Depression in Adults with a Chronic Physical Health Problem: The NICE Guideline on Treatment and Management

  • ISBN 9781904671862

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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 recognize, 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 summarize both the quality of the evidence and the results of the evidence synthesis; all meta-analytical data presented as forest plots; and, detailed information about how to use and interpret forest plots.
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