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Centre for Policy on Ageing | |
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| Guideline for the management of late life depression in primary care | | Author(s) | Robert C Baldwin, David Anderson, Sarah Black |
| Corporate Author | Faculty of Old Age Psychiatry Working Group, Royal College of Psychiatrists |
| Journal title | International Journal of Geriatric Psychiatry, vol 18, no 9, September 2003 |
| Pages | pp 829-838 |
| Keywords | Depression ; Drugs ; General practice ; Standards of provision. |
| Annotation | Most depression is treated entirely in primary care, but there is evidence of poor detection. The authors aimed to develop a guideline for the primary care management of depression in later life based on best practice. Key reviews and consensus documents, a literature search for 1998 to October 2001, and evidence-based statements indicate the existence of good quality evidence for the efficacy of pharmacological and psychological treatment of depressive episodes, though not necessarily in primary care. While this article points to tricyclic antidepressants and Selective Serotonin Re-uptake Inhibitors (SSRIs) as being effective in long-term prevention, there is less data on how to manage patients who do not respond in the acute treatment phase. More research is needed on the optimum treatment of depression with medical co-morbidity, and to elucidate the role of newer psychological interventions. Collaborative care between primary care and specialist services is a promising new avenue for management. (RH). |
| Accession Number | CPA-031001221 A |
| Classmark | ENR: LLD: L5: 583 |
Data © Centre for Policy on Ageing |
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| ...from the Ageinfo database published by Centre for Policy on Ageing. |
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