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Evidence-Based Guidelines: Response to Professor Gordon Parker's Critique
Abstract
Objective: To clarify the development of the ‘Australian and New Zealand clinical practice guidelines for the treatment of depression’ and to discuss the critique of these guidelines. Method: Consideration of international practice in evidence-based medicine and rebuttal of criticisms. Results: We agree with Professor Gordon Parker on fundamental issues in the treatment of depression. His main criticisms reflect his concerns about the classification of depression. We consider that many of his detailed criticisms reflect a difference of opinion on how data should be evaluated or interpreted. Conclusions: The guideline for the treatment of depression makes sound recommendations, in agreement with comparable guidelines from the US and the UK.
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Australian clinical practice guidelines for schizophrenia and related disorders and depression advocate for the inclusion of physical activity or exercise.
“Australian clinical practice guidelines for the treatment of some mental illnesses, including schizophrenia and related disorders (McGorry et al. 2005) and depression (Ellis 2004), advocate for the inclusion of physical activity or exercise.”
From A call to action: Exercise as treatment for patients with mental illness (2015) · cites this paper as Ellis 2004
These Australian guidelines do not include recommendations on the frequency, intensity, time (duration) or type (FITT) of exercise intervention.
“However, these guidelines do not include recommendations on the frequency, intensity, time (duration) or type of exercise intervention (FITT).”
From A call to action: Exercise as treatment for patients with mental illness (2015) · cites this paper as Ellis 2004
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Metadata
- Authors
- Ellis, P. M., Hickie, I. B., & Smith, D. A. R.
- Affiliations
- University of Otago (NZ)
- The University of Sydney (AU)
- ORCID
- Hickie, Ian B.
- Venue
- Australian & New Zealand Journal of Psychiatry
- Publisher
- SAGE Publications
- Published
- 2004-11
- Volume
- 38
- Issue
- 11-12
- Pages
- 891-895
- ISSN
- 0004-8674 (ISSN-L)
- 1440-1614
- OpenAlex
- W2036213670
- Cited by
- 26
- References
- 33
- Citations by year
- 2016: 1 · 2014: 1 · 2013: 3 · 2012: 3
- FWCI
- 3.41
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Australian & New Zealand Journal of Psychiatry (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Clinical practice guidelines implementation
- Health Sciences › Medicine › Pharmacology (medical) › Treatment of Major Depression
- Health Sciences › Medicine › Psychiatry and Mental health › Mental Health Treatment and Access
- Keywords
- depression treatment, evidence-based medicine, guideline development, depression classification, guideline critique, data interpretation
- MeSH terms
- Australia, Depression, Humans, Mental Health Services, Psychiatry, Practice Guidelines as Topic, Evidence-Based Medicine
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