Depression in adults with a chronic physical health problem: [the NICE guideline on] treatment and management ; National Clinical Practice Guideline 91
Gespeichert in:
| Format: | Buch |
|---|---|
| Sprache: | English |
| Veröffentlicht: |
Leicester
The British Psychological Soc. [u.a.]
2010
|
| Schriftenreihe: | National clinical practice guideline
91 |
| Schlagworte: | |
| Online-Zugang: | Inhaltsverzeichnis Klappentext |
| Beschreibung: | CD-ROM-Beil. u.d.T.: Depression in adults with a chronic physical health problem guideline |
| Beschreibung: | 420 S. Ill., graph. Darst. 1 CD-ROM (12 cm) |
| ISBN: | 9781904671862 1904671861 |
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Datensatz im Suchindex
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|---|---|
| adam_text | Contents
CONTENTS
GUIDELINE DEVELOPMENT GROUP
MEMBERS
6
ACKNOWLEDGEMENTS
8
1
PREFACE
9
1.1 National
guidelines
9
1.2
The national guideline on depression in adults with a
chronic physical health problem
12
2
DEPRESSION IN ADULTS WITH A CHRONIC
PHYSICAL HEALTH PROBLEM
15
2.1
Introduction
15
2.2
Depression in adults with a chronic physical health problem
15
2.3
The reciprocal relationship between depression and chronic
physical health problems
23
2.4
Consequences of depression in adults with a chronic physical
health problem
25
2.5
The economic cost of depression in adults with a chronic
physical health problem
27
3
METHODS USED TO DEVELOP THIS GUIDELINE
29
3.1
Overview
29
3.2
The scope
29
3.3
The Guideline Development Group
30
3.4
Clinical questions
32
3.5
Systematic clinical literature review
33
3.6
Health economics methods
45
3.7
Methods for reviewing experience of care
48
3.8
Stakeholder contributions
49
3.9
Validation of the guideline
49
4
EXPERIENCE OF CARE
50
4.1
Introduction
50
4.2
Personal accounts
50
4.3
Qualitative analysis of the experience of care for people
with a chronic physical health problem
55
4.4
A qualitative analysis of the experience of care for families
and carers of people with a chronic physical health problem
65
4.5
Review of the qualitative literature
67
4.6
Summary of themes
74
Contents
4.7
From evidence to recommendations
76
4.8
Recommendations
76
5
THE IDENTIFICATION OF DEPRESSION IN PEOPLE
WITH A CHRONIC PHYSICAL HEALTH PROBLEM
78
5.1
Introduction
78
5.2
Methods for detecting depression
. 78
5.3
Case identification in black and minority ethnic populations
90
5.4
Overall summary
96
5.5
From evidence to recommendations
96
5.6
Recommendations
97
6
SERVICE-LEVEL INTERVENTIONS FOR PEOPLE
WITH DEPRESSION AND A CHRONIC PHYSICAL
HEALTH PROBLEM
101
6.1
Introduction
101
6.2
Current practice and aims of the review
104
6.3
Stepped care
105
6.4
Service-level interventions
110
6.5
Economic modelling: cost effectiveness of collaborative care
for people with depression and a chronic physical health problem
130
6.6
From evidence to recommendations
153
6.7
Recommendations
154
6.8
Research recommendations
154
7
PSYCHOLOGICAL AND PSYCHOSOCIAL INTERVENTIONS
FOR PEOPLE WITH DEPRESSION AND A CHRONIC
PHYSICAL HEALTH PROBLEM
157
7.1
Introduction
157
7.2
Review of clinical evidence for psychological and psychosocial
interventions
163
7.3
Health economic evidence for psychological and psychosocial
interventions
200
7.4
From evidence to recommendations
206
7.5
Recommendations
208
7.6
Research recommendations
212
8
PHARMACOLOGICAL INTERVENTIONS IN THE
TREATMENT AND MANAGEMENT OF DEPRESSION
IN ADULTS WITH A CHRONIC PHYSICAL
HEALTH PROBLEM
215
8.1
Introduction
215
8.2
Efficacy of pharmacological interventions
215
8.3
Adverse effects of pharmacological interventions
241
8.4
Interactions between medications for treating physical
health problems and antidepressants
251
8.5
Antidepressant discontinuation symptoms
255
Contents
8.6 Health
economic
evidence
257
8.7 Overall
summary on efficacy, safety, adverse effects and
interactions, and economic evidence
260
8.8
From evidence to recommendations
260
8.9
Recommendations
261
8.10
Research recommendations
267
9
SUMMARY OF RECOMMENDATIONS
269
9.1
Care of all people with depression
269
9.2
Stepped care
272
9.3
Step
1:
recognition, assessment and initial management in
primary care and general hospital settings
272
9.4
Step
2:
recognised depression in primary care and general
hospital settings
-
persistent subthreshold depressive or mild
to moderate depression
274
9.5
Step
3:
recognised depression in primary care and general
hospital settings
-
persistent subthreshold depressive symptoms
or mild to moderate depression with inadequate response to
initial interventions, and moderate and severe depression
277
9.6
Step
4:
complex and severe depression
284
9.7
Research recommendations
284
10
APPENDICES
289
11
REFERENCES
390
12
ABBREVIATIONS
414
This clinical guideline was commissioned by NICE and developed by the
National Collaborating Centre for Mental Health. It sets out clear, evidence-
and consensus-based recommendations for healthcare staff on how to treat
and manage depression in adults with a chronic physical health problem.
A fifth of people with a chronic physical health problem (such as cancer, diabetes,
heart disease and stroke) have depression
-
a rate that is two to three times higher
than in those who are in good physical health. A combination of depression and
a chronic physical health problem can significantly worsen the negative outcomes
for people with both conditions. The NICE guideline is an invaluable resource
enabling healthcare professionals to address these problems and recognise, assess
and offer effective treatments for depression in people with a chronic physical
health problem.
The guideline reviews the evidence for the identification of depression in people
with a chronic physical health problem and the associated service-level
interventions (such as stepped care and collaborative care) and
psychosocial,
psychological and pharmacological interventions. It places special emphasis
on advising health professionals about interactions between antidepressants
and any prescribed medication for the physical health problem. As in the
updated edition of the NICE guideline on depression, this guideline also covers
subthreshold depressive symptoms. It has a useful introduction to depression in
adults with a chronic physical health problem and a chapter on service user, carer
and staff experience of care.
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 of the evidence synthesis
•
meta-analytical data presented as forest plots
•
detailed information about how to use and interpret forest plots.
|
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| spelling | Depression in adults with a chronic physical health problem [the NICE guideline on] treatment and management ; National Clinical Practice Guideline 91 National Collaborating Centre for Mental Health commissioned by the National Institute for Health & Clinical Excellence Depression in adults with a chronic physical health problem guideline Leicester The British Psychological Soc. [u.a.] 2010 420 S. Ill., graph. Darst. 1 CD-ROM (12 cm) txt rdacontent n rdamedia nc rdacarrier National clinical practice guideline 91 CD-ROM-Beil. u.d.T.: Depression in adults with a chronic physical health problem guideline Chronische Krankheit (DE-588)4010176-9 gnd rswk-swf Depression (DE-588)4011474-0 gnd rswk-swf (DE-588)4137814-3 Richtlinie gnd-content Depression (DE-588)4011474-0 s Chronische Krankheit (DE-588)4010176-9 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 91 (DE-604)BV037365638 91 Digitalisierung UB Regensburg application/pdf http://bvbr.bib-bvb.de:8991/F?func=service&doc_library=BVB01&local_base=BVB01&doc_number=020889509&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=020889509&sequence=000004&line_number=0002&func_code=DB_RECORDS&service_type=MEDIA Klappentext |
| spellingShingle | Depression in adults with a chronic physical health problem [the NICE guideline on] treatment and management ; National Clinical Practice Guideline 91 National clinical practice guideline Chronische Krankheit (DE-588)4010176-9 gnd Depression (DE-588)4011474-0 gnd |
| subject_GND | (DE-588)4010176-9 (DE-588)4011474-0 (DE-588)4137814-3 |
| title | Depression in adults with a chronic physical health problem [the NICE guideline on] treatment and management ; National Clinical Practice Guideline 91 |
| title_alt | Depression in adults with a chronic physical health problem guideline |
| title_auth | Depression in adults with a chronic physical health problem [the NICE guideline on] treatment and management ; National Clinical Practice Guideline 91 |
| title_exact_search | Depression in adults with a chronic physical health problem [the NICE guideline on] treatment and management ; National Clinical Practice Guideline 91 |
| title_full | Depression in adults with a chronic physical health problem [the NICE guideline on] treatment and management ; National Clinical Practice Guideline 91 National Collaborating Centre for Mental Health commissioned by the National Institute for Health & Clinical Excellence |
| title_fullStr | Depression in adults with a chronic physical health problem [the NICE guideline on] treatment and management ; National Clinical Practice Guideline 91 National Collaborating Centre for Mental Health commissioned by the National Institute for Health & Clinical Excellence |
| title_full_unstemmed | Depression in adults with a chronic physical health problem [the NICE guideline on] treatment and management ; National Clinical Practice Guideline 91 National Collaborating Centre for Mental Health commissioned by the National Institute for Health & Clinical Excellence |
| title_short | Depression in adults with a chronic physical health problem |
| title_sort | depression in adults with a chronic physical health problem the nice guideline on treatment and management national clinical practice guideline 91 |
| title_sub | [the NICE guideline on] treatment and management ; National Clinical Practice Guideline 91 |
| topic | Chronische Krankheit (DE-588)4010176-9 gnd Depression (DE-588)4011474-0 gnd |
| topic_facet | Chronische Krankheit Depression Richtlinie |
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| volume_link | (DE-604)BV037365638 |
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