Recognition and management of depression in general practice: consensus statement

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

doi:10.1136/bmj.305.6863.1198

Cited by 540Mental Health Treatment and AccessTreatment of Major DepressionAnxiety, Depression, Psychometrics, Treatment, Cognitive Processes

Recognition and management of depression in general practice: consensus statement

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Paykel, E. S., Priest, R. G.·1992·BMJ

DOI 10.1136/bmj.305.6863.1198PMC PMC1883802

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Abstract

E S Paykel, R G Priest, on behalf of conference participantsDepression is a frequently occurring psychiatric dis- order, and most depressed patients in the United Kingdom are treated in general practice.The Royal College of Psychiatrists, in association with the Royal College of General Practitioners, has embarked on a "defeat depression" campaign.'Anticipating that an increased proportion of the large numbers of the general population who do not at present receive treatment for depressive illness will present to helping agencies, the two colleges are preparing professional educational materials and guidelines.In recent years there has been a great deal of new knowledge regarding diagnosis, recognition, and effects of treatment.Two consensus meetings in which participants were mainly representatives of the two colleges, together with other experts, were therefore held in 1991 to consider, firstly, diagnosis and recog- nition (21 October 1991) and, secondly, management (15 November 199 1).Specific questions were addressed by a presenter with a prepared paper, and a discussant, followed by extensive general discussion to reach an agreed consensus, which was circulated to participants for further approval.We present views that reflect the agreed conclusions.We emphasise, however, that they do not necessarily reflect the official policy of either of the two colleges.They are intended to form guidelines which we hope will be useful in practice and also in audit. Diagnosis and recognition of depression

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Many depressed people do not receive the interventions they need.
“Despite the personal, social and economic consequences of depression, many depressed people do not receive the interventions they need [9,14].”
From The role of personality disorder in 'difficult to reach' patients with depression: Findings from the ODIN study (2007) · cites this paper as [14]
Most people with common mental disorders seek care in primary care settings, where recognition is poor.
“The majority of persons with CMD seek healthcare in primary care settings[1] where recognition is poor, with fewer than one third of clinically significant cases detected[11].”
From Effectiveness of an intervention led by lay health counsellors for depressive and anxiety disorders in primary care in Goa, India (MANAS): a cluster randomised controlled trial (2010) · cites this paper as [11]
Most people with common mental disorders seek care in primary care settings, where recognition is poor and fewer than one third of clinically significant cases are detected.
“The majority of persons with CMD seek healthcare in primary care settings[1] where recognition is poor, with fewer than one third of clinically significant cases detected[11].”
From Effectiveness of an intervention led by lay health counsellors for depressive and anxiety disorders in primary care in Goa, India (MANAS): a cluster randomised controlled trial (2010) · cites this paper as [11]

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Authors: Paykel, E. S., & Priest, R. G.
Affiliations: University of Cambridge (GB)
Venue: BMJ
Publisher: BMJ
Published: 1992-11-14
Volume: 305
Issue: 6863
Pages: 1198-1202
ISSN: 0007-1447 (ISSN-L)
0959-8138
1468-5833
DOI: 10.1136/bmj.305.6863.1198
PMC: PMC1883802
OpenAlex: W1970278663
Cited by: 540
References: 59
Citations by year: 2025: 2 · 2024: 4 · 2021: 2 · 2020: 4 · 2019: 6 · 2018: 7 · 2017: 10 · 2016: 5 · 2015: 5 · 2014: 13 · 2013: 14 · 2012: 7
FWCI: 45.34
Type: journal article
Language: en
Open access: bronze
doi.org
Licence: www.bmj.com/company/legal-information/terms-conditions/legal-information/tdm-licencepolicy (tdm)
Locations: BMJ (publishedVersion)
PubMed Central (publishedVersion)
PubMed (publishedVersion)
HighWire Press Open Archive (submittedVersion)
Topics: Social Sciences › Psychology › Social Psychology › Mental Health Treatment and Access
Health Sciences › Medicine › Pharmacology › Treatment of Major Depression
Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
Keywords: depression, general practice, primary care, depression diagnosis, depression treatment, clinical guidelines, Royal College of General Practitioners, Royal College of Psychiatrists
MeSH terms: Antidepressive Agents, Clinical Competence, Depression, Family Practice, Humans, Psychotherapy, Referral and Consultation

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Recognition and management of depression in general practice: consensus statement

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