Is depression one thing or many?

Amerio, Andrea; Odone, Anna; Marchesi, Carlo; Ghaemi, S. Nassir

doi:10.1192/bjp.204.6.488

Cited by 9 publications

(8 citation statements)

References 4 publications

(3 reference statements)

Supporting

Mentioning

Contrasting

Order By: Relevance

“…SB was also the most common accessory diagnosis. The distribution of these diagnoses is consistent with the general prevalence of mental disorder within the Swiss population [35] and, except for SB, with the literature [8,36,37]. The finding related to SB is also in agreement with its general prevalence in Switzerland, which is higher than most European countries [38][39][40].…”

Section: Discussionsupporting

confidence: 89%

Who Consult an Adult Psychiatric Emergency Department? Pertinence of Admissions and Opportunities for Telepsychiatry

Costanza

Mazzola²,

Radomska

et al. 2020

Medicina

View full text Add to dashboard Cite

Background and Objectives: Psychiatric disorders constitute frequent causes of emergency department (ED) admissions and these rates are increasing. However, referring to ED a whole range of conditions that could or should be dealt with elsewhere is imposing itself as a problematic situation. We aimed: (1) to provide a descriptive picture of the socio-demographic and diagnostic characteristics of the visits among adults at the psychiatric ED; (2) to estimate the clinical pertinence of these visits. Materials and Methods: Retrospective analysis of diagnostic/socio-demographic characteristics and clinical trajectories of patients admitted for a psychiatric condition at the adult psychiatric ED of the University Hospital of Geneva (HUG), Switzerland, during a 6-week timespan. Results: In our sample (n = 763 total admissions for psychiatric conditions; n = 702 for inclusion of patients having received a medical evaluation), depression/anxiety, suicidal behavior (SB), psychotic episode, and substance use disorder (SUD), in descending order, were the most common diagnoses for referral. Patients belonged to younger age groups (≤65 years), had a familial status other than married/in couple, and did not present an unfavorable socio-demographic profile. Concerning the pertinence for a psychiatric ED, primary diagnosis of depression/anxiety is the only variable significantly associated with different grade of degree. By the examination of the patients’ trajectory from admission to discharge, the clinical pertinence for a psychiatric ED admission existed for cases assigned to the Echelle Suisse du Tri (EST®) scale degree 1 (corresponding to most urgent and severe conditions), particularly for diagnoses of depression/anxiety associated with SB, SB as primary or comorbid diagnosis, and psychotic and manic/hypomanic episode. However, diagnoses of depression/anxiety without urgent and severe features (degrees 2, 3, 4) constituted the most frequent mode of presentation. Conclusions: Ambulatory and community-integrated settings could be more appropriate for the majority of patients admitted to adult psychiatric EDs. Moreover, the implementation of telepsychiatry strategies represents a very promising opportunity to offer these patients care continuity, reduce costs and filter the demand for psychiatric ED.

show abstract

Section: Discussionsupporting

confidence: 89%

Who Consult an Adult Psychiatric Emergency Department? Pertinence of Admissions and Opportunities for Telepsychiatry

Costanza

Mazzola²,

Radomska

et al. 2020

Medicina

View full text Add to dashboard Cite

show abstract

“…4 Although scientists agree in considering that depression is the result of a complex interaction of social, psychological, and biological factors, due to the clinical and etiological heterogeneity it is difficult to clarify its pathophysiology. 5 An increasing body of scientific evidence suggests a relationship between dietary patterns and depression, [6][7][8] and many meta-analyses [9][10][11] have found that adherence to healthy diets is associated with lower risk of depression and less severe depressive symptoms. These findings could be important for the prevention and treatment of depression, but the quality, the precision, and the strength of the evidence need improvement.…”

Section: Introductionmentioning

confidence: 99%

Association between dietary patterns and depression: an umbrella review of meta-analyses of observational studies and intervention trials

et al. 2022

View full text Add to dashboard Cite

Context Depression is the most common causes of disease burden worldwide (GBD 2017 Disease and Injury Incidence and Prevalence Collaborators. Global, regional, and national incidence, prevalence, and years lived with disability for 354 diseases and injuries for 195 countries and territories, 1990–2017: a systematic analysis for the Global Burden of Disease Study 2017. Lancet. 2018;392:1789–1858). Objective An umbrella review has been performed to assess the strength and validity of the available observational and trial evidence for the association between a variety of dietary patterns and depression. Data Sources MEDLINE/PubMed, Scopus, Web of Science, EMBASE, PsycINFO, and Cochrane Database were searched. Data Extraction The Joanna Briggs Institute Umbrella Review Methodology was used. Data Analysis The review included 19 articles, covering a relatively wide range of dietary patterns: healthy dietary patterns (n = 8), Mediterranean diet (MedDiet) (n = 6), Dietary Inflammatory Index (DII) (n = 5), Western diet (n = 4), Dietary Approaches to Stop Hypertension (DASH) (n = 2), vegetarian diets (n = 4), and other dietary interventions (n = 2). The methodological quality of the included meta-analyses was generally low or critically low. The strength of the evidence was generally weak, although convincing or suggestive evidence was found for an inverse relationship between MedDiet/DII and depression. Higher adherence to the MedDiet and lower DII score were significantly associated with lower risk of depression. Conclusion Considering the generally high heterogeneity and low quality of the available evidence, further studies adopting more coherent and uniform methodologies are needed. Systematic Review Registration PROSPERO registration no. CRD42020223376.

show abstract

“…Depression can have several negative consequences, being characterized by sad mood and/or loss of interest, affecting thoughts, feelings, behaviors, 2 of 20 physical health and impairing social and occupational functioning [3,4]. Furthermore, over 80% of depressed patients have more than one depressive episode during their lifespan [5,6]. In this context, innovative and effective preventive and therapeutic strategies are required.…”

Section: Introductionmentioning

confidence: 99%

Depression and Objectively Measured Physical Activity: A Systematic Review and Meta-Analysis

Gianfredi

Blandi

Cacitti

et al. 2020

IJERPH

View full text Add to dashboard Cite

Depression is a major contributor to the overall global burden of disease, with high prevalence and relapse rate. Several factors have been considered in order to reduce the depression burden. Among them, physical activity (PA) showed a potential protective role. However, evidence is contrasting probably because of the differences in PA measurement. The aim of this systematic review with meta-analysis is to assess the association between objectively measured PA and incident and prevalent depression. The systematic review was conducted according to methods recommended by the Cochrane Collaboration and the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. Relevant papers published through 31 August 2019 were identified searching through the electronic databases PubMed/MEDLINE, Excerpta Medica dataBASE (Embase), PsycINFO, Scopus, Web of Science (WoS), and the Cochrane Library. All analyses were conducted using ProMeta3. Finally, 42 studies met inclusion criteria. The overall Effect size (ES) of depression for the highest vs. the lowest level of PA was −1.16 [(95% CI = −1.41; −0.91), p-value < 0.001] based on 37,408 participants. The results of the meta-analysis showed a potential protective effect of PA on prevalent and incident depression.

show abstract

Is depression one thing or many?

Cited by 9 publications

References 4 publications

Who Consult an Adult Psychiatric Emergency Department? Pertinence of Admissions and Opportunities for Telepsychiatry

Who Consult an Adult Psychiatric Emergency Department? Pertinence of Admissions and Opportunities for Telepsychiatry

Association between dietary patterns and depression: an umbrella review of meta-analyses of observational studies and intervention trials

Depression and Objectively Measured Physical Activity: A Systematic Review and Meta-Analysis

Contact Info

Product

Resources

About