Figure 2

Explanatory model for the prevention of the onset of depression by family physicians. Component 1 (training of family physician) prepares the family physicians for the intervention and component 2 (communicating the level and risk profile of depression to the patient) initiates it. This leads to a new doctor-patient interaction, which triggers component 3 (building up a tailored bio-psycho-family-social intervention to prevent depression by family physicians) that activates and empowers the patient (component 5), and which increases the patient’s perception of self-efficacy. This can also be achieved by component 4 (offering the patient the booklet) at the first doctor-patient interview.