Cited by 614Treatment of Major DepressionBipolar Disorder and TreatmentClinical practice guidelines implementation

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The 2020 Royal Australian and New Zealand College of Psychiatrists clinical practice guidelines for mood disorders

Malhi, Gin S, Bell, Erica, Bassett, Darryl, Boyce, Philip, Bryant, Richard, Hazell, Philip, Hopwood, Malcolm, Lyndon, Bill, Mulder, Roger, Porter, Richard, Singh, Ajeet B, Murray, Greg·2021·Australian & New Zealand Journal of Psychiatry

DOI 10.1177/0004867420979353

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Abstract

Objectives: To provide advice and guidance regarding the management of mood disorders, derived from scientific evidence and supplemented by expert clinical consensus to formulate s that maximise clinical utility. Methods: Articles and information sourced from search engines including PubMed, EMBASE, MEDLINE, PsycINFO and Google Scholar were supplemented by literature known to the mood disorders committee (e.g. books, book chapters and government reports) and from published depression and bipolar disorder guidelines. Relevant information was appraised and discussed in detail by members of the mood disorders committee, with a view to formulating and developing consensus-based recommendations and clinical guidance. The guidelines were subjected to rigorous consultation and external review involving: expert and clinical advisors, key stakeholders, professional bodies and specialist groups with interest in mood disorders. Results: The Royal Australian and New Zealand College of Psychiatrists mood disorders clinical practice guidelines 2020 (MDcpg 2020 ) provide up-to-date guidance regarding the management of mood disorders that is informed by evidence and clinical experience. The guideline is intended for clinical use by psychiatrists, psychologists, primary care physicians and others with an interest in mental health care. Conclusion: The MDcpg 2020 builds on the previous 2015 guidelines and maintains its joint focus on both depressive and bipolar disorders. It provides up-to-date recommendations and guidance within an evidence-based framework, supplemented by expert clinical consensus. Mood disorders committee: Gin S Malhi (Chair), Erica Bell, Darryl Bassett, Philip Boyce, Richard Bryant, Philip Hazell, Malcolm Hopwood, Bill Lyndon, Roger Mulder, Richard Porter, Ajeet B Singh and Greg Murray.

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“…hardware (e.g. smartphones, computers, tablets), software (apps, websites, video conferencing) types of intervention (monitoring, education, information, social networking, psychological treatment, self-help) and connectivity (telephone, local delivery, internet delivery) (Andersson et al., 2019).”
American Journal of Geriatric Psychiatry
Bowden, V. M. (1995) · JAMA · doi:10.1001/jama.1995.03520410091040 · Cited by 749
The Role of Common Factors in Psychotherapy Outcomes
Cuijpers, P., Reijnders, M., & Huibers, M. J. H. (2019) · Annual Review of Clinical Psychology · doi:10.1146/annurev-clinpsy-050718-095424 · Cited by 748 · cited 2×
“Similarly, a network meta-analysis (155 trials, N > 15,000 patients) concluded that delivery format does not moderate the outcomes of CBT for acute depression (Cuijpers et al., 2019a).”
Background
Comparative efficacy and tolerability of antidepressants for major depressive disorder in children and adolescents: a network meta-analysis
Cipriani, A., Zhou, X., Del Giovane, C., Hetrick, S. E., Qin, B., Whittington, C., Coghill, D., Zhang, Y., Hazell, P., Leucht, S., et al. (2016) · The Lancet · doi:10.1016/s0140-6736(16)30385-3 · Cited by 734
Self-citation
Stress generation in depression: A systematic review of the empirical literature and recommendations for future study
Liu, R. T., & Alloy, L. B. (2010) · Clinical Psychology Review · doi:10.1016/j.cpr.2010.04.010 · Cited by 728
Health and quality of life outcomes
Jolly, M., Sequeira, W., & Block, J. A. (2014) · Health and Quality of Life Outcomes · doi:10.1186/s12955-014-0173-5 · Cited by 722
Objective Cognitive Performance Associated with Electroconvulsive Therapy for Depression: A Systematic Review and Meta-Analysis
Semkovska, M., & McLoughlin, D. M. (2010) · Biological Psychiatry · doi:10.1016/j.biopsych.2010.06.009 · Cited by 718
Efficacy and Safety of Intranasal Esketamine Adjunctive to Oral Antidepressant Therapy in Treatment-Resistant Depression: A Randomized Clinical Trial
Daly, E. J., Singh, J. B., Fedgchin, M., Cooper, K., Lim, P., Shelton, R. C., Thase, M. E., Winokur, A., Van Nueten, L., Manji, H., et al. (2018) · JAMA Psychiatry · doi:10.1001/jamapsychiatry.2017.3739 · Cited by 718
Rhythms of life: circadian disruption and brain disorders across the lifespan
Logan, R. W., & McClung, C. A. (2019) · Nature Reviews Neuroscience · doi:10.1038/s41583-018-0088-y · Cited by 713
Social Zeitgebers and Biological Rhythms: A Unified Approach to Understanding the Etiology of Depression
Ehlers, C. L. (1988) · Archives of General Psychiatry · doi:10.1001/archpsyc.1988.01800340076012 · Cited by 707 · cited 1×
“There is also evidence that the disruption of circadian rhythms is a potential trigger for depressive episodes in vulnerable individuals (Ehlers et al., 1988).”
Background
Consensus Recommendations for the Clinical Application of Repetitive Transcranial Magnetic Stimulation (rTMS) in the Treatment of Depression: (Consensus Statement)
McClintock, S. M., Reti, I. M., Carpenter, L. L., McDonald, W. M., Dubin, M., Taylor, S. F., Cook, I. A., O’Reardon, J., Husain, M. M., Wall, C., et al. (2018) · The Journal of Clinical Psychiatry · doi:10.4088/jcp.16cs10905 · Cited by 693
THE EVOLVING BIPOLAR SPECTRUM
Akiskal, H. S., & Pinto, O. (1999) · Psychiatric Clinics of North America · doi:10.1016/s0193-953x(05)70093-9 · Cited by 686
Clinical pharmacogenetics implementation consortium guideline (CPIC) for CYP2D6 and CYP2C19 genotypes and dosing of tricyclic antidepressants: 2016 update
Hicks, J. K., Sangkuhl, K., Swen, J. J., Ellingrod, V. L., Dj, M., Shimoda, K., Bishop, J., Kharasch, E. D., Skaar, T. C., Gaedigk, A., et al. (2016) · Clinical Pharmacology & Therapeutics · doi:10.1002/cpt.597 · Cited by 686
Genetics of bipolar disorder
Craddock, N. J., & Sklar, P. B. (2013) · The Lancet · doi:10.1016/s0140-6736(13)60855-7 · Cited by 684
A Randomized, Placebo-Controlled 12-Month Trial of Divalproex and Lithium in Treatment of Outpatients With Bipolar I Disorder
Bowden, C. L. (2000) · Archives of General Psychiatry · doi:10.1001/archpsyc.57.5.481 · Cited by 678
The Clinical TMS Society Consensus Review and Treatment Recommendations for TMS Therapy for Major Depressive Disorder
Perera, T., George, M. S., Grammer, G., Janicak, P. G., Pascual-Leone, A., & Wirecki, T. S. (2016) · Brain Stimulation · doi:10.1016/j.brs.2016.03.010 · Cited by 674
Neuropsychopharmacology
Mathur, R. (2004) · Jaypee Brothers Medical Publishers (P) Ltd. eBooks · doi:10.5005/jp/books/10243_6 · Cited by 669
Nortriptyline and Interpersonal Psychotherapy as Maintenance Therapies for Recurrent Major Depression: A Randomized Controlled Trial in Patients Older Than 59 Years
Reynolds III, C. F., Frank, E., Perel, J. M., Imber, S. D., Cornes, C., Miller, M. D., Mazumdar, S., Houck, P. R., Dew, M. A., Stack, J. A., et al. (1999) · JAMA · doi:10.1001/jama.281.1.39 · Cited by 659
Efficacy of Psychotherapies for Borderline Personality Disorder: A Systematic Review and Meta-analysis
Cristea, I. A., Gentili, C., Cotet, C. D., Palomba, D., Barbui, C., & Cuijpers, P. (2017) · JAMA Psychiatry · doi:10.1001/jamapsychiatry.2016.4287 · Cited by 655
Comparative efficacy and acceptability of antimanic drugs in acute mania: a multiple-treatments meta-analysis
Cipriani, A., Barbui, C., Salanti, G., Rendell, J., Brown, R., Stockton, S., Purgato, M., Spineli, L. M., Goodwin, G. M., & Geddes, J. R. (2011) · The Lancet · doi:10.1016/s0140-6736(11)60873-8 · Cited by 647
Hormones and Menopausal Status as Predictors of Depression in Womenin Transition to Menopause
Freeman, E. W., Sammel, M. D., Liu, L., Gracia, C. R., Nelson, D. B., & Hollander, L. (2004) · Archives of General Psychiatry · doi:10.1001/archpsyc.61.1.62 · Cited by 647
Assessment of Sleep Hygiene Using the Sleep Hygiene Index
Mastin, D. F., Bryson, J. B., & CORWYN, R. F. (2006) · Journal of Behavioral Medicine · doi:10.1007/s10865-006-9047-6 · Cited by 641
Cognitive function following a major depressive episode: a systematic review and meta-analysis
Semkovska, M., Quinlivan, L., O'Grady, T., Johnson, R., Collins, A., O'Connor, J., Knittle, H., Ahern, E., & Gload, T. (2019) · The Lancet Psychiatry · doi:10.1016/s2215-0366(19)30291-3 · Cited by 631
No Support for Historical Candidate Gene or Candidate Gene-by-Interaction Hypotheses for Major Depression Across Multiple Large Samples
Border, R., Johnson, E. C., Evans, L. M., Smolen, A., Berley, N., Sullivan, P. F., & Keller, M. C. (2019) · American Journal of Psychiatry · doi:10.1176/appi.ajp.2018.18070881 · Cited by 629
Mental Illness in the Community: The Pathway to Psychiatric Care.
Higgins, A. C., Goldberg, D. P., & Huxley, P. J. (1982) · Contemporary Sociology A Journal of Reviews · doi:10.2307/2068429 · Cited by 627
The Menopause Rating Scale (MRS) scale: A methodological review
Heinemann, K., Ruebig, A., Potthoff, P., Schneider, H. P., Strelow, F., Heinemann, L. A. J., & Thai, D. M. (2004) · Health and Quality of Life Outcomes · doi:10.1186/1477-7525-2-45 · Cited by 623
Response, remission and drop-out rates following high-frequency repetitive transcranial magnetic stimulation (rTMS) for treating major depression: a systematic review and meta-analysis of randomized, double-blind and sham-controlled trials
Berlim, M. T., van den Eynde, F., Tovar-Perdomo, S., & Daskalakis, Z. J. (2014) · Psychological Medicine · doi:10.1017/s0033291713000512 · Cited by 620
How do antidepressants work? New perspectives for refining future treatment approaches
Harmer, C. J., Duman, R. S., & Cowen, P. J. (2017) · The Lancet Psychiatry · doi:10.1016/s2215-0366(17)30015-9 · Cited by 616
Neuropsychological testing of cognitive impairment in euthymic bipolar disorder: an individual patient data meta‐analysis
Bourne, C., Aydemir, Ö., Balanzá-Martínez, V., Bora, E., Brissos, S., Cavanagh, J., Clark, L., Çubukçuoğlu, Z., Dias, V. V., Dittmann, S., et al. (2013) · Acta Psychiatrica Scandinavica · doi:10.1111/acps.12133 · Cited by 612
Sleep and circadian rhythms in bipolar disorder: seeking synchrony, harmony, and regulation
Harvey, A. G. (2008) · American Journal of Psychiatry · doi:10.1176/appi.ajp.2008.08010098 · Cited by 601
Dietary patterns and depression risk: a meta-analysis
Li, Y., Lv, M.-R., Wei, Y.-J., Sun, L., Zhang, J.-X., Zhang, H.-G., & Li, B. (2017) · Psychiatry Research · doi:10.1016/j.psychres.2017.04.020 · Cited by 599
Interventions for Depression Symptoms Among Adolescent Survivors of War and Displacement in Northern Uganda: A Randomized Controlled Trial
Bolton, P., Bass, J., Betancourt, T., Speelman, L., Onyango, G., Clougherty, K. F., Neugebauer, R., Murray, L., & Verdeli, H. (2007) · JAMA · doi:10.1001/jama.298.5.519 · Cited by 589 · cited 1×
“The evidence base for treatments that specifically target mood disorders in refugees is insufficiently robust, although there is evidence that Interpersonal Psychotherapy can reduce depression in refugees (Bolton et al., 2007).”
Background
Canadian Network for Mood and Anxiety Treatments (CANMAT) 2016 Clinical Guidelines for the Management of Adults with Major Depressive Disorder: Section 4. Neurostimulation Treatments
Milev, R. V., Giacobbe, P., Kennedy, S. H., Blumberger, D. M., Daskalakis, Z. J., Downar, J., Modirrousta, M., Patry, S., Vila-Rodriguez, F., Lam, R. W., et al. (2016) · The Canadian Journal of Psychiatry · doi:10.1177/0706743716660033 · Cited by 586
Should We Expand the Toolbox of Psychiatric Treatment Methods to Include Repetitive Transcranial Magnetic Stimulation (rTMS)?: A Meta-Analysis of the Efficacy of rTMS in Psychiatric Disorders
Slotema, C. W., Blom, J. D., Hoek, H. W., & Sommer, I. E. C. (2010) · The Journal of Clinical Psychiatry · doi:10.4088/jcp.08m04872gre · Cited by 584
A Pooled Analysis of 2 Placebo-Controlled 18-Month Trials of Lamotrigine and Lithium Maintenance in Bipolar I Disorder
Goodwin, G. M., Bowden, C. L., Calabrese, J. R., Grunze, H., Kasper, S., White, R., Greene, P., & Leadbetter, R. (2004) · The Journal of Clinical Psychiatry · doi:10.4088/jcp.v65n0321 · Cited by 581
The cognitive effects of electroconvulsive therapy in community settings
Sackeim, H. A., Prudic, J., Fuller, R., Keilp, J., Lavori, P. W., & Olfson, M. (2007) · Neuropsychopharmacology · doi:10.1038/sj.npp.1301180 · Cited by 577
Antidepressants for Bipolar Depression: A Systematic Review of Randomized, Controlled Trials
Gijsman, H. J., Geddes, J. R., Rendell, J. M., Nolen, W. A., & Goodwin, G. M. (2004) · American Journal of Psychiatry · doi:10.1176/appi.ajp.161.9.1537 · Cited by 567
Cognitive–behavioural therapy for severe and recurrent bipolar disorders: Randomised controlled trial
Scott, J., Paykel, E., Morriss, R., Bentall, R., Kinderman, P., Johnson, T., Abbott, R., & Hayhurst, H. (2006) · British Journal of Psychiatry · doi:10.1192/bjp.188.4.313 · Cited by 566
The Effects of Dietary Improvement on Symptoms of Depression and Anxiety: A Meta-Analysis of Randomized Controlled Trials
Firth, J., Marx, W., Dash, S., Carney, R., Teasdale, S. B., Solmi, M., Stubbs, B., Schuch, F. B., Carvalho, A. F., Jacka, F., et al. (2019) · Psychosomatic Medicine · doi:10.1097/psy.0000000000000673 · Cited by 566
Canadian Network for Mood and Anxiety Treatments (CANMAT) 2016 Clinical Guidelines for the Management of Adults with Major Depressive Disorder
Parikh, S. V., Quilty, L. C., Ravitz, P., Rosenbluth, M., Pavlova, B., Grigoriadis, S., Velyvis, V., Kennedy, S. H., Lam, R. W., MacQueen, G. M., et al. (2016) · The Canadian Journal of Psychiatry · doi:10.1177/0706743716659418 · Cited by 562
Resolving the paradox of common, harmful, heritable mental disorders: Which evolutionary genetic models work best?
Keller, M. C., & Miller, G. F. (2006) · Behavioral and Brain Sciences · doi:10.1017/s0140525x06009095 · Cited by 553
Diet quality and depression risk: A systematic review and dose-response meta-analysis of prospective studies
Molendijk, M., Molero, P., Ortuño Sánchez-Pedreño, F., Van der Does, W., & Angel Martínez-González, M. (2018) · Journal of Affective Disorders · doi:10.1016/j.jad.2017.09.022 · Cited by 550
Epidemiology and risk factors for bipolar disorder
Rowland, T., & Marwaha, S. (2018) · Therapeutic Advances in Psychopharmacology · doi:10.1177/2045125318769235 · Cited by 540
A network meta‐analysis of the effects of psychotherapies, pharmacotherapies and their combination in the treatment of adult depression
Cuijpers, P., Noma, H., Karyotaki, E., Vinkers, C. H., Cipriani, A., & Furukawa, T. A. (2020) · World Psychiatry · doi:10.1002/wps.20701 · Cited by 540
Effectiveness and Acceptability of Cognitive Behavior Therapy Delivery Formats in Adults With Depression: A Network Meta-analysis
Cuijpers, P., Noma, H., Karyotaki, E., Cipriani, A., & Furukawa, T. A. (2019) · JAMA Psychiatry · doi:10.1001/jamapsychiatry.2019.0268 · Cited by 539 · cited 2×
“Similarly, a network meta-analysis (155 trials, N > 15,000 patients) concluded that delivery format does not moderate the outcomes of CBT for acute depression (Cuijpers et al., 2019a).”
Background
Complicated Grief
Shear, M. K. (2015) · New England Journal of Medicine · doi:10.1056/nejmcp1315618 · Cited by 533
Blending Face-to-Face and Internet-Based Interventions for the Treatment of Mental Disorders in Adults: Systematic Review
Erbe, D., Eichert, H.-C., Riper, H., & Ebert, D. D. (2017) · Journal of Medical Internet Research · doi:10.2196/jmir.6588 · Cited by 532
Effectiveness and cost-effectiveness of mindfulness-based cognitive therapy compared with maintenance antidepressant treatment in the prevention of depressive relapse or recurrence (PREVENT): a randomised controlled trial
Kuyken, W., Hayes, R., Barrett, B., Byng, R., Dalgleish, T., Kessler, D., Lewis, G., Watkins, E., Brejcha, C., Cardy, J., et al. (2015) · The Lancet · doi:10.1016/s0140-6736(14)62222-4 · Cited by 527
Repetitive Transcranial Magnetic Stimulation for the Acute Treatment of Major Depressive Episodes: A Systematic Review With Network Meta-analysis
Brunoni, A. R., Chaimani, A., Moffa, A. H., Razza, L. B., Gattaz, W. F., Daskalakis, Z. J., & Carvalho, A. F. (2017) · JAMA Psychiatry · doi:10.1001/jamapsychiatry.2016.3644 · Cited by 520
Attenuation of Antidepressant Effects of Ketamine by Opioid Receptor Antagonism
Williams, N. R., Heifets, B. D., Blasey, C., Sudheimer, K., Pannu, J., Pankow, H., Hawkins, J., Birnbaum, J., Lyons, D. M., Rodriguez, C. I., et al. (2018) · American Journal of Psychiatry · doi:10.1176/appi.ajp.2018.18020138 · Cited by 519
Practice Parameter for the Assessment and Treatment of Children and Adolescents With Bipolar Disorder
McClellan, J., Kowatch, R. A., & Findling, R. L. (2006) · Journal of the American Academy of Child & Adolescent Psychiatry · doi:10.1097/01.chi.0000242240.69678.c4 · Cited by 516
Effect of probiotics on depression: a systematic review and meta-analysis of randomized controlled trials
Huang, R., Wang, K., & Hu, J. (2016) · Nutrients · doi:10.3390/nu8080483 · Cited by 505
Evidence Base Update of Psychosocial Treatments for Child and Adolescent Depression
Weersing, V. R., Jeffreys, M., Do, M.-C. T., Schwartz, K. T. G., & Bolano, C. (2017) · Journal of Clinical Child & Adolescent Psychology · doi:10.1080/15374416.2016.1220310 · Cited by 505 · cited 14×
“CBT: cognitive behavioural therapy; IPT: interpersonal therapy.”
BackgroundInfluential
Association of Efficacy of Resistance Exercise Training With Depressive Symptoms: Meta-analysis and Meta-regression Analysis of Randomized Clinical Trials
Gordon, B. R., McDowell, C. P., Hallgren, M., Meyer, J. D., Lyons, M., & Herring, M. P. (2018) · JAMA Psychiatry · doi:10.1001/jamapsychiatry.2018.0572 · Cited by 498
Results of a Multicenter Randomized Controlled Trial of the Clinical Effectiveness of Schema Therapy for Personality Disorders
Bamelis, L. L. M., Evers, S. M. A. A., Spinhoven, P., & Arntz, A. (2014) · American Journal of Psychiatry · doi:10.1176/appi.ajp.2013.12040518 · Cited by 497
A menopause-specific quality of life questionnaire: development and psychometric properties
Hilditch, J. R., Lewis, J. E., Peter, A., van Maris, B., Ross, A., Franssen, E., Guyatt, G. H., Norton, P., & Dunn, E. V. (1996) · Maturitas · doi:10.1016/0378-5122(96)01038-9 · Cited by 496
Exercise and the Prevention of Depression: Results of the HUNT Cohort Study
Harvey, S. B., Øverland, S., Hatch, S. L., Wessely, S., Mykletun, A., & Hotopf, M. (2018) · American Journal of Psychiatry · doi:10.1176/appi.ajp.2017.16111223 · Cited by 493
Brexanolone (SAGE-547 injection) in post-partum depression: a randomised controlled trial.
Kanes, S., Colquhoun, H., Gunduz-Bruce, H., Raines, S., Arnold, R., Schacterle, A., Doherty, J., Epperson, C. N., Deligiannidis, K. M., Riesenberg, R., et al. (2017) · The Lancet · doi:10.1016/s0140-6736(17)31264-3 · Cited by 479
Dialectical behavior therapy for borderline personality disorder: A meta-analysis using mixed-effects modeling.
Kliem, S., Kröger, C., & Kosfelder, J. (2010) · Journal of Consulting and Clinical Psychology · doi:10.1037/a0021015 · Cited by 474
Risk of Postpartum Relapse in Bipolar Disorder and Postpartum Psychosis: A Systematic Review and Meta-Analysis
Wesseloo, R., Kamperman, A. M., Munk-Olsen, T., Pop, V. J. M., Kushner, S. A., & Bergink, V. (2016) · American Journal of Psychiatry · doi:10.1176/appi.ajp.2015.15010124 · Cited by 469
Nutritional psychiatry: The present state of the evidence
Marx, W., Moseley, G., Berk, M., & Jacka, F. (2017) · Proceedings of the Nutrition Society · doi:10.1017/s0029665117002026 · Cited by 469
Major depression during and after the menopausal transition: Study of Women's Health Across the Nation (SWAN)
Bromberger, J. T., Kravitz, H. M., Chang, Y., Cyranowski, J. M., Brown, C., & Matthews, K. A. (2011) · Psychological Medicine · doi:10.1017/s003329171100016x · Cited by 464
Childhood maltreatment and unfavourable clinical outcomes in bipolar disorder: a systematic review and meta-analysis
Agnew‐Blais, J. C., & Danese, A. (2016) · The Lancet Psychiatry · doi:10.1016/s2215-0366(15)00544-1 · Cited by 446
A randomized, double-blind, placebo-controlled, duloxetine-referenced, fixed-dose study comparing the efficacy and safety of Lu AA21004 in elderly patients with major depressive disorder
Katona, C., Hansen, T., & Olsen, C. K. (2012) · International Clinical Psychopharmacology · doi:10.1097/yic.0b013e3283542457 · Cited by 445 · cited 3×
“Both duloxetine and vortioxetine (Katona et al., 2012; Raskin et al., 2007) have demonstrated improvements in verbal learning in elderly depressed patients, while vortioxetine has shown an improvement in a task measuring vigilance and processing speed.”
Background
Understanding Excess Mortality in Persons With Mental Illness
Druss, B. G., Zhao, L., von Esenwein, S. A., Morrato, E. H., & Marcus, S. C. (2011) · Medical Care · doi:10.1097/mlr.0b013e31820bf86e · Cited by 438
Lamotrigine for treatment of bipolar depression: independent meta-analysis and meta-regression of individual patient data from five randomised trials
Geddes, J. R., Calabrese, J. R., & Goodwin, G. M. (2008) · The British Journal of Psychiatry · doi:10.1192/bjp.bp.107.048504 · Cited by 433
Comparative efficacy and acceptability of non-surgical brain stimulation for the acute treatment of major depressive episodes in adults: systematic review and network meta-analysis
Mutz, J., Vipulananthan, V., Carter, B., Hurlemann, R., Fu, C. H. Y., & Young, A. H. (2019) · BMJ · doi:10.1136/bmj.l1079 · Cited by 427
Adding psychotherapy to antidepressant medication in depression and anxiety disorders: a meta-analysis
Cuijpers, P., Sijbrandij, M., Koole, S. L., Andersson, G., Beekman, A. T., & Reynolds, C. F. (2014) · World Psychiatry · doi:10.1002/wps.20089 · Cited by 424 · cited 1×
“In brief, meta-analytic studies have shown that combination treatment is more effective than pharmacology alone, psychological treatment alone and the combination of psychological treatment and placebo (Cuijpers et al., 2014b; De Maat et al., 2007; Pampallona et al., 2004).”
Background
The efficacy of short-term psychodynamic psychotherapy for depression: A meta-analysis update
Driessen, E., Hegelmaier, L. M., Abbass, A. A., Barber, J. P., Dekker, J. J. M., Van, H. L., Jansma, E. P., & Cuijpers, P. (2015) · Clinical Psychology Review · doi:10.1016/j.cpr.2015.07.004 · Cited by 409
Independent Assessment of Manic and Depressive Symptoms by Self-rating
Bauer, M. S. (1991) · Archives of General Psychiatry · doi:10.1001/archpsyc.1991.01810330031005 · Cited by 408
The social zeitgeber theory, circadian rhythms, and mood disorders: Review and evaluation
Sylvia, L. G., Alloy, L. B., & Abramson, L. Y. (2006) · Clinical Psychology Review · doi:10.1016/j.cpr.2006.07.001 · Cited by 404
Efficacy of omega-3 PUFAs in depression: A meta-analysis
Liao, Y., Xie, B., Zhang, H., He, Q., Guo, L., Subramanieapillai, M., Fan, B., Lu, C., & McIntyre, R. S. (2019) · Translational Psychiatry · doi:10.1038/s41398-019-0515-5 · Cited by 404
Risk factors for relapse and recurrence of depression in adults and how they operate: A four-phase systematic review and meta-synthesis
Buckman, J. E. J., Underwood, A., Clarke, K., Saunders, R., Hollon, S. D., Fearon, P., & Pilling, S. (2018) · Clinical Psychology Review · doi:10.1016/j.cpr.2018.07.005 · Cited by 398 · cited 1×
“Childhood maltreatment (trauma/abuse/neglect) is an important environmental factor in the aetiology of mood disorders (Brühl et al., 2019; Buckman et al., 2018).”
Background
Treatment of posttraumatic stress disorder by trained lay counselors in an African refugee settlement: A randomized controlled trial.
Neuner, F., Onyut, P. L., Ertl, V., Odenwald, M., Schauer, E., & Elbert, T. (2008) · Journal of Consulting and Clinical Psychology · doi:10.1037/0022-006x.76.4.686 · Cited by 395 · cited 1×
“Although there is increasing evidence of psychological treatments for refugees that are based on trauma-focused cognitive behavior therapy principles, such as Narrative Exposure Therapy, these are largely focused on reducing PTSD symptoms (Neuner et al., 2008).”
Background
The Development of the ICD-11 Classification of Personality Disorders: An Amalgam of Science, Pragmatism, and Politics
Tyrer, P. J., Mulder, R., Kim, Y., & Crawford, M. (2019) · Annual Review of Clinical Psychology · doi:10.1146/annurev-clinpsy-050718-095736 · Cited by 394
Self-citation
The Links Between Stress and Depression: Psychoneuroendocrinological, Genetic, and Environmental Interactions
Tafet, G. E., & Nemeroff, C. B. (2016) · The Journal of Neuropsychiatry and Clinical Neurosciences · doi:10.1176/appi.neuropsych.15030053 · Cited by 393 · cited 1×
“…processes (including dysfunctional cognitive schemas, learned helplessness, etc.), which, analogous to the sensitisation of the HPA axis and DNA methylation, predispose the individual to strong emotional responses and an inability to cope in the face of later stressors (Tafet and Nemeroff, 2015).”
Background
A Double-Blind, Placebo-Controlled Study of Quetiapine and Lithium Monotherapy in Adults in the Acute Phase of Bipolar Depression (EMBOLDEN I)
Young, A. H., McElroy, S. L., Bauer, M., Philips, N., Chang, W., Olausson, B., Paulsson, B., Brecher, M., & EMBOLDEN I (Trial 001) Investigators (2010) · The Journal of Clinical Psychiatry · doi:10.4088/jcp.08m04995gre · Cited by 390
A systematic review into the incidence, severity and duration of antidepressant withdrawal effects: are guidelines evidence-based?
Davies, J., & Read, J. (2019) · Addictive Behaviors · doi:10.1016/j.addbeh.2018.08.027 · Cited by 387
Stressful Life Events and Major Depression: Risk Period, Long-Term Contextual Threat, and Diagnostic Specificity
KENDLER, K. S., KARKOWSKI, L. M., & PRESCOTT, C. A. (1998) · The Journal of Nervous & Mental Disease · doi:10.1097/00005053-199811000-00001 · Cited by 380
TRANSCRANIAL MAGNETIC STIMULATION (TMS) FOR MAJOR DEPRESSION: A MULTISITE, NATURALISTIC, OBSERVATIONAL STUDY OF ACUTE TREATMENT OUTCOMES IN CLINICAL PRACTICE
Carpenter, L. L., Janicak, P. G., Aaronson, S. T., Boyadjis, T. A., Brock, D. G., Cook, I. A., Dünner, D. L., Lanocha, K. I., Solvason, H. B., & Demitrack, M. A. (2012) · Depression and Anxiety · doi:10.1002/da.21969 · Cited by 371
Microbiota alteration is associated with the development of stress-induced despair behavior
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See all 614

Authors: Malhi, G. S., Bell, E., Bassett, D., Boyce, P., Bryant, R., Hazell, P., Hopwood, M., Lyndon, B., Mulder, R., Porter, R., Singh, A. B., & Murray, G.
Affiliations: The University of Sydney (AU)
Consultant Psychiatrist, Perth, WA, Australia
UNSW Sydney (AU)
The University of Melbourne (AU)
University of Otago (NZ)
Deakin University (AU)
Swinburne University of Technology (AU)
Corresponding author: Malhi, Gin S
ORCID: Malhi, Gin S
Bell, Erica
Boyce, Philip
Bryant, Richard
Hazell, Philip
Hopwood, Malcolm
Mulder, Roger
Porter, Richard
Singh, Ajeet B
Murray, Greg
Venue: Australian & New Zealand Journal of Psychiatry
Publisher: SAGE Publications
Published: 2020-12-22
Volume: 55
Issue: 1
Pages: 7-117
ISSN: 0004-8674 (ISSN-L)
1440-1614
DOI: 10.1177/0004867420979353
OpenAlex: W3145708260
Semantic Scholar: aebe450498c0d007898716e02f680b40b9ae3f78
Cited by: 614
References: 648
Citations by year: 2026: 115 · 2025: 131 · 2024: 101 · 2023: 117 · 2022: 82 · 2021: 65 · 2020: 3
FWCI: 40.01
Type: journal article
Language: en
Open access: closed
Licence: journals.sagepub.com/page/policies/text-and-data-mining-license (tdm)
Locations: Australian & New Zealand Journal of Psychiatry (publishedVersion)
PubMed (publishedVersion)
Swinburne figshare (Swinburne University of Technology) (submittedVersion)
Funders: RANZCP
Topics: Health Sciences › Medicine › Pharmacology (medical) › Treatment of Major Depression
Health Sciences › Medicine › Psychiatry and Mental health › Bipolar Disorder and Treatment
Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Clinical practice guidelines implementation
Keywords: mood disorders, depression, bipolar disorder, depression treatment, bipolar disorder management
MeSH terms: Australia, Humans, New Zealand, Psychiatry, Societies, Medical, Practice Guidelines as Topic, Mood Disorders

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The 2020 Royal Australian and New Zealand College of Psychiatrists clinical practice guidelines for mood disorders

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