup>\u202f<\/sup><a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/41393145\/#full-view-affiliation-3\" target=\"_blank\" rel=\"noreferrer noopener\"><sup>&nbsp;3&nbsp;<\/sup><\/a>,\u202f<a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/?sort=date&amp;term=Andoko+D&amp;cauthor_id=41393145\" target=\"_blank\" rel=\"noreferrer noopener\">Dewanto&nbsp;Andoko<\/a><sup>\u202f<\/sup><a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/41393145\/#full-view-equal-contrib-explanation\" target=\"_blank\" rel=\"noreferrer noopener\"><sup>#<\/sup><\/a><sup>\u202f<\/sup><a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/41393145\/#full-view-affiliation-4\" target=\"_blank\" rel=\"noreferrer noopener\"><sup>&nbsp;4&nbsp;<\/sup><\/a>,\u202f<a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/?sort=date&amp;term=Ariba+AJ&amp;cauthor_id=41393145\" target=\"_blank\" rel=\"noreferrer noopener\">Adekunle Joseph Ariba<\/a><sup>\u202f<\/sup><a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/41393145\/#full-view-equal-contrib-explanation\" target=\"_blank\" rel=\"noreferrer noopener\"><sup>#<\/sup><\/a><sup>\u202f<\/sup><a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/41393145\/#full-view-affiliation-5\" target=\"_blank\" rel=\"noreferrer noopener\"><sup>&nbsp;5&nbsp;<\/sup><\/a>,\u202f<a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/?sort=date&amp;term=Kassai+R&amp;cauthor_id=41393145\" target=\"_blank\" rel=\"noreferrer noopener\">Ryuki Kassai<\/a><sup>\u202f<\/sup><a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/41393145\/#full-view-equal-contrib-explanation\" target=\"_blank\" rel=\"noreferrer noopener\"><sup>#<\/sup><\/a><sup>\u202f<\/sup><a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/41393145\/#full-view-affiliation-6\" target=\"_blank\" rel=\"noreferrer noopener\"><sup>&nbsp;6&nbsp;<\/sup><\/a>,\u202f<a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/?sort=date&amp;term=Lam+C&amp;cauthor_id=41393145\" target=\"_blank\" rel=\"noreferrer noopener\">Cindy Lam<\/a><sup>\u202f<\/sup><a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/41393145\/#full-view-equal-contrib-explanation\" target=\"_blank\" rel=\"noreferrer noopener\"><sup>#<\/sup><\/a><sup>\u202f<\/sup><a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/41393145\/#full-view-affiliation-7\" target=\"_blank\" rel=\"noreferrer noopener\"><sup>&nbsp;7&nbsp;<\/sup><\/a>,\u202f<a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/?sort=date&amp;term=Lionis+C&amp;cauthor_id=41393145\" target=\"_blank\" rel=\"noreferrer noopener\">Christos&nbsp;Lionis<\/a><sup>\u202f<\/sup><a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/41393145\/#full-view-equal-contrib-explanation\" target=\"_blank\" rel=\"noreferrer noopener\"><sup>#<\/sup><\/a><sup>\u202f<\/sup><a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/41393145\/#full-view-affiliation-8\" target=\"_blank\" rel=\"noreferrer noopener\"><sup>&nbsp;8&nbsp;<\/sup><\/a><sup>\u202f<\/sup><a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/41393145\/#full-view-affiliation-9\" target=\"_blank\" rel=\"noreferrer noopener\"><sup>&nbsp;9&nbsp;<\/sup><\/a>,\u202f<a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/?sort=date&amp;term=Mugambi+J&amp;cauthor_id=41393145\" target=\"_blank\" rel=\"noreferrer noopener\">Joy Mugambi<\/a><sup>\u202f<\/sup><a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/41393145\/#full-view-equal-contrib-explanation\" target=\"_blank\" rel=\"noreferrer noopener\"><sup>#<\/sup><\/a><sup>\u202f<\/sup><a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/41393145\/#full-view-affiliation-10\" target=\"_blank\" rel=\"noreferrer noopener\"><sup>&nbsp;10&nbsp;<\/sup><\/a>,\u202f<a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/?sort=date&amp;term=Randenikumara+S&amp;cauthor_id=41393145\" target=\"_blank\" rel=\"noreferrer noopener\">Sankha&nbsp;Randenikumara<\/a><sup>\u202f<\/sup><a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/41393145\/#full-view-equal-contrib-explanation\" target=\"_blank\" rel=\"noreferrer noopener\"><sup>#<\/sup><\/a><sup>\u202f<\/sup><a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/41393145\/#full-view-affiliation-11\" target=\"_blank\" rel=\"noreferrer noopener\"><sup>&nbsp;11&nbsp;<\/sup><\/a>,\u202f<a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/?sort=date&amp;term=Rodrigues+S&amp;cauthor_id=41393145\" target=\"_blank\" rel=\"noreferrer noopener\">Shelly Rodrigues<\/a><sup>\u202f<\/sup><a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/41393145\/#full-view-equal-contrib-explanation\" target=\"_blank\" rel=\"noreferrer noopener\"><sup>#<\/sup><\/a><sup>\u202f<\/sup><a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/41393145\/#full-view-affiliation-2\" target=\"_blank\" rel=\"noreferrer noopener\"><sup>&nbsp;2&nbsp;<\/sup><\/a>,\u202f<a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/?sort=date&amp;term=Tavares+A&amp;cauthor_id=41393145\" target=\"_blank\" rel=\"noreferrer noopener\">Andr\u00e9 Tavares<\/a><sup>\u202f<\/sup><a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/41393145\/#full-view-equal-contrib-explanation\" target=\"_blank\" rel=\"noreferrer noopener\"><sup>#<\/sup><\/a><sup>\u202f<\/sup><a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/41393145\/#full-view-affiliation-12\" target=\"_blank\" rel=\"noreferrer noopener\"><sup>&nbsp;12&nbsp;<\/sup><\/a>,\u202f<a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/?sort=date&amp;term=Villalva+ABP&amp;cauthor_id=41393145\" target=\"_blank\" rel=\"noreferrer noopener\">Ana Bertha Perez Villalva<\/a><sup>\u202f<\/sup><a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/41393145\/#full-view-equal-contrib-explanation\" target=\"_blank\" rel=\"noreferrer noopener\"><sup>#<\/sup><\/a><sup>\u202f<\/sup><a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/41393145\/#full-view-affiliation-13\" target=\"_blank\" rel=\"noreferrer noopener\"><sup>&nbsp;13&nbsp;<\/sup><\/a>&nbsp;<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Affiliations&nbsp;&nbsp;<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Affiliations&nbsp;<\/strong>&nbsp;<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><sup>1<\/sup>\u00a0Department of Mental Health and\u00a0Primary\u00a0Care, University of Liverpool, Liverpool, United Kingdom.\u00a0<\/li>\n<\/ul>\n\n\n\n<ul class=\"wp-block-list\">\n<li><sup>2<\/sup>\u00a0Mosaica Solutions LLC, Madison, WI\/Kansas City, MO, United States.\u00a0<\/li>\n<\/ul>\n\n\n\n<ul class=\"wp-block-list\">\n<li><sup>3<\/sup>\u00a0Postgraduate Medical Education, Dammam, Saudi Arabia.\u00a0<\/li>\n<\/ul>\n\n\n\n<ul class=\"wp-block-list\">\n<li><sup>4<\/sup>\u00a0Faculty of Medicine, Pelita Harapan University, Tangerang, Indonesia.\u00a0<\/li>\n<\/ul>\n\n\n\n<ul class=\"wp-block-list\">\n<li><sup>5<\/sup>\u00a0Department of Family Medicine, Olabisi Onabanjo University Teaching Hospital, Sagamu, Nigeria.\u00a0<\/li>\n<\/ul>\n\n\n\n<ul class=\"wp-block-list\">\n<li><sup>6<\/sup>\u00a0Department of Community and Family Medicine, Fukushima Medical University, Fukushima, Japan.\u00a0<\/li>\n<\/ul>\n\n\n\n<ul class=\"wp-block-list\">\n<li><sup>7<\/sup>\u00a0Department of Family Medicine and\u00a0Primary\u00a0Care, School of Clinical Medicine,\u00a0The\u00a0University of Hong Kong, Hong Kong, Hong Kong SAR, China.\u00a0<\/li>\n<\/ul>\n\n\n\n<ul class=\"wp-block-list\">\n<li><sup>8<\/sup>\u00a0Laboratory of Health and Society, School of Medicine, University of Crete, Crete, Greece.\u00a0<\/li>\n<\/ul>\n\n\n\n<ul class=\"wp-block-list\">\n<li><sup>9<\/sup>\u00a0Department of Psychology, University of Limassol, Limassol, Cyprus.\u00a0<\/li>\n<\/ul>\n\n\n\n<ul class=\"wp-block-list\">\n<li><sup>10<\/sup>\u00a0Kenya Association of Family Physicians, Nairobi, Kenya.\u00a0<\/li>\n<\/ul>\n\n\n\n<ul class=\"wp-block-list\">\n<li><sup>11<\/sup>\u00a0College of General Practitioners of Sri Lanka, Colombo, Sri Lanka.\u00a0<\/li>\n<\/ul>\n\n\n\n<ul class=\"wp-block-list\">\n<li><sup>12<\/sup>\u00a0Faculty of Medicine, University of Porto, Porto, Portugal.\u00a0<\/li>\n<\/ul>\n\n\n\n<ul class=\"wp-block-list\">\n<li><sup>13<\/sup>\u00a0Institute of Social Security and Services for State Workers (ISSSTE), Family Medicine Clinic, Mexico City, Mexico.\u00a0<\/li>\n<\/ul>\n\n\n\n<ul class=\"wp-block-list\">\n<li>PMID:\u00a0<strong>41393145<\/strong>\u00a0\u00a0<\/li>\n<\/ul>\n\n\n\n<ul class=\"wp-block-list\">\n<li>PMCID:\u00a0<a href=\"https:\/\/pmc.ncbi.nlm.nih.gov\/articles\/PMC12696672\/\" target=\"_blank\" rel=\"noreferrer noopener\">PMC12696672\u00a0<\/a>\u00a0<\/li>\n<\/ul>\n\n\n\n<ul class=\"wp-block-list\">\n<li>DOI:\u00a0<a href=\"https:\/\/doi.org\/10.3389\/fmed.2025.1679133\" target=\"_blank\" rel=\"noreferrer noopener\">10.3389\/fmed.2025.1679133\u00a0<\/a>\u00a0<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Abstract&nbsp;<\/strong>&nbsp;<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Depressive disorders are common and disabling, and a substantial treatment gap exists particularly in low-resource settings. Family doctors are well-placed to bridge this gap but often lack&nbsp;the&nbsp;confidence,&nbsp;knowledge&nbsp;and skill to do so.&nbsp;The&nbsp;World Organization of Family Doctors (WONCA) and its collaborators designed&nbsp;the&nbsp;MDD Minds&nbsp;project to improve care for major depressive disorders delivered by family doctors in Africa\/Middle East (Kenya, Nigeria, and Saudi Arabia), Asia (Indonesia, Japan, and Sri Lanka) and Latin America (Brazil, Mexico, and Peru).&nbsp;The&nbsp;MDD Minds organizational structure included a steering committee, a design and measurement&nbsp;team&nbsp;and a group of master faculty composed of&nbsp;primary&nbsp;mental health care experts from participating countries.&nbsp;Project delivery was in three phases: MDD Minds 101, an online&nbsp;programme&nbsp;with seven modules; Train-the-Trainer, a group-based approach combining online and real-time elements and leading to delivery of in-country educational activities; and Performance- in-Practice, focused on enhanced depression screening for patients with diabetes. Recruitment was conducted by WONCA in collaboration with national&nbsp;primary&nbsp;care&nbsp;organizations.&nbsp;Project delivery began in October 2023 and was completed in December 2024. Enrollment and completion rates were tracked: 2,892 family doctors enrolled in MDD Minds 101; 581 (20%) completed&nbsp;the&nbsp;course. In Train-the-Trainer&nbsp;210 scholars enrolled; 126 (60%) completed&nbsp;the&nbsp;program, delivering 143 educational sessions to 1,697 other healthcare&nbsp;professionals in their respective regions. Nine&nbsp;primary&nbsp;care&nbsp;teams in Brazil, Kenya,&nbsp;Japan&nbsp;and Nigeria&nbsp;participated&nbsp;in&nbsp;the&nbsp;Performance-in-Practice&nbsp;program; among 1,592 diabetes patients screened, 26.6% were diagnosed with depression and&nbsp;promptly managed. Strategic alignment between partnering organizations, in combination with world-wide&nbsp;expertise&nbsp;in mental health,&nbsp;ensured&nbsp;effective participation. Language and cultural adaptation were important to serving&nbsp;the&nbsp;diverse range of learners, as was&nbsp;ease&nbsp;of access to online platforms and enhanced use of social media. Our online course completion rate exceeded our expectations.&nbsp;The&nbsp;MDD Minds&nbsp;project demonstrates WONCA&#8217;s ability to deliver high-quality educational&nbsp;programming at scale, as well as&nbsp;the&nbsp;benefits of localized frameworks that support family doctors,&nbsp;primary&nbsp;care&nbsp;teams, and patients in improving&nbsp;the&nbsp;care of those with major depressive disorder. It offers a replicable and sustainable approach to enhancing mental healthcare in diverse&nbsp;primary&nbsp;care&nbsp;settings.&nbsp;&nbsp;<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Publication 2<\/strong>&nbsp;<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Eur&nbsp;Heart&nbsp;J .&nbsp;2025 Nov 3;46(41):4156-4225.&nbsp;&nbsp;<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">doi: 10.1093\/eurheartj\/ehaf191.&nbsp;&nbsp;<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>2025 ESC Clinical Consensus Statement on mental health and cardiovascular disease: developed under&nbsp;the&nbsp;auspices of&nbsp;the&nbsp;ESC Clinical Practice Guidelines Committee&nbsp;<\/strong>&nbsp;<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/?sort=date&amp;term=Bueno+H&amp;cauthor_id=40878270\" target=\"_blank\" rel=\"noreferrer noopener\">H\u00e9ctor Bueno<\/a><sup>\u202f<\/sup><a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/40878270\/#full-view-affiliation-1\" target=\"_blank\" rel=\"noreferrer noopener\"><sup>&nbsp;1&nbsp;<\/sup><\/a>,\u202f<a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/?sort=date&amp;term=Deaton+C&amp;cauthor_id=40878270\" target=\"_blank\" rel=\"noreferrer noopener\">Christi Deaton<\/a><sup>\u202f<\/sup><a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/40878270\/#full-view-affiliation-2\" target=\"_blank\" rel=\"noreferrer noopener\"><sup>&nbsp;2&nbsp;<\/sup><\/a>,\u202f<a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/?sort=date&amp;term=Farrero+M&amp;cauthor_id=40878270\" target=\"_blank\" rel=\"noreferrer noopener\">Marta&nbsp;Farrero<\/a><sup>\u202f<\/sup><a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/40878270\/#full-view-affiliation-1\" target=\"_blank\" rel=\"noreferrer noopener\"><sup>&nbsp;1&nbsp;<\/sup><\/a>,\u202f<a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/?sort=date&amp;term=Forsyth+F&amp;cauthor_id=40878270\" target=\"_blank\" rel=\"noreferrer noopener\">Faye Forsyth<\/a><sup>\u202f<\/sup><a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/40878270\/#full-view-affiliation-2\" target=\"_blank\" rel=\"noreferrer noopener\"><sup>&nbsp;2&nbsp;<\/sup><\/a>,\u202f<a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/?sort=date&amp;term=Braunschweig+F&amp;cauthor_id=40878270\" target=\"_blank\" rel=\"noreferrer noopener\">Frieder Braunschweig<\/a><sup>\u202f<\/sup><a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/40878270\/#full-view-affiliation-3\" target=\"_blank\" rel=\"noreferrer noopener\"><sup>&nbsp;3&nbsp;<\/sup><\/a>,\u202f<a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/?sort=date&amp;term=Buccheri+S&amp;cauthor_id=40878270\" target=\"_blank\" rel=\"noreferrer noopener\">Sergio Buccheri<\/a><sup>\u202f<\/sup><a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/40878270\/#full-view-affiliation-3\" target=\"_blank\" rel=\"noreferrer noopener\"><sup>&nbsp;3&nbsp;<\/sup><\/a>,\u202f<a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/?sort=date&amp;term=Dragan+S&amp;cauthor_id=40878270\" target=\"_blank\" rel=\"noreferrer noopener\">Simona Dragan<\/a><sup>\u202f<\/sup><a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/40878270\/#full-view-affiliation-4\" target=\"_blank\" rel=\"noreferrer noopener\"><sup>&nbsp;4&nbsp;<\/sup><\/a>,\u202f<a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/?sort=date&amp;term=Gevaert+S&amp;cauthor_id=40878270\" target=\"_blank\" rel=\"noreferrer noopener\">Sofie Gevaert<\/a><sup>\u202f<\/sup><a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/40878270\/#full-view-affiliation-5\" target=\"_blank\" rel=\"noreferrer noopener\"><sup>&nbsp;5&nbsp;<\/sup><\/a>,\u202f<a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/?sort=date&amp;term=Held+C&amp;cauthor_id=40878270\" target=\"_blank\" rel=\"noreferrer noopener\">Claes Held<\/a><sup>\u202f<\/sup><a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/40878270\/#full-view-affiliation-3\" target=\"_blank\" rel=\"noreferrer noopener\"><sup>&nbsp;3&nbsp;<\/sup><\/a>,\u202f<a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/?sort=date&amp;term=Kurpas+D&amp;cauthor_id=40878270\" target=\"_blank\" rel=\"noreferrer noopener\">Donata&nbsp;Kurpas<\/a><sup>\u202f<\/sup><a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/40878270\/#full-view-affiliation-6\" target=\"_blank\" rel=\"noreferrer noopener\"><sup>&nbsp;6&nbsp;<\/sup><\/a>,\u202f<a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/?sort=date&amp;term=Ladwig+KH&amp;cauthor_id=40878270\" target=\"_blank\" rel=\"noreferrer noopener\">Karl-Heinz Ladwig<\/a><sup>\u202f<\/sup><a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/40878270\/#full-view-affiliation-7\" target=\"_blank\" rel=\"noreferrer noopener\"><sup>&nbsp;7&nbsp;<\/sup><\/a>,\u202f<a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/?sort=date&amp;term=Lionis+CD&amp;cauthor_id=40878270\" target=\"_blank\" rel=\"noreferrer noopener\">Christos D&nbsp;Lionis<\/a><sup>\u202f<\/sup><a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/40878270\/#full-view-affiliation-8\" target=\"_blank\" rel=\"noreferrer noopener\"><sup>&nbsp;8&nbsp;<\/sup><\/a>,\u202f<a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/?sort=date&amp;term=Maas+AHEM&amp;cauthor_id=40878270\" target=\"_blank\" rel=\"noreferrer noopener\">Angela H E M Maas<\/a><sup>\u202f<\/sup><a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/40878270\/#full-view-affiliation-9\" target=\"_blank\" rel=\"noreferrer noopener\"><sup>&nbsp;9&nbsp;<\/sup><\/a>,\u202f<a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/?sort=date&amp;term=Mer%C8%99a+CO&amp;cauthor_id=40878270\" target=\"_blank\" rel=\"noreferrer noopener\">Caius Ovidiu Mer\u0219a<\/a><sup>\u202f<\/sup><a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/40878270\/#full-view-affiliation-4\" target=\"_blank\" rel=\"noreferrer noopener\"><sup>&nbsp;4&nbsp;<\/sup><\/a>,\u202f<a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/?sort=date&amp;term=Mindham+R&amp;cauthor_id=40878270\" target=\"_blank\" rel=\"noreferrer noopener\">Richard Mindham<\/a><sup>\u202f<\/sup><a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/40878270\/#full-view-affiliation-2\" target=\"_blank\" rel=\"noreferrer noopener\"><sup>&nbsp;2&nbsp;<\/sup><\/a>,\u202f<a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/?sort=date&amp;term=Pedersen+SS&amp;cauthor_id=40878270\" target=\"_blank\" rel=\"noreferrer noopener\">Susanne S Pedersen<\/a><sup>\u202f<\/sup><a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/40878270\/#full-view-affiliation-10\" target=\"_blank\" rel=\"noreferrer noopener\"><sup>&nbsp;10&nbsp;<\/sup><\/a>,\u202f<a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/?sort=date&amp;term=Rojnic+Kuzman+M&amp;cauthor_id=40878270\" target=\"_blank\" rel=\"noreferrer noopener\">Martina&nbsp;Rojnic&nbsp;Kuzman<\/a><sup>\u202f<\/sup><a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/40878270\/#full-view-affiliation-11\" target=\"_blank\" rel=\"noreferrer noopener\"><sup>&nbsp;11&nbsp;<\/sup><\/a>,\u202f<a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/?sort=date&amp;term=Szmit+S&amp;cauthor_id=40878270\" target=\"_blank\" rel=\"noreferrer noopener\">Sebastian Szmit<\/a><sup>\u202f<\/sup><a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/40878270\/#full-view-affiliation-6\" target=\"_blank\" rel=\"noreferrer noopener\"><sup>&nbsp;6&nbsp;<\/sup><\/a>,\u202f<a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/?sort=date&amp;term=Taylor+RS&amp;cauthor_id=40878270\" target=\"_blank\" rel=\"noreferrer noopener\">Rod S Taylor<\/a><sup>\u202f<\/sup><a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/40878270\/#full-view-affiliation-2\" target=\"_blank\" rel=\"noreferrer noopener\"><sup>&nbsp;2&nbsp;<\/sup><\/a>,\u202f<a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/?sort=date&amp;term=Uchmanowicz+I&amp;cauthor_id=40878270\" target=\"_blank\" rel=\"noreferrer noopener\">Izabella Uchmanowicz<\/a><sup>\u202f<\/sup><a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/40878270\/#full-view-affiliation-6\" target=\"_blank\" rel=\"noreferrer noopener\"><sup>&nbsp;6&nbsp;<\/sup><\/a>,\u202f<a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/?sort=date&amp;term=Vilchinsky+N&amp;cauthor_id=40878270\" target=\"_blank\" rel=\"noreferrer noopener\">Noa Vilchinsky<\/a><sup>\u202f<\/sup><a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/40878270\/#full-view-affiliation-12\" target=\"_blank\" rel=\"noreferrer noopener\"><sup>&nbsp;12&nbsp;<\/sup><\/a>;\u202f<a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/?sort=date&amp;term=ESC+Scientific+Document+Group%5BCorporate+Author%5D\" target=\"_blank\" rel=\"noreferrer noopener\">ESC Scientific Document Group<\/a>&nbsp;&nbsp;<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Collaborators, Affiliations&nbsp;&nbsp;<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Note:&nbsp;&nbsp;<\/p>\n\n\n\n<figure class=\"wp-block-image size-full\"><img decoding=\"async\" src=\"https:\/\/spcdn.shortpixel.ai\/spio\/ret_img+q_cdnize+to_webp+s_webp\/www.uol.ac.cy\/wp-content\/uploads\/2026\/04\/image.png\" alt=\"image\" class=\"wp-image-75223\"\/><figcaption class=\"wp-element-caption\">image<\/figcaption><\/figure>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Publication 3<\/strong>&nbsp;<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Editorial&nbsp;Adv Clin Exp Med. 2025 Oct;34(10):1607-1610.&nbsp;&nbsp;<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">doi: 10.17219\/acem\/208659.&nbsp;&nbsp;<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Family medicine: Discovering new fields for research and clinical care in&nbsp;the&nbsp;current world&nbsp;<\/strong>&nbsp;<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/?sort=date&amp;term=Lionis+C&amp;cauthor_id=40788000\" target=\"_blank\" rel=\"noreferrer noopener\">Christos&nbsp;Lionis<\/a><sup>\u202f<\/sup><a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/40788000\/#full-view-affiliation-1\" target=\"_blank\" rel=\"noreferrer noopener\"><sup>&nbsp;1&nbsp;<\/sup><\/a><sup>\u202f<\/sup><a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/40788000\/#full-view-affiliation-2\" target=\"_blank\" rel=\"noreferrer noopener\"><sup>&nbsp;2&nbsp;<\/sup><\/a>&nbsp;<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Affiliations&nbsp;<\/strong>&nbsp;<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><sup>1<\/sup>\u00a0Laboratory of Health and Society, School of Medicine, University of Crete, Greece.\u00a0<\/li>\n<\/ul>\n\n\n\n<ul class=\"wp-block-list\">\n<li><sup>2<\/sup>\u00a0Department of Psychology, University of Limassol, Cyprus.\u00a0<\/li>\n<\/ul>\n\n\n\n<ul class=\"wp-block-list\">\n<li>PMID:\u00a0<strong>40788000<\/strong>\u00a0\u00a0<\/li>\n<\/ul>\n\n\n\n<ul class=\"wp-block-list\">\n<li>DOI:\u00a0<a href=\"https:\/\/doi.org\/10.17219\/acem\/208659\" target=\"_blank\" rel=\"noreferrer noopener\">10.17219\/acem\/208659\u00a0<\/a>\u00a0<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">Free article&nbsp;&nbsp;<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Abstract&nbsp;<\/strong>&nbsp;<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Strengthening&nbsp;primary&nbsp;healthcare (PHC) research is vital to address&nbsp;the&nbsp;demands of a rapidly changing health landscape. Leadership, infrastructure, and sufficient funding have been discussed as key factors in expanding PHC research capacity.&nbsp;This editorial aims&nbsp;to highlight emerging research priorities in a world increasingly affected by crises such as war, conflict, and climate change. Research on suffering, meaning, hope, and compassion&nbsp;represents&nbsp;a&nbsp;promising and necessary new frontier in PHC. This field urgently needs&nbsp;the&nbsp;attention of academic institutions and funding bodies committed to strengthening&nbsp;primary&nbsp;care&nbsp;and family medicine.&nbsp;&nbsp;<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Publication 4<\/strong>&nbsp;<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Front Med (Lausanne) .&nbsp;2025 Sep 22:12:1696813.&nbsp;&nbsp;<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">doi: 10.3389\/fmed.2025.1696813.&nbsp;eCollection&nbsp;2025.&nbsp;&nbsp;<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Editorial:&nbsp;The&nbsp;impact of&nbsp;primary&nbsp;care&nbsp;on cancer screening&nbsp;program performance: strategies to increase uptake and effectiveness&nbsp;<\/strong>&nbsp;<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/?sort=date&amp;term=Acuti+Martellucci+C&amp;cauthor_id=41058633\" target=\"_blank\" rel=\"noreferrer noopener\">Cecilia Acuti Martellucci<\/a><sup>\u202f<\/sup><a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/41058633\/#full-view-affiliation-1\" target=\"_blank\" rel=\"noreferrer noopener\"><sup>&nbsp;1&nbsp;<\/sup><\/a>,\u202f<a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/?sort=date&amp;term=Quintero+E&amp;cauthor_id=41058633\" target=\"_blank\" rel=\"noreferrer noopener\">Enrique Quintero<\/a><sup>\u202f<\/sup><a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/41058633\/#full-view-affiliation-2\" target=\"_blank\" rel=\"noreferrer noopener\"><sup>&nbsp;2&nbsp;<\/sup><\/a>,\u202f<a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/?sort=date&amp;term=Lionis+C&amp;cauthor_id=41058633\" target=\"_blank\" rel=\"noreferrer noopener\">Christos&nbsp;Lionis<\/a><sup>\u202f<\/sup><a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/41058633\/#full-view-affiliation-3\" target=\"_blank\" rel=\"noreferrer noopener\"><sup>&nbsp;3&nbsp;<\/sup><\/a><sup>\u202f<\/sup><a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/41058633\/#full-view-affiliation-4\" target=\"_blank\" rel=\"noreferrer noopener\"><sup>&nbsp;4&nbsp;<\/sup><\/a>&nbsp;<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Affiliations&nbsp;<\/strong>&nbsp;<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\uf0b7&nbsp; Department of Medical and Surgical Sciences, University of Bologna, Bologna, Italy.&nbsp;&nbsp;<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\uf0b7&nbsp;&nbsp;<sup>2<\/sup>&nbsp;Department&nbsp;of&nbsp;Gastroenterology, Hospital Universitario de Canarias, Instituto Universitario de Tecnolog\u00edas Biom\u00e9dicas, Universidad de La Laguna, Tenerife,&nbsp;Spain.&nbsp;&nbsp;<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\uf0b7&nbsp;&nbsp;<sup>3<\/sup>&nbsp;Laboratory of Social and Family Medicine, School of Medicine, Clinic of Social and Family Medicine, University of Crete, Heraklion, Greece.&nbsp;&nbsp;<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\uf0b7&nbsp;&nbsp;<sup>4<\/sup>&nbsp;Department of Psychology, School of Social Sciences and Humanities, University of Limassol, Limassol, Cyprus.&nbsp;<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>PMID:\u00a0<strong>41058633<\/strong>\u00a0\u00a0<\/li>\n<\/ul>\n\n\n\n<ul class=\"wp-block-list\">\n<li>PMCID:\u00a0<a href=\"https:\/\/pmc.ncbi.nlm.nih.gov\/articles\/PMC12497694\/\" target=\"_blank\" rel=\"noreferrer noopener\">PMC12497694\u00a0<\/a>\u00a0<\/li>\n<\/ul>\n\n\n\n<ul class=\"wp-block-list\">\n<li>DOI:\u00a0<a href=\"https:\/\/doi.org\/10.3389\/fmed.2025.1696813\" target=\"_blank\" rel=\"noreferrer noopener\">10.3389\/fmed.2025.1696813\u00a0<\/a>\u00a0<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">__________________________________________________________________&nbsp;<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Publication&nbsp;5&nbsp;<\/strong>&nbsp;<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>The&nbsp;role of&nbsp;health-care&nbsp;professionals and&nbsp;stakeholders.&nbsp;The&nbsp;Lancet.<\/strong>&nbsp;<\/p>\n\n\n\n<figure class=\"wp-block-embed\"><div class=\"wp-block-embed__wrapper\">\nhttps:\/\/www.thelancet.com\/journals\/lancet\/article\/PIIS0140-6736(26)00212-6\/fulltext?dgcid=raven_jbs_etoc_email\n<\/div><\/figure>\n\n\n\n<p class=\"wp-block-paragraph\">Christos&nbsp;Lionis,&nbsp;lionis@uoc.gr&nbsp;<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Lab of Health and Society, School of Medicine,&nbsp;University of Crete, Heraklion 71003, Greece;&nbsp;Department of Psychology, School of Social&nbsp;Sciences and Humanities, University of Limassol,&nbsp;Nicosia, Cyprus&nbsp;<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Publication 6<\/strong>&nbsp;<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">BMC Prim Care. 2026 Feb 16.&nbsp;doi: 10.1186\/s12875-026-03213-9.&nbsp;Epub&nbsp;ahead of print. PMID: 41699492.&nbsp;<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Implementing systematic depression screening in&nbsp;primary&nbsp;care: lessons from&nbsp;the&nbsp;MDD Minds global quality improvement pilot<\/strong>&nbsp;<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Ales M,&nbsp;Dowrick&nbsp;C, Ariba A,&nbsp;Mugambi&nbsp;J, Tavares ALB,&nbsp;Kassai&nbsp;R,&nbsp;Lionis&nbsp;C,&nbsp;Rodrigues&nbsp;S. .&nbsp;&nbsp;<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Affiliations&nbsp;<\/strong>&nbsp;<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><sup>1<\/sup>\u00a0Mosaica Solutions, LLC, 2 S Eau Claire Ave, Madison WI\/Kansas City, MO, 53705, USA. mary.ales@mosaicasolutions.com.\u00a0<\/li>\n<\/ul>\n\n\n\n<ul class=\"wp-block-list\">\n<li><sup>2<\/sup>\u00a0Department of Mental Health and\u00a0Primary\u00a0Care, University of Liverpool, Liverpool, United Kingdom.\u00a0<\/li>\n<\/ul>\n\n\n\n<ul class=\"wp-block-list\">\n<li><sup>3<\/sup>\u00a0Department of Family Medicine, Olabisi Onabanjo University Teaching Hospital, Sagamu, Nigeria.\u00a0<\/li>\n<\/ul>\n\n\n\n<ul class=\"wp-block-list\">\n<li><sup>4<\/sup>\u00a0Kenya Association of Family Physicians, Nairobi, Kenya.\u00a0<\/li>\n<\/ul>\n\n\n\n<ul class=\"wp-block-list\">\n<li><sup>5<\/sup>\u00a0Faculty of Medicine, University of Porto, Porto, Portugal.\u00a0<\/li>\n<\/ul>\n\n\n\n<ul class=\"wp-block-list\">\n<li><sup>6<\/sup>\u00a0Department of Community and Family Medicine, Fukushima Medical University, Fukushima, Japan.\u00a0<\/li>\n<\/ul>\n\n\n\n<ul class=\"wp-block-list\">\n<li><sup>7<\/sup>\u00a0Laboratory of Health and Society, School of Medicine, University of Crete, Crete, Greece.\u00a0<\/li>\n<\/ul>\n\n\n\n<ul class=\"wp-block-list\">\n<li><sup>8<\/sup>\u00a0Department of Psychology, University of Limassol, Limassol, Cyprus.\u00a0<\/li>\n<\/ul>\n\n\n\n<ul class=\"wp-block-list\">\n<li><sup>9<\/sup>\u00a0Mosaica Solutions, LLC, 2 S Eau Claire Ave, Madison WI\/Kansas City, MO, 53705, USA.\u00a0<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Abstract&nbsp;<\/strong>&nbsp;<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Background:&nbsp;<\/strong>Depression&nbsp;remains&nbsp;underdiagnosed in&nbsp;primary&nbsp;care, particularly in low- and middle-income countries (LMICs). Despite advocacy for mental health integration into&nbsp;primary&nbsp;care, evidence on practical implementation strategies in diverse international settings is limited. This study evaluated&nbsp;the&nbsp;feasibility of implementing practice-driven systematic depression screening among adult patients with diabetes mellitus (DM) across&nbsp;primary&nbsp;care&nbsp;practices in four countries.&nbsp;<strong>Methods:&nbsp;<\/strong>The&nbsp;Major Depressive Disorder Management in&nbsp;Primary&nbsp;Care&nbsp;(MDD Minds) initiative implemented a 12-week quality improvement pilot across nine&nbsp;primary&nbsp;care&nbsp;practices in Brazil, Japan, Kenya, and Nigeria. Practices received local coaching, educational resources, and adaptable workflow tools to screen adult patients with DM for depression during routine care visits. Data on screening rates, depression identification, and resource&nbsp;provision were collected using standardized forms.&nbsp;<strong>Results:&nbsp;<\/strong>Among 1,592 adult patients with diabetes seen during&nbsp;the&nbsp;12-week implementation period, 582 (36.6%) were newly screened for depression. Practices without baseline depression documentation&nbsp;identified&nbsp;depression in 54.9% of screened patients, compared to 12.2% in practices with existing documentation,&nbsp;demonstrating&nbsp;substantial under-detection in settings without systematic screening. Of those screened, 105 (18.0%) had positive screens&nbsp;indicating&nbsp;depressive symptoms. An&nbsp;additional&nbsp;211 patients (13.3%) had prior documented depression diagnoses.&nbsp;In&nbsp;total, 326&nbsp;patients&nbsp;(19.6%)&nbsp;were&nbsp;diagnosed&nbsp;with&nbsp;depressive&nbsp;symptoms.&nbsp;<strong>Conclusions:&nbsp;<\/strong>This multi-country implementation study&nbsp;demonstrates&nbsp;that systematic depression screening integrated into routine diabetes care is&nbsp;feasible&nbsp;across diverse&nbsp;primary&nbsp;care&nbsp;settings when supported by adaptable workflows and structured coaching. Findings highlight&nbsp;the&nbsp;importance of local ownership and context-specific&nbsp;implementation strategies for integrating mental health screening into chronic disease management in global&nbsp;primary&nbsp;care.&nbsp;&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Publication 1&nbsp; Front Med (Lausanne) .&nbsp;2025 Nov 27:12:1679133.&nbsp;&nbsp; doi: 10.3389\/fmed.2025.1679133.&nbsp;eCollection&nbsp;2025.&nbsp;&nbsp; Global educational initiative for managing major depressive disorders in&nbsp;primary&nbsp;care:&nbsp;the&nbsp;MDD minds&nbsp;project&nbsp;&nbsp; Christopher Dowrick\u202f#\u202f&nbsp;1&nbsp;,\u202fMary Ales\u202f#\u202f&nbsp;2&nbsp;,\u202fAbdullah AlKhathami\u202f#\u202f&nbsp;3&nbsp;,\u202fDewanto&nbsp;Andoko\u202f#\u202f&nbsp;4&nbsp;,\u202fAdekunle Joseph Ariba\u202f#\u202f&nbsp;5&nbsp;,\u202fRyuki Kassai\u202f#\u202f&nbsp;6&nbsp;,\u202fCindy Lam\u202f#\u202f&nbsp;7&nbsp;,\u202fChristos&nbsp;Lionis\u202f#\u202f&nbsp;8&nbsp;\u202f&nbsp;9&nbsp;,\u202fJoy Mugambi\u202f#\u202f&nbsp;10&nbsp;,\u202fSankha&nbsp;Randenikumara\u202f#\u202f&nbsp;11&nbsp;,\u202fShelly Rodrigues\u202f#\u202f&nbsp;2&nbsp;,\u202fAndr\u00e9 Tavares\u202f#\u202f&nbsp;12&nbsp;,\u202fAna Bertha Perez Villalva\u202f#\u202f&nbsp;13&nbsp;&nbsp; Affiliations&nbsp;&nbsp; Affiliations&nbsp;&nbsp; Abstract&nbsp;&nbsp; Depressive disorders are common and disabling, and a substantial treatment gap exists particularly in low-resource settings. Family doctors [&hellip;]<\/p>\n","protected":false},"author":17,"featured_media":75222,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"_uag_custom_page_level_css":"","site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"default","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","ast-disable-related-posts":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"set","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"ast-content-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"footnotes":""},"categories":[123],"tags":[],"publication_author":[225],"publication_year":[189],"class_list":["post-75219","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-latest-publications","publication_author-christos-lionis","publication_year-189"],"acf":[],"uagb_featured_image_src":{"full":["https:\/\/www.uol.ac.cy\/wp-content\/uploads\/2026\/04\/newscover_hd.jpg",1200,628,false],"thumbnail":["https:\/\/www.uol.ac.cy\/wp-content\/uploads\/2026\/04\/newscover_hd-150x150.jpg",150,150,true],"medium":["https:\/\/www.uol.ac.cy\/wp-content\/uploads\/2026\/04\/newscover_hd-300x157.jpg",300,157,true],"medium_large":["https:\/\/www.uol.ac.cy\/wp-content\/uploads\/2026\/04\/newscover_hd-768x402.jpg",768,402,true],"large":["https:\/\/www.uol.ac.cy\/wp-content\/uploads\/2026\/04\/newscover_hd-1024x536.jpg",1024,536,true],"1536x1536":["https:\/\/www.uol.ac.cy\/wp-content\/uploads\/2026\/04\/newscover_hd.jpg",1200,628,false],"2048x2048":["https:\/\/www.uol.ac.cy\/wp-content\/uploads\/2026\/04\/newscover_hd.jpg",1200,628,false],"trp-custom-language-flag":["https:\/\/www.uol.ac.cy\/wp-content\/uploads\/2026\/04\/newscover_hd-18x9.jpg",18,9,true]},"uagb_author_info":{"display_name":"p.efstathiou@uol.ac.cy","author_link":"https:\/\/www.uol.ac.cy\/en\/author\/p-efstathiouuol-ac-cy\/"},"uagb_comment_info":0,"uagb_excerpt":"Publication 1&nbsp; Front Med (Lausanne) .&nbsp;2025 Nov 27:12:1679133.&nbsp;&nbsp; doi: 10.3389\/fmed.2025.1679133.&nbsp;eCollection&nbsp;2025.&nbsp;&nbsp; Global educational initiative for managing major depressive disorders in&nbsp;primary&nbsp;care:&nbsp;the&nbsp;MDD minds&nbsp;project&nbsp;&nbsp; Christopher Dowrick\u202f#\u202f&nbsp;1&nbsp;,\u202fMary Ales\u202f#\u202f&nbsp;2&nbsp;,\u202fAbdullah AlKhathami\u202f#\u202f&nbsp;3&nbsp;,\u202fDewanto&nbsp;Andoko\u202f#\u202f&nbsp;4&nbsp;,\u202fAdekunle Joseph Ariba\u202f#\u202f&nbsp;5&nbsp;,\u202fRyuki Kassai\u202f#\u202f&nbsp;6&nbsp;,\u202fCindy Lam\u202f#\u202f&nbsp;7&nbsp;,\u202fChristos&nbsp;Lionis\u202f#\u202f&nbsp;8&nbsp;\u202f&nbsp;9&nbsp;,\u202fJoy Mugambi\u202f#\u202f&nbsp;10&nbsp;,\u202fSankha&nbsp;Randenikumara\u202f#\u202f&nbsp;11&nbsp;,\u202fShelly Rodrigues\u202f#\u202f&nbsp;2&nbsp;,\u202fAndr\u00e9 Tavares\u202f#\u202f&nbsp;12&nbsp;,\u202fAna Bertha Perez Villalva\u202f#\u202f&nbsp;13&nbsp;&nbsp; Affiliations&nbsp;&nbsp; Affiliations&nbsp;&nbsp; Abstract&nbsp;&nbsp; Depressive disorders are common and disabling, and a substantial treatment gap exists particularly in low-resource settings. 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