Depression in Adults with a Chronic Physical Health Problem: The NICE Guideline on Treatment and Management
National Collaborating Centre for Mental Health (NCCMH)
A fifth of people with a chronic physical
health problem (such as cancer, diabetes, heart disease and stroke)
have depression — a rate that is two to three times higher than in
those who are in good physical health. A combination of depression
and a chronic physical health problem can significantly worsen the
negative outcomes for people with both conditions.
The guideline reviews the evidence for the
identification of depression in people with a chronic physical
health problem and the associated service-level interventions (such
as stepped care and collaborative care) and psychosocial,
psychological and pharmacological interventions. It places special
emphasis on advising health professionals about interactions
between antidepressants and any prescribed medication for the
physical health problem. As in the updated edition of the NICE
guideline on depression, this guideline also covers subthreshold
depressive symptoms. It has a useful introduction to depression in
adults with a chronic physical health problem and a chapter on
service user, carer and staff experience of care.
Also see the 'sister' NICE guideline: Depression: The NICE Guideline on the Treatment and
Management of Depression in Adults (Updated edition)
List of the other NICE mental health
guidelines
NICE Mental Health Guidelines
These guidelines from NICE set out clear
recommendations, based on the best available evidence, for health
care professionals on how to work with and implement physical,
psychological and service-level interventions for people with
various mental health conditions.
The book contains the full guidelines that cannot be obtained
in print anywhere else. It brings together all of the evidence that
led to the recommendations made, detailed explanations of the
methodology behind their preparation, plus an overview of the
condition covering detection, diagnosis and assessment, and the
full range of treatment and care approaches.
The accompanying free CD-ROM contains all the data used as
evidence, including:
- Included and excluded studies.
- Profile tables that summarise both the quality of the evidence
and the results of the evidence synthesis.
- All meta-analytical data, presented as forest plots.
- Detailed information about how to use and interpret forest
plots.
Contents
- Preface
- Depression in adults with a chronic physical
health problem
- Methods used to develop this guideline
- Experience of care
- The identification of depression in people
with chronic physical health problems
- Service-level interventions for people with
depression and chronic physical health problems
- Psychosocial interventions for people with
depression and chronic physical health problems
- Pharmacological interventions in the
treatment and management of depression and chronic health
problems
- Appendices
- References
- Abbreviations