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Recognition and management of depression in general practice: consensus statement
Open accessAbstract
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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“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]
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“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].”
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“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].”
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Metadata
- 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
- 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
- Health Sciences › Medicine › Psychiatry and Mental health › Mental Health Treatment and Access
- Health Sciences › Medicine › Pharmacology (medical) › 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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