Evidence Based Reports
Lithium or an atypical antipsychotic drug in the management of treatment-resistant depression: a systematic review and economic evaluation. (2013) [HTA] NEW
A cluster randomised controlled trial to determine the clinical effectiveness and cost-effectiveness of
classroom-based cognitive–behavioural therapy (CBT) in reducing symptoms of depression in high-risk adolescents. (2013) [HTA] NEW
The effects of qigong on anxiety, depression, and psychological well-being: a systematic review and meta-analysis. (2013) [DARE] NEW
Influence of initial severity of depression on effectiveness of low intensity interventions: meta-analysis of individual patient data. (2013) [DARE] NEW
Second generation antipsychotics in the treatment of bipolar depression: a systematic review and meta-analysis. (2013) [DARE] NEW
Smoking cessation interventions for smokers with current or past depression. (2013) [Cochrane Library] NEW
Tricyclic drugs for depression in children and adolescents. (2013) [Cochrane Library] NEW
Walking for depression or depressive symptoms: a systematic review and meta-analysis. (2012) [DARE] NEW
Fluoxetine versus other types of pharmacotherapy for depression. (2012) [Cochrane Library] NEW
Alprazolam for depression. (2012) [Cochrane Library] NEW
Citalopram versus other anti-depressive agents for depression. (2012) [Cochrane Library] NEW
Psychological and pharmacological interventions for depression in patients with coronary artery disease (2011) [Cochrane Library]
Pharmacologic treatment of depression in multiple sclerosis (2011) [Cochrane Library]
Mirtazapine versus other antidepressive agents for depression (2011) [Cochrane Library]
Psychological and educational interventions for preventing depression in children and adolescents (2011) [Cochrane Library]
Active placebos versus antidepressants for depression (2011) [Cochrane Library]
Second-generation antipsychotics for major depressive disorder and dysthymia (2010)[Cochrane]
Fluvoxamine versus other anti-depressive agents for depression (2010)[Cochrane]
Antidepressants for depression in physically ill people (2010)[Cochrane]
Telemedicine for depression: a systematic review (2010)[DARE]
Effects of befriending on depressive symptoms and distress: systematic review and meta-analysis (2010)[DARE]
Milnacipran versus other antidepressive agents for depression (2009)[Cochrane]
Antidepressants versus placebo for depression in primary care (2009)[Cochrane]
Sertraline versus other antidepressive agents for depression (2009)[Cochrane]
Efficacy, tolerability and side-effect profile of fluvoxamine for major depression: meta-analysis (2009)[DARE]
Psychological treatment of depression in primary care: a meta-analysis (2009)[DARE]
Vagus nerve stimulation for treatment-resistant depression (2009)[NICE]
Clinical Guidelines
Depression. (2013) [CKS] NEW
Depression in children. (2013) [CKS] NEW
Depression overview (2011) [NICE Pathways]
Non-pharmaceutical management of depression in adults (2010)[SIGN]
Depression The treatment and management of depression in adults (2009)[NICE]
Depression in adults with a chronic physical health problem (2009)[NICE]
Recent articles in core journals
Screening for depression in Parkinson's disease: the performance of two screening questions. (2013) [EvidenceUpdates] NEW
Prevention of depression in at-risk adolescents: longer-term effects. (2013) [EvidenceUpdates] NEW
Clinical effectiveness of collaborative care for depression in UK primary care (CADET): cluster randomised controlled trial. (2013) [BMJ] NEW
Treatment in a specialised out-patient mood disorder clinic v. standard out-patient treatment in the early course of bipolar disorder: randomised clinical trial. (2013) [EvidenceUpdates] NEW
A structural multidisciplinary approach to depression management in nursing-home residents: a multicentre, stepped-wedge cluster-randomised trial. (2013) [Lancet] NEW
Cognitive behavioural therapy as an adjunct to pharmacotherapy for primary care based patients with treatment resistant depression: results of the CoBalT randomised controlled trial. (2013) [Lancet] NEW
Effects of music on depression in older people: a randomised controlled trial. (2012) [EvidenceUpdates] NEW
Depression in adolescence. (2012) [Lancet] NEW
Major depressive disorder: new clinical, neurobiological, and treatment perspectives. (2011) [Lancet]
Comparative benefits and harms of second-generation antidepressants for treating major depressive disorder: an updated meta-analysis. (2011) [Ann Intern Med]
Randomized controlled trial of brief cognitive behavioral intervention for depression and anxiety symptoms preoperatively in patients undergoing coronary artery bypass graft surgery. (2011) [EvidenceUpdates]
Problem-solving therapy and supportive therapy in older adults with major depression and executive dysfunction. (2010)[EvidenceUpdates]
Reboxetine for acute treatment of major depression: systematic review and meta-analysis of published and unpublished placebo and selective serotonin reuptake inhibitor controlled trials. (2010)[BMJ]
In the clinic. Depression. (2010)[Annals of Internal Medicine]
Effects of befriending on depressive symptoms and distress: systematic review and meta-analysis. (2010)[EvidenceUpdates]
Personality change during depression treatment: a placebo-controlled trial. (2010)[EvidenceUpdates]
Antidepressant drug effects and depression severity: a patient-level meta-analysis. (2010)[JAMA]
Management of depression in UK general practice in relation to scores on depression severity questionnaires: analysis of medical record data. (2009)[BMJ]
Atypical antipsychotic augmentation in major depressive disorder: a meta-analysis of placebo-controlled randomized trials. (2009)[EvidenceUpdates]
Long-term benefits of short-term quality improvement interventions for depressed youths in primary care. (2009)[EvidenceUpdates]
Screening for depression in adult patients in primary care settings: a systematic evidence review. (2009)[Annals of Internal Medicine]
Therapist-delivered Internet psychotherapy for depression in primary care: a randomised controlled trial. (2009)[Lancet]
eTextbooks
Depression in Children and Adolescents (2013)[Mentor] updated
Screening for Depression in Primary Care (2011)[Mentor]
referral criteria from primary care - depression (2008)[GPnotebook]
depression in old age (2008)[GPnotebook]
secondary depression (2008)[GPnotebook]
major depression (2008)[GPnotebook]
recurrent depressive disorder (2008)[GPnotebook]
Clinical Queries
Which would be the antidepressant of choice/prescribing guidelines for a patient that has depression predominantly around her menstruation? I recall there is a medication that we can just prescribe for 1 week a month. (2013) [ATTRACT] NEW
What basic tools can be used by any health care professional in primary care for screening of patients with long-term conditions for mental health symptoms (anxiety and depression)? (2012) [ATTRACT] NEW
Is there evidence to suggest that copper-bearing IUDs (Cu-IUD) are associated with depression / anxiety post insertion? (2012) [FRSH] NEW
For a patient who is taking lithium for bipolar disorder are there any restrictions with regards to choice of hormonal contraception? (2011) [FSRH]
What are the issues with longterm (10-20yrs +) treatment of depression with dosulepin 75mg daily? (2011) [ATTRACT]
With hospitalised patients over age 80 with newly diagnosed depression, is pharmacotherapy with antidepressants superior to placebo in improving depressive symptoms? (2009)[TRIPAnswers]
What is the most recent evidence with regards St Johns Wort in the treatment of depression?(2009)[ATTRACT]
Is there any evidence to support the use of 5-HTP in the treatment of anxiety and depression? Are there any known contraindications to its use? (2008)[ATTRACT]
Can fish oil help reduce depression and/or first episode psychosis? (Q & A provided by Evidence Direct via the Centre for Evidence Based Practice Australasia)(2008)[TRIPAnswers]
Are there any national self-help groups for patients with depression? (2008)[TRIPAnswers]
Patient Information
Depression (2013) [RCPsych] updated
Depression in Older Adults (20130 [RCPsych] updated
Alcohol and Depression (2013)[RCPsych] updated
Clinical depression (2012)[NHS Choices]
Depression (2012)[BUPA]
Important
1. If you are a Welsh Primary Care Professional with a clinical query send it to ATTRACT online or email us at questions@attract.wales.nhs.uk or call 01495 332343.
2. If you would like to comment on this CME topic, or suggest a new topic for ATTRACTcme, go to the comments hyperlink below.
Developed by ATTRACT (www.attract.wales.nhs.uk) for the Postgraduate Department of General Practice of Cardiff University to provide resources for self-directed learning.
- ATTRACT
- We are a clinical query answering service for primary care professionals in Wales. If you have a clinical question you can complete the form at www.attract.wales.nhs.uk or alternatively send your query, surgery name and desired timeframe for response to questions@attract.wales.nhs.uk
CME Topics
This blog is populated with a number of topics of interest to general practitioners. Each topic contains links to current, relevant, evidence based resources, clinical guidelines, primary research, clinical queries, eTextbooks and patient information leaflets. Though not exhaustive it is an attempt to capture recent key documents in the topic area.
A list of ATTRACTcme topics is available.
Do you need further detail on this topic?
If you wish to conduct a more specific search on this topic TRIP database, a clinical search engine, may be of value.
No comments:
Post a Comment