Depression in Primary Care
نویسنده
چکیده
Richard L. Elliott, MD, PhD Depression is common in primary care settings, affecting at least 10% of primary care patients. It carries medical and psychiatric comorbidity, increasing the risk of cardiovascular disease, diabetes, hypertension, stroke, medically unexplained (functional) symptoms, chronic pain, anxiety disorders, and substance abuse. Diagnosis and treatment are straightforward for many patients. The greatest current challenge is to recognize and relieve symptoms of treatment-resistant depression. This article reviews current approaches to diagnosing and treating depression, especially treatment-resistant forms of depression. (Ethn Dis. 2007;17[suppl 2]:S2-28–S2-33)
منابع مشابه
The effect of educational intervention on depression in patients with type 2 diabetes
1. Shahsavari A, Foroghi S. Effectiveness of cognitive therapy on depression in epileptic patients. ijpn. 2015;3(1):37-46. 2. Anonamous. Diabetes. WHO [Internet]. http://www. who.int/news-room/fact-sheet s/detai l/diabe tes. 2018 [updated 30 Oct 2018]. 3.Guariguata L, Whiting DR, Hambleton I, Beagley J, Linnenkamp U, Shaw JE. Global estimates of diabetes prevalence for 2013 and projections fo...
متن کاملOrganizational factors and depression management in community-based primary care settings
BACKGROUND Evidence-based quality improvement models for depression have not been fully implemented in routine primary care settings. To date, few studies have examined the organizational factors associated with depression management in real-world primary care practice. To successfully implement quality improvement models for depression, there must be a better understanding of the relevant orga...
متن کاملPrevalence of Anxiety and Depression in Iranian Health Care Workers during the COVID-19 Pandemic: A Systematic Review and Meta-Analysis
Introduction: Covid-19 pandemic has imposed a significant effect on mental health of the health care workers. The present systematic review and meta-analysis aimed at determining the pooled prevalence of anxiety and depression among Iranian health care workers during the Covid-19 pandemic. Material and Methods: To conduct this systematic review and meta-analysis, Web of Science, Scopus, Medlin...
متن کاملDifferences between training GPs to manage depression in primary care and issuing them with guidelines, and a system of collaborative care in the treatment of depression between primary and secondary care.
Here we describe the differences and similarities between training General Practitioners (GPs) to manage depression in primary care and issuing them with guidelines, and a system of Collaborative care in the treatment of depression between primary and secondary care. From these we deduce the reasons why collaborative care may offer better treatment outcomes than the issuing of guidelines to GPs.
متن کاملPrevention and management of depression in primary care in Europe: a holistic model of care and interventions--position paper of the European Forum for Primary Care.
This position paper seeks to emphasise the importance of tackling depression and depression-related conditions, and the key role that primary care can (and does) play in the management of these commonmental health problems, and in partnership with others. The paper is aimed at a wide range of individuals and organisations including: policy makers in the EU and its member states; health, social ...
متن کاملComorbid chronic illness and the diagnosis and treatment of depression in safety net primary care settings.
OBJECTIVE To estimate the impact of chronic medical conditions on depression diagnosis, treatment, and follow-up care in primary care settings. DESIGN This was a cross-sectional study that used interviewer-administered surveys and medical record reviews. Three hundred fifteen participants were recruited from 3 public primary care clinics. Depression diagnosis, guideline-concordant treatment, ...
متن کامل