Depression: [the NICE guideline on] the treatment and management of depression in adults
Gespeichert in:
| Format: | Buch |
|---|---|
| Sprache: | English |
| Veröffentlicht: |
Leicester
The British Psychological Soc. [u.a.]
2010
|
| Ausgabe: | Updated ed. |
| Schriftenreihe: | National clinical practice guideline
90 |
| Schlagworte: | |
| Online-Zugang: | Inhaltsverzeichnis Klappentext |
| Beschreibung: | CD-ROM-Beil. u.d.T.: Depression guideline |
| Beschreibung: | 705 S. graph. Darst. 1 CD-ROM (12 cm) |
| ISBN: | 9781904671855 1904671853 |
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Datensatz im Suchindex
| _version_ | 1804143703087906816 |
|---|---|
| adam_text | Contents
CONTENTS
GUIDELINE DEVELOPMENT GROUP MEMBERS
7
ACKNOWLEDGEMENTS
Í0
1
PREFACE
11
1.1
National guidelines
11
1.2
The national depression guideline
14
2
DEPRESSION
17
2.1
The disorder
17
2.2
Aetiology
25
2.3
Economic costs of depression
26
2.4
Treatment and management in the National Health Service
28
3
METHODS USED TO DEVELOP THIS GUIDELINE
34
34
34
35
37
38
47
49
51
51
52
52
52
68
71
83
86
94
5
CASE IDENTIFICATION AND SERVICE DELIVERY
97
5.1
Introduction
97
5.2
The identification of depression in primary care and
community settings
98
5.3
Service delivery systems in the treatment and management
of depression
121
5.4
Stepped care
124
5.5
Collaborative care
129
3
3.1
Overview
3.2
The scope
3.3
The Guideline Development Group
3.4
Clinical questions
3.5
Systematic clinical literature review
3.6
Health economics methods
3.7
Methods for reviewing experience of care
3.8
Stakeholder contributions
3.9
Validation of the guideline
EXPERIENCE OF CARE
4.1
Introduction
4.2
Personal accounts
-
people with depression
4.3
Personal accounts
-
carers
4.4
Qualitative analysis
4.5
Review of the qualitative literature
4.6
From evidence to recommendations
4.7
Recommendations
Contents
5.6
Medication
management
41
5.7
Crisis resolution and home treatment teams
146
5.8
Acute day hospital care
49
5.9
Non-acute day hospital care
151
5.10
Non-statutory support
153
5.11
Research recommendation
155
6
INTRODUCTION TO PSYCHOLOGICAL AND
PSYCHOSOCIAL
INTERVENTIONS
157
6.1
Introduction
157
6.2
Recommending psychological and
psychosocial
treatments
157
6.3
How do psychological and
psychosocial
interventions
become evidence based?
158
6.4
Contextual factors that impact on clinical practice
164
6.5
Databases searched and inclusion/exclusion criteria
168
6.6
Studies considered
168
7
LOW-INTENSITY
PSYCHOSOCIAL
INTERVENTIONS
170
7.1
Computerised cognitive behavioural therapy
170
7.2
Guided self-help
181
7.3
Physical activity programmes
190
7.4
From evidence to recommendations
-
low-intensity
psychosocial
interventions
212
7.5
Recommendations
213
8
HIGH-INTENSITY PSYCHOLOGICAL INTERVENTIONS
215
8.1
Cognitive behavioural therapies
215
8.2
Behavioural activation
238
8.3
Problem solving
242
8.4
Couples therapy
246
8.5
Interpersonal therapy
249
8.6
Counselling
261
8.7
Short-term psychodynamic psychotherapy
267
8.8
Rational emotive behavioural therapy
272
8.9
Economic modelling
274
8.10
From evidence to recommendations
291
8.11
Recommendations
296
8.12
Research recommendations
300
9
INTRODUCTION TO PHARMACOLOGICAL AND PHYSICAL
INTERVENTIONS
304
9.1
Introduction
304
9.2
Dose and duration of antidepressant treatment: evidence
from clinical practice
306
9.3
Limitations of the literature: problems with randomised
controlled trials in pharmacology
308
9.4
Studies considered for review
-
additional inclusion criteria
309
Contents
9.5
Issues
and topics covered by this review
311
9.6
Placebo-controlled randomised controlled trials of antidepressants
313
9.7
Selective serotonin reuptake inhibitors versus placebo
315
9.8
Tricyclic antidepressants versus placebo
319
9.9
From evidence to recommendations
326
9.10
Recommendation
327
10
PHARMACOLOGICAL INTERVENTIONS
328
10.1
Introduction
328
10.2
Use of individual drugs in the treatment of depression
329
10.3
Tricyclic antidepressants
330
10.4
Selective serotonin reuptake inhibitors
336
10.5
Escitalopram
341
10.6
The thread study
354
10.7
Monoamine
oxidase
inhibitors
354
10.8
Third-generation antidepressants
360
10.9
St John s wort
387
10.10
Health economics evidence
391
10.11
Network meta-analysis of newer antidepressants
398
10.12
Economic model for the cost-effectiveness of
pharmacological interventions for people with depression
399
10.13
From evidence to recommendations
411
10.14
Clinical practice recommendations
412
10.15
When to change antidepressant treatment when symptoms
of depression are not improving
413
11
FACTORS INFLUENCING CHOICE OF ANTIDEPRESSANTS
418
11.1
Introduction
418
11.2
The pharmacological management of depression in older adults
418
11.3
The effect of sex on antidepressant choice
424
11.4
The pharmacological management of depression with
psychotic symptoms
425
11.5
The pharmacological management of atypical depression
427
11.6
The physical and pharmacological management of depression
with a seasonal pattern
430
11.7
Dosage issues for tricyclic antidepressants
451
11.8
Antidepressant discontinuation symptoms
453
11.9
The cardiotoxicity of antidepressants
457
11.10
Depression, antidepressants and suicide
462
12
THE PHARMACOLOGICAL AND PHYSICAL MANAGEMENT OF
DEPRESSION THAT HAS NOT ADEQUATELY RESPONDED TO
TREATMENT, AND RELAPSE PREVENTION
466
12.1
Introduction
466
12.2
Approach to the reviews
467
12.3
Pharmacological next-step treatment for depression that has
not adequately responded to treatment
469
5
Contents
12.4 Electroconvulsive
therapy
508
12.5
Other non-pharmacological physical treatments
528
12.6
The pharmacological management of relapse prevention
530
13
THE MANAGEMENT OF SUBTHRESHOLD DEPRESSIVE
SYMPTOMS
536
13.1
Introduction
536
13.2
Pharmacological interventions for subthreshold depressive
symptoms and persistent subthreshold depressive symptoms
(dysthymia)
537
13.3
Psychological and other strategies for the treatment of
persistent subthreshold depressive symptoms (dysthymia)
555
13.4
From evidence to recommendations
563
13.5
Recommendations
564
13.6
Research recommendation
564
14
SUMMARY OF RECOMMENDATIONS
565
14.1
Care of all people with depression
565
14.2
Stepped care
567
14.3
Step
1 :
recognition, assessment and initial management
568
14.4
Step
2:
recognised depression
-
persistent subthreshold
depressive symptoms or mild to moderate depression
569
14.5
Step
3:
persistent subthreshold depressive symptoms or mild to
moderate depression with inadequate response to initial
interventions, and moderate and severe depression
571
14.6
Treatment choice based on depression subtypes and
personal characteristics
576
14.7
Enhanced care for depression
576
14.8
Sequencing treatments after initial inadequate response
577
14.9
Continuation and relapse prevention
579
14.10
Step
4:
complex and severe depression
582
14.11
Research recommendations
585
15
APPENDICES
591
16
REFERENCES
647
17
ABBREVIATIONS
696
This clinical guideline on depression is an updated edition of the previous guidance
(published in
2004).
It was commissioned by ICE and developed by the National
Collaborating Centre for Mental Health, and sets out clear, evidence- and consensus-
based recommendations for healthcare staff on how to treat and manage depression
in adults.
Depression affects
6 «
of adults each year and is the leading cause of suicide.
Its symptoms can be disabling and its effects pervasive, impacting on not only the
individual patient but also on their families and the wider society. The NICE
guideline is an invaluable resource enabling healthcare professionals to recognise,
assess and offer effective treatments for this common mental health problem, which
can become a chronic disorder if inadequately treated.
Many areas of the prei ious guideline have been updated in this edition. There is a
new introduction about depression and current practice, and a new chapter on service
user and carer experience of care. The evidence reviews of service models and
psychological and
psychosocial
interventions have all been updated and there is a
new emphasis on low-intensity
psychosocial
interventions and an increased range
of effective psychological interventions. The chapters on pharmacological
interventions provide more detailed advice on sequencing treatments after limited
response to initial interventions. This new edition of the guideline also covers the
management of subthreshold depressive symptoms, which was not part of the scope
of the previous guideline.
An accompanying CD contains further information about the evidence, including:
•
characteristics of included studies
•
profile tables that summarise both the quality of the evidence and the results
or the evidence synthesis
•
all meta-analytical data presented as forest plots
•
detailed information about how to use and interpret forest plots.
A companion guideline on depression in adults with
ù
chronic physical health
problem is also available.
|
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| spelling | Depression [the NICE guideline on] the treatment and management of depression in adults National Collaborating Centre for Mental Health commissioned by the National Institute for Health & Clinical Excellence Depression guideline Updated ed. Leicester The British Psychological Soc. [u.a.] 2010 705 S. graph. Darst. 1 CD-ROM (12 cm) txt rdacontent n rdamedia nc rdacarrier National clinical practice guideline 90 CD-ROM-Beil. u.d.T.: Depression guideline Depression (DE-588)4011474-0 gnd rswk-swf Therapie (DE-588)4059798-2 gnd rswk-swf (DE-588)4137814-3 Richtlinie gnd-content Depression (DE-588)4011474-0 s Therapie (DE-588)4059798-2 s DE-604 National Institute for Health and Clinical Excellence (London) Sonstige (DE-588)6513440-0 oth National Collaborating Centre for Mental Health (London) Sonstige (DE-588)16009042-8 oth National clinical practice guideline 90 (DE-604)BV037365638 90 Digitalisierung UB Regensburg application/pdf http://bvbr.bib-bvb.de:8991/F?func=service&doc_library=BVB01&local_base=BVB01&doc_number=020889505&sequence=000003&line_number=0001&func_code=DB_RECORDS&service_type=MEDIA Inhaltsverzeichnis Digitalisierung UB Regensburg application/pdf http://bvbr.bib-bvb.de:8991/F?func=service&doc_library=BVB01&local_base=BVB01&doc_number=020889505&sequence=000004&line_number=0002&func_code=DB_RECORDS&service_type=MEDIA Klappentext |
| spellingShingle | Depression [the NICE guideline on] the treatment and management of depression in adults National clinical practice guideline Depression (DE-588)4011474-0 gnd Therapie (DE-588)4059798-2 gnd |
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| title | Depression [the NICE guideline on] the treatment and management of depression in adults |
| title_alt | Depression guideline |
| title_auth | Depression [the NICE guideline on] the treatment and management of depression in adults |
| title_exact_search | Depression [the NICE guideline on] the treatment and management of depression in adults |
| title_full | Depression [the NICE guideline on] the treatment and management of depression in adults National Collaborating Centre for Mental Health commissioned by the National Institute for Health & Clinical Excellence |
| title_fullStr | Depression [the NICE guideline on] the treatment and management of depression in adults National Collaborating Centre for Mental Health commissioned by the National Institute for Health & Clinical Excellence |
| title_full_unstemmed | Depression [the NICE guideline on] the treatment and management of depression in adults National Collaborating Centre for Mental Health commissioned by the National Institute for Health & Clinical Excellence |
| title_short | Depression |
| title_sort | depression the nice guideline on the treatment and management of depression in adults |
| title_sub | [the NICE guideline on] the treatment and management of depression in adults |
| topic | Depression (DE-588)4011474-0 gnd Therapie (DE-588)4059798-2 gnd |
| topic_facet | Depression Therapie Richtlinie |
| url | http://bvbr.bib-bvb.de:8991/F?func=service&doc_library=BVB01&local_base=BVB01&doc_number=020889505&sequence=000003&line_number=0001&func_code=DB_RECORDS&service_type=MEDIA http://bvbr.bib-bvb.de:8991/F?func=service&doc_library=BVB01&local_base=BVB01&doc_number=020889505&sequence=000004&line_number=0002&func_code=DB_RECORDS&service_type=MEDIA |
| volume_link | (DE-604)BV037365638 |
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