Depression in adults, including those with a chronic physical health problem: summary of NICE guidance

doi:10.1136/bmj.b4108

Published 27 October 2009, doi:10.1136/bmj.b4108
Cite this as: BMJ 2009;339:b4108

Practice

Guidelines

Depression in adults, including those with a chronic physical health problem: summary of NICE guidance

Stephen Pilling, joint director, professor of clinical psychology and clinical effectiveness¹^,2, Ian Anderson, professor of psychiatry³, David Goldberg, professor emeritus⁴, Nicholas Meader, systematic reviewer⁵, Clare Taylor, editor⁵, On behalf of the two guideline development groups

¹ National Collaborating Centre for Mental Health, University College London, London WC1E 7HB, ² Research Department of Clinical, Educational and Health Psychology, University College London, London WC1E 7HB, ³ University of Manchester, Manchester M13 9PL, ⁴ Institute of Psychiatry, King’s College London, London SE5 8AF, ⁵ National Collaborating Centre for Mental Health, Royal College of Psychiatrists’ Research and Training Unit, London E1 8AA

Correspondence to: S Pilling s.pilling@ucl.ac.uk

The first 150 words of the full text of this article appear below.

Each year 6% of adults will experience an episode of depression,and over the course of a person’s lifetime more than 15%of the population will have an episode.¹ ² ³ ⁴ Depression (asdefined by the American Psychiatric Association⁵) is the leadingcause of suicide and currently the fourth highest disease burdenon society in terms of its treatment costs, its effect on familiesand carers, and its impact on productivity in the workplace.

Depression can be disabling and distressing and for many peoplecan become a chronic disorder, especially if inadequately treated.It is about two to three times more common in people with achronic physical health problem than in people who are in goodphysical health.⁶ Chronic physical health problems can precipitateand exacerbate depression, but depression can also adverselyaffect outcomes of coexisting physical illnesses, includingincreased mortality. Furthermore, depression can be a risk factorfor some . . . [Full text of this article]

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