Latest & greatest articles for depression

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Top results for depression

61. Interventions to Prevent Perinatal Depression: US Preventive Services Task Force Recommendation Statement. (PubMed)

Interventions to Prevent Perinatal Depression: US Preventive Services Task Force Recommendation Statement. Perinatal depression, which is the occurrence of a depressive disorder during pregnancy or following childbirth, affects as many as 1 in 7 women and is one of the most common complications of pregnancy and the postpartum period. It is well established that perinatal depression can result in adverse short- and long-term effects on both the woman and child.To issue a new US Preventive (...) Services Task Force (USPSTF) recommendation on interventions to prevent perinatal depression.The USPSTF reviewed the evidence on the benefits and harms of preventive interventions for perinatal depression in pregnant or postpartum women or their children. The USPSTF reviewed contextual information on the accuracy of tools used to identify women at increased risk of perinatal depression and the most effective timing for preventive interventions. Interventions reviewed included counseling, health system

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2019 JAMA

62. Postnatal depression

Postnatal depression Postnatal depression - Symptoms, diagnosis and treatment | BMJ Best Practice You'll need a subscription to access all of BMJ Best Practice Search  Postnatal depression Last reviewed: February 2019 Last updated: February 2019 Summary Refers to the development of a depressive illness following childbirth and may form part of a unipolar or, less frequently, a bipolar illness. The Diagnostic and Statistical Manual of Mental Disorders, fifth edition (DSM-5) does not recognise (...) postnatal depression as a separate diagnosis; rather, patients must meet the criteria for a major depressive episode and the criteria for the perinatal-onset specifier. The definition according to DSM-5 is, therefore, a major depressive episode with an onset in pregnancy or within 4 weeks of delivery. However there is no established consensus as to the length of postnatal period, and some authorities define postnatal depression as occurring within the first 12 months after delivery. Aetiology is poorly

2019 BMJ Best Practice

63. Standardized Library of Depression Outcome Measures

Standardized Library of Depression Outcome Measures Standardized Library of Depression Outcome Measures | Effective Health Care Program Search Effective Health Care website Submit search Toggle navigation Select site to search Search Effective Health Care website Submit search Standardized Library of Depression Outcome Measures Michelle B. Leavy, M.P.H. Fang Li, MD, M.S. * OM1 On behalf of the Outcome Measures Framework (OMF) Depression Workgroup. Abstract Significant variation exists in both (...) conditions; it is intended to serve as a content model for developing harmonized outcome measures for specific clinical areas. AHRQ assessed the feasibility of using the OMF to develop standardized libraries of outcome measures in five clinical areas: atrial fibrillation, asthma, depression, lung cancer, and lumbar spondylolisthesis. These clinical areas represent diverse populations and care settings, different treatment modalities, and varying levels of harmonization. For each clinical area

2019 Effective Health Care Program (AHRQ)

64. Perinatal Depression: Preventive Interventions

Perinatal Depression: Preventive Interventions Final Update Summary: Perinatal Depression: Preventive Interventions - US Preventive Services Task Force Search USPSTF Website Text size: Assembly version: 1.0.0.308 Last Build: 11/16/2018 6:27:19 PM You are here: Final Summary Perinatal Depression: Preventive Interventions Release Date: February 2019 Recommendation Summary Population Recommendation Grade Pregnant and postpartum persons The USPSTF recommends that clinicians provide or refer (...) pregnant and postpartum persons who are at increased risk of perinatal depression to counseling interventions. To read the recommendation statement in JAMA , select . To read the evidence summary in JAMA , select . See the for information on risk assessment. ( ) Related Information for Consumers Related Information for Health Professionals There is no related information for health professionals. Supporting Documents ( ) ( ) Clinical Summary Clinical summaries are one-page documents that provide

2019 U.S. Preventive Services Task Force

65. The depressing evidence for antidepressants in the elderly

The depressing evidence for antidepressants in the elderly Tools for Practice is proudly sponsored by the Alberta College of Family Physicians (ACFP). ACFP is a provincial, professional voluntary organization, representing more than 5,000 family physicians, family medicine residents, and medical students in Alberta. Established over sixty years ago, the ACFP strives for excellence in family practice through advocacy, continuing medical education and primary care research. www.acfp.ca February 4 (...) , 2019 The depressing evidence for antidepressants in the elderly Clinical Question: How effective are antidepressants for treating depression in the elderly? Bottom Line: The efficacy of antidepressants in the elderly is inconsistent and may decrease as patients age. From 80% to 40% of elderly patients will recover with antidepressants, with some studies showing no difference from placebo response rates. Harms of antidepressants are common, with ~20% stopping due to adverse effects. Evidence: • 5

2019 Tools for Practice

66. Efficacy of Regular Exercise During Pregnancy on the Prevention of Postpartum Depression: The PAMELA Randomized Clinical Trial

Efficacy of Regular Exercise During Pregnancy on the Prevention of Postpartum Depression: The PAMELA Randomized Clinical Trial Interventions to reduce postpartum depression have mainly focused on enhancing screening to increase treatment rates among women. Preventive approaches are timely from a population health perspective, particularly in low- and middle-income countries where access to mental health services is limited.To assess the efficacy of regular exercise during pregnancy (...) via computer-generated randomization using a block size of 9. Data were analyzed from March 7 to May 2, 2018.Participants assigned to the intervention were engaged in a 16-week supervised exercise program including aerobic and resistance training delivered in 60-minute sessions 3 times per week.Postpartum depressive symptoms were assessed with the Edinburgh Postnatal Depression Scale 3 months after birth. A score of 12 or greater was defined as screening positive for postpartum depression. Primary

2019 EvidenceUpdates

67. Indicated Prevention Interventions in the Workplace for Depressive Symptoms: A Systematic Review and Meta-analysis

Indicated Prevention Interventions in the Workplace for Depressive Symptoms: A Systematic Review and Meta-analysis Depressive symptoms are highly prevalent and cause substantive morbidities and loss of functioning among employees. Depression may be prevented at its early stages. However, there is a paucity of information regarding indicated preventive interventions for depression among employees. The objective of this review is to examine the effectiveness of indicated interventions (...) for the reduction of depressive symptoms in the workplace.A systematic review and meta-analysis of articles published between January 2000 and September 2017 was conducted using major electronic databases, including PubMed/MEDLINE, PsycINFO, EMBASE, SOCINDEX, and ABI/ProQuest. Studies were selected based on a set of predefined inclusion criteria. Primary outcome measures were depressive symptomatology, and the interventions were preventive in nature. Studies were pooled based on the intervention type

2019 EvidenceUpdates

68. Efficacy of Internet-Delivered Mindfulness for Improving Depression in Caregivers of People With Spinal Cord Injuries and Chronic Neuropathic Pain: A Randomized Controlled Feasibility Trial

Efficacy of Internet-Delivered Mindfulness for Improving Depression in Caregivers of People With Spinal Cord Injuries and Chronic Neuropathic Pain: A Randomized Controlled Feasibility Trial To explore the feasibility and efficacy of web-based mindfulness training for carers of people with spinal cord injury (SCI).Randomized controlled feasibility study with 3-month follow-up.Community setting.Spouses or family caregivers (N=55) of people with SCI and chronic neuropathic pain were recruited via (...) , totaling 960 minutes. The control group received a weekly e-mail with psychoeducational materials (based on the established elements) on SCI and pain for 8 weeks.Depression severity.Mindfulness reduced depression severity more than psychoeducation at T2 (mean difference= -.891; 95% confidence interval,-1.48 to -.30) and T3 (mean difference=-1.96; 95% confidence interval, -2.94 to -.97). Mindfulness training also reduced anxiety at T2 (mean difference=-.888; 95% confidence interval, -1.40 to -.38

2019 EvidenceUpdates

69. Patient-controlled intravenous tramadol versus patient-controlled intravenous hydromorphone for analgesia after secondary cesarean delivery: a randomized controlled trial to compare analgesic, anti-anxiety and anti-depression effects

Patient-controlled intravenous tramadol versus patient-controlled intravenous hydromorphone for analgesia after secondary cesarean delivery: a randomized controlled trial to compare analgesic, anti-anxiety and anti-depression effects This study aimed to compare the postoperative analgesic effects of tramadol and hydromorphone for secondary cesarean delivery (CD) as well as their anti-anxiety and anti-depression properties.A total of 106 patients receiving secondary CD under spinal anesthesia (...) were randomly allocated to the tramadol group (n=53) and the hydromorphone group (n=53). Each group received patient-controlled intravenous analgesia using flurbiprofen 4 mg/kg combined with tramadol (4 mg/kg) or hydromorphone (0.04 mg/kg) immediately after the surgery. Postoperative pain numerical rating scale (NRS) for incision and visceral pain, hospital anxiety and depression scale (HADS), early walking time and length of hospital stay were assessed.Patients in the tramadol and hydromorphone

2019 EvidenceUpdates

70. Effects of Sahaj Samadhi meditation on heart rate variability and depressive symptoms in patients with late-life depression

Effects of Sahaj Samadhi meditation on heart rate variability and depressive symptoms in patients with late-life depression Late-life depression (LLD) is a disabling disorder and antidepressants are ineffective in as many as 60% of cases. Converging evidence shows a strong correlation between LLD and subsequent risk of cardiovascular disease. There is a need for new, well-tolerated, non-pharmacological augmentation interventions that can treat depressive symptoms as well as improve heart rate (...) variability (HRV), an important prognostic marker for development of subsequent cardiovascular disease. Meditation-based techniques are of interest based on positive findings in other samples.AimsWe aimed to assess the efficacy of Sahaj Samadhi meditation (SSM), an underevaluated, standardised and manualised meditation intervention, on HRV and depressive symptoms.Eighty-three men and women aged 60-85 years, with mild to moderate depression and receiving treatment as usual (TAU) were randomised to either

2019 EvidenceUpdates

71. Aerobic exercise is an effective treatment for depression

Aerobic exercise is an effective treatment for depression Aerobic exercise is an effective treatment for depression Discover Portal Discover Portal Aerobic exercise is an effective treatment for depression Published on 22 January 2019 doi: A systematic review shows aerobic exercise improves clinically diagnosed major depression compared with antidepressants or treatment as usual. Previous reviews found conflicting evidence of benefit. The new review only included the trials thought to have (...) the most applicable results. This meant that trials recruiting people who might not have a clinical diagnosis of depression or through media adverts were not considered. Also, studies were only included if they featured aerobic exercise – walking, jogging or using cardiovascular gym equipment rather than other activities such as stretching. Exercise is already recommended as a low-intensity psychological intervention in national guidance. Though the review only included 11 trials of 455 adults

2019 NIHR Dissemination Centre

72. Combining mirtazapine with other antidepressants is not effective for treatment-resistant depression

Combining mirtazapine with other antidepressants is not effective for treatment-resistant depression Combining mirtazapine with other antidepressants is not effective for treatment-resistant depression Discover Portal Discover Portal Combining mirtazapine with other antidepressants is not effective for treatment-resistant depression Published on 15 January 2019 doi: Adding mirtazapine to first-line antidepressants for adults with treatment-resistant depression does not improve symptoms when (...) compared with placebo (dummy pills). People taking mirtazapine are more likely to experience side effects, and stop taking their treatment. This NIHR-funded trial took place in 106 general practices in England, recruiting 480 adults with mild to severe depression. All participants had been taking selective serotonin reuptake inhibitor (SSRI) or serotonin-noradrenaline reuptake inhibitor (SNRI) antidepressants for at least six weeks but were still depressed. The findings show that this combination has

2019 NIHR Dissemination Centre

73. Antidepressants do not help treat depression in people living with dementia

Antidepressants do not help treat depression in people living with dementia Antidepressants do not help treat depression in dementia Discover Portal Discover Portal Antidepressants do not help treat depression in people living with dementia Published on 8 January 2019 doi: Antidepressants do not reduce symptoms of depression in people with dementia compared with placebo (dummy pills). Measured 6 to 13 weeks after starting the treatment, there is little or no difference in participants’ symptoms (...) the NICE guideline, which recommends that antidepressants are not routinely offered to people with dementia and depression, but that psychological treatments are considered instead. Share your views on the research. Why was this study needed? Dementia is a condition that includes memory loss, reasoning and communication difficulties, and changes in personality. It is progressive, so symptoms usually get worse. The most common types of dementia are Alzheimer’s disease and vascular dementia. The number

2019 NIHR Dissemination Centre

74. Simpler, cheaper therapy (behavioural activation) can be as good as CBT for treating depression

Simpler, cheaper therapy (behavioural activation) can be as good as CBT for treating depression Behavioural activation therapy can be as good as CBT for treating depression Discover Portal Discover Portal Simpler, cheaper therapy (behavioural activation) can be as good as CBT for treating depression Published on 5 October 2016 doi: A simpler therapy called behavioural activation can be as effective at treating adults with depression as cognitive behavioural therapy (CBT). Also, it is delivered (...) more cheaply, by trained junior mental health workers. CBT is commonly provided to adults with depression and it is recommended by NICE as first- line treatment. However, it is complex to deliver and therapists are highly skilled and expensive. is a simpler type of talking therapy that encourages people to develop more positive behaviour such as planning activities and doing constructive things that they would usually avoid doing. We did not know if this therapy was as effective as CBT in treating

2019 NIHR Dissemination Centre

75. Two simple questions help GPs rule out depression

Two simple questions help GPs rule out depression Two simple questions help GPs rule out depression Discover Portal Discover Portal Two simple questions help GPs rule out depression Published on 23 March 2016 doi: The Whooley questions are useful for ruling out depression in that few people who answer no to both questions are depressed according to a ‘gold standard’ diagnostic interview. A positive screen is indicated by the person answering “yes” to one or both of the Whooley questions (...) and for these people the diagnostic interview will still be necessary to diagnose the condition. The two simple questions are; 1) have you felt down or depressed or hopeless? and 2) have you been bothered by little interest or pleasure in doing things? - in the past month. The questions are already recommended by NICE to identify people who may be at higher risk of depression, prior to further assessment. These people include those with long-term conditions and women before or after birth. Therefore

2019 NIHR Dissemination Centre

76. Antidepressants and talking therapies offer similar benefits for new-onset major depression

Antidepressants and talking therapies offer similar benefits for new-onset major depression Antidepressants and talking therapies offer similar benefits for new-onset major depression Discover Portal Discover Portal Antidepressants and talking therapies offer similar benefits for new-onset major depression Published on 23 March 2016 doi: This review found no difference in effectiveness or drop-out rates between antidepressants and cognitive behavioural therapy for adults recently diagnosed (...) with major depressive disorder. Both treatments should be offered, as recommended by NICE, either alone or possibly in combination, and the final decision will rely heavily on the patient’s preference. The challenge for talking therapies in the NHS has long been a lack of capacity. However, the Improving Access to Psychological Therapies programme has in the last few years provided thousands of trained therapists who can be accessed through GPs and in some cases directly. The trials included

2019 NIHR Dissemination Centre

77. Collaborative mental health care in the NHS has small but meaningful benefits for people with depression

Collaborative mental health care in the NHS has small but meaningful benefits for people with depression Collaborative mental health care in the NHS has small but meaningful benefits for people with depression Discover Portal Discover Portal Collaborative mental health care in the NHS has small but meaningful benefits for people with depression Published on 31 May 2016 doi: Collaborative care, that places a care manager in primary care to deliver treatment and coordinate care between GPs (...) and specialists, improved recovery of people with moderate to severe depression. Primary responsibility for prescribing remained with the GP. This large trial found that improvements were modest, but were similar to those found in an evaluation of the Improving Access to Psychological Therapies programme. The collaborative care model was cost-effective too. Collaborative care cost on average £272.50 per participant and had a cost per quality-adjusted life year (QALY) of £14,248, which is within NHS

2019 NIHR Dissemination Centre

78. Depression and anxiety common in people with heart disease

Depression and anxiety common in people with heart disease Depression and anxiety common in people with heart disease Discover Portal Discover Portal Depression and anxiety common in people with heart disease Published on 28 June 2016 doi: This multi-part NIHR study found that depression and anxiety were more common in people with coronary heart disease, than the general population. Anxiety increased people’s risk of a future heart attack. The people included in the study were generally older (...) , white males, so the findings may not apply to everyone. Patients considered a nurse-led intervention to personalise care was acceptable. The intervention included optimising medicines and facilitating referrals for psychological support. When asked, people with depression and coronary heart disease generally favoured non-medical treatments. These findings provide an insight into the scale of depression and anxiety amongst people with coronary heart disease. Overall costs of NHS care were increased

2019 NIHR Dissemination Centre

79. Aerobic exercise moderately reduces depressive symptoms in new mothers

Aerobic exercise moderately reduces depressive symptoms in new mothers Aerobic exercise moderately reduces depressive symptoms in new mothers Discover Portal Discover Portal Aerobic exercise moderately reduces depressive symptoms in new mothers Published on 21 November 2017 doi: For women who have had a baby in the past year, doing aerobic exercise can reduce the level of depressive symptoms they experience. This NIHR funded review of 13 studies showed that involving new mothers in group (...) exercise programmes, or advising them on an exercise of their choice, reduced depressive symptoms compared with usual care. The effect was moderate but significant. Examples of exercise were pram walks, with dietary advice from peers in some studies. The benefits were shown whether or not the mothers had postnatal depression. This evidence does have some limitations regarding its quality but is the best research currently available. This review should give additional confidence to health visitors

2019 NIHR Dissemination Centre

80. Collaborative care can be moderately effective at treating depression regardless of physical health status

Collaborative care can be moderately effective at treating depression regardless of physical health status Collaborative care can be moderately effective at treating depression regardless of physical health status Discover Portal Discover Portal Collaborative care can be moderately effective at treating depression regardless of physical health status Published on 21 February 2017 doi: Collaborative care can be moderately effective at treating depression compared to usual care, whether (...) or not people also have a long-term condition such as cancer or heart disease. Collaboration was provided by a case manager in primary care who was not a mental health professional. They coordinated a treatment plan with input from a GP and mental health professional. It is currently only recommended for people with depression and a long-term physical condition as prior to this review there was only consistent evidence of its effectiveness for people with both. This NIHR-funded review pooled individual

2019 NIHR Dissemination Centre