Depression is a problem commonly seen in primary care, often as a comorbidity of chronic conditions, such as diabetes mellitus, coronary heart disease, and chronic obstructive pulmonary disease. Comorbid depression often leads to worse clinical outcomes.1,2 In 2009, the U.S. Preventive Services Task Force (USPSTF) reaffirmed its support for screening for depression in adults, and expanded on it...

AIMS To explore depression in people treated for chronic venous leg ulceration, and to assess the impact of excessive exudate, leading to leakage and odour, on their daily lives, overall health and quality of life. METHODS Completion of a questionnaire and Hospital Anxiety and Depression Scale to determine the prevalence of anxiety and depression in people with chronic leg ulceration (n = 196...

BACKGROUND Depression and chronic pain are the two most important causes of disability (Global Burden of Disease Study 2013). They occur together more frequently than expected and both conditions have been shown to be co-morbid with cardiovascular disease. Although shared socio-demographic risk factors (e.g. gender, deprivation) might explain the co-morbidity of these three conditions, we hypot...

A LARGE population of patients concomitantly experiences chronic pain and depression or symptoms of depression (52% in pain clinics, or 85% in chronic facial pain dental clinics, for example). How these two syndromes coexist, interact, reinforce each other, and/or are maintained is poorly understood. It is not known whether pain itself can directly cause depression; if so, whether depression or...

BACKGROUND Major depression is a common psychiatric disorder, frequently taking a chronic course. Despite provision of evidence-based treatments, including antidepressant medication and psychological treatments like cognitive behavioral therapy or interpersonal therapy, a substantial amount of patients do not recover. Mindfulness-Based Cognitive Therapy (MBCT) has been found to be effective in ...

AIM To investigate the prevalence of depression and anxiety in patients with chronic digestive system diseases. METHODS A total of 1736 patients with chronic digestive system diseases were included in this cross-sectional study, including 871 outpatients and 865 in-patients. A self-designed General Information for Patients of the Department of Gastroenterology of General Hospitals questionnai...

Introduction : Many clients living with chronic leg and foot ulcers experience diminished quality of life, pain, psychosocial maladjustment, limited work capacity, and physical disabilities. Bibliotherapy helps the individual to cope up with illness. Objectives : Assess the pretest level of psychological distress, quality of life and depression in both Interventional and control group. Evaluate...

Chronic pain and depression are two of the most common health problems that health professionals encounter, yet only a handful of epidemiological studies have investigated the relationship between these conditions in the general population. In the present study we examined the prevalence and correlates of major depression in persons with chronic back pain using data from the first cycle of Cana...

Background: Chronic heart failure is labelled as an epidemic of the 21st century with serious consequences dramatically reducing life expectancy with a negative impact on quality of life. Impaired quality of life in patients with chronic heart failure is linked to depression which is diagnosed in as many as 36.5% of the patients. Aim: The aim of the research was to determine the level of qualit...

Chronic stress is typically associated with suppression of the immune system, including impaired responses to infectious disease and delayed wound healing. Recent work suggests that stress and depression can enhance production of proinflammatory cytokines, substances that regulate the body’s immune response to infection and injury. We provide a broad framework relating stress and depression to ...