One substantial dimension of depression comprises the psychosocial difficulties (PSDs) which people experience.
PSDs constitute the impairment on psychological and social daily functioning of individuals, linked with their particular health condition .
The majority of studies on this topic are quantitative; however, the literature that uses qualitative methodologies—which could provide deeper, richer, and more elaborated data, exploratory analyses on patients’ needs and standpoints, and thus more objective results—is sparse.
Furthermore, this kind of studies can provide a general view if particular psychosocial difficulties, named by patients as important, are missing in the literature.
Furthermore, it has not included information regarding related variables of psychosocial difficulties in depression.
To date, no study has analyzed the full set of PSDs and their related variables in depression by including both literature and patient perspective.Despite all the knowledge on depression, it is still unclear whether current literature covers all the psychosocial difficulties (PSDs) important for depressed patients.The aim of the present study was to identify the gaps in the recent literature concerning PSDs and their related variables.The authors have conducted ten focus groups and individual cognitive interviews and identified several general domains containing different concepts.However, this study does not combine the patient perspective with information from the literature.  based itself on a three-dimensional design—systematic review of literature, patient focus groups, and an expert panel aimed to identify a core set of activities and participation for individuals with mental disorders.Recent studies [7–9], however, provide a new definition of PSDs, based on WHO’s International Classification of Functioning, Disability and Health (ICF) .This new approach covers the whole course, determinants and onset of psychosocial problems, and embodies an innovative holistic model of health.There are few existing studies using qualitative research to identify a full list of PSDs which depressed people experience.Yet, none of them has applied a comprehensive approach in order to encompass all the psychosocial difficulties from different perspectives. , which aimed to develop a specific questionnaire to assess symptoms for adult major depressive patients and to track their functional status.A detailed description of the utility of the ICF classification for depression can be found elsewhere .Once this comprehensive definition of psychosocial difficulties has been extracted from the literature, it is very important to incorporate the patient perspective in clinical practice and research.