Recognition and management of depression in general practice: consensus statement.

Paykel, Eugene S.; Priest, R. G.

doi:10.1136/bmj.305.6863.1198

Cited by 438 publications

(245 citation statements)

References 40 publications

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“…This is in line with other studies showing that most mental health problems are treated in general practice (Paykel & Priest, 1992). As such, GPs are the most accessible health care providers and play an important role in the acknowledgement, treatment, and referral services of people with emotional or social problems.…”

Section: Discussionsupporting

confidence: 89%

“…As such, GPs are the most accessible health care providers and play an important role in the acknowledgement, treatment, and referral services of people with emotional or social problems. Although some authors conclude GPs perform quite well in the recognition of mental health problems (Hyde et al, 2005), others report GPs underdiagnose and under-treat mental health problems (Klinkman, 2003;Paykel & Priest, 1992).…”

Section: Discussionmentioning

confidence: 99%

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The Role of Perceived Helpfulness in Predicting Subjective Unmet Need and the Frequency of Health Care Use

Colman

Missinne

Bracke

2014

Archives of Psychiatric Nursing

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Section: Discussionsupporting

confidence: 89%

Section: Discussionmentioning

confidence: 99%

The Role of Perceived Helpfulness in Predicting Subjective Unmet Need and the Frequency of Health Care Use

Colman

Missinne

Bracke

2014

Archives of Psychiatric Nursing

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“…Women are more likely to develop depression (Paykel & Priest, 1992). Women are at increased risk of developing a first episode of clinical depression within 3 months of childbirth .…”

Section: Introductionmentioning

confidence: 99%

“…Efficacy studies of treatment to prolong depression remission and prevent relapse show the prognosis is often poor (Klerman & Weissman, 1992). Reducing under-detection (Paykel & Priest, 1992) and achieving better outcomes requires highly skilled and motivated staff input and unusually high patient compliance. Investigation of effective methods of preventive action, particularly in mothers after childbirth, is thus merited.…”

Section: Introductionmentioning

confidence: 99%

Pragmatic randomized trial of antenatal intervention to prevent post-natal depression by reducing psychosocial risk factors

et al. 2000

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Background. Social support theory and observational risk factor studies suggest that increased antenatal psychosocial support could prevent post-natal depression. We used empirical knowledge of risk and protective factors for post-natal depression not employed previously in order to develop and evaluate an antenatal preventive intervention. Methods. We conducted a pragmatic randomized controlled trial in antenatal clinics. We screened 1300 primiparous women and 400 screened positive, 69 screen-positive women were untraceable or not eligible. Of 292 women who completed baseline assessment, 209 consented to randomization, of these 190 provided outcome data 3 months post-natally. ' Preparing for Parenthood ', a structured antenatal risk factor reducing intervention designed to increase social support and problem-solving skills, was compared with routine antenatal care only. We compared the percentage depressed at 3 months after childbirth using the self-completion General Health Questionnaire Depression scale and Edinburgh Post-natal Depression Scale (EPDS), and the Schedules for Clinical Assessment in Neuropsychiatry a systematic clinical interview. Results. Assignment to the intervention group did not significantly impact on post-natal depression (odds ratio for GHQ-Depression 1n22 (95 % CI 0n63-2n39), P l 0n55) or on risk factors for depression. Forty-five per cent of the intervention group women attended sufficient sessions to be likely to benefit from intervention if effective. Attenders benefited no more than non-attenders. Conclusions. Prevention services targeting post-natal depression should not implement antenatal support programmes on these lines until further research has demonstrated the feasibility and effectiveness of such methods. The development of novel, low cost interventions effective in reducing risk factors should be completed before further trial evaluation.

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“…Despite the personal, social and economic consequences of depression, many depressed people do not receive the interventions they need [9,14]. Moreover, even when treatment is offered, engagement with treatment is often suboptimal, with up to 33% of patients discontinuing antidepressant medication within the first month [11] and up to 44% discontinuing treatment within three months [13] Individuals with personality disorders, especially paranoid and schizoid personality disorders, tend to be particularly difficult to engage with treatment [19].…”

Section: Introductionmentioning

confidence: 99%

The role of personality disorder in ‘difficult to reach’ patients with depression: Findings from the ODIN study

et al. 2007

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Recognition and management of depression in general practice: consensus statement.

Cited by 438 publications

References 40 publications

The Role of Perceived Helpfulness in Predicting Subjective Unmet Need and the Frequency of Health Care Use

The Role of Perceived Helpfulness in Predicting Subjective Unmet Need and the Frequency of Health Care Use

Pragmatic randomized trial of antenatal intervention to prevent post-natal depression by reducing psychosocial risk factors

The role of personality disorder in ‘difficult to reach’ patients with depression: Findings from the ODIN study

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