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Depression and Anxiety Screens as Simultaneous Predictors of 10-Year Incidence of Diabetes Mellitus in Older Adults in Primary Care 27641686 2016 09 19 2017 02 21 1532-5415 65 2 2017 Feb Journal of the American Geriatrics Society J Am Geriatr Soc Depression and Anxiety Screens as Simultaneous Predictors of 10-Year Incidence of Diabetes Mellitus in Older Adults in Primary Care. 294-300 10.1111/jgs.14454 To examine depression and anxiety screens and their individual items as simultaneous (...) predictors of incident diabetes mellitus. Ten-year follow-up study of individuals screened for the Improving Mood-Promoting Access to Collaborative Treatment (IMPACT) trial. Two large urban primary care clinics in Indianapolis, Indiana. Diverse sample (53% African American, 80% of lower socioeconomic status) of 2,156 older adults initially free of diabetes mellitus. Depression and anxiety screens were completed during routine primary care visits between 1999 and 2001. Incident diabetes mellitus data were
The Patient Health Questionnaire-9 as a Screening Tool for Depression in Individuals with Type 2 Diabetes Mellitus: The Maastricht Study 27783384 2016 10 26 2016 11 21 1532-5415 64 11 2016 Nov Journal of the American Geriatrics Society J Am Geriatr Soc The Patient Health Questionnaire-9 as a Screening Tool for Depression in Individuals with Type 2 Diabetes Mellitus: The Maastricht Study. e201-e206 10.1111/jgs.14388 To assess the psychometric properties and identify the best cutoff value (...) of the Patient Health Questionnaire-9 (PHQ-9) for depression screening in individuals with type 2 diabetes mellitus (T2DM). Observational population-based cohort study. The Maastricht Study. Individuals with and without T2DM (mean age 58.6 ± 8.1, 44.6% male) according to an oral glucose tolerance test (N = 2,997). Depressive disorder and depressive symptoms were measured using the Mini-International Neuropsychiatric Interview (MINI) as the reference and the PHQ-9. Cronbach alpha, Cohen's kappa
Exercise and internet-based cognitive-behavioural therapy for depression: multicentre randomised controlled trial with 12-month follow-up 27609813 2016 09 09 2016 11 03 1472-1465 209 5 2016 Nov The British journal of psychiatry : the journal of mental science Br J Psychiatry Exercise and internet-based cognitive-behavioural therapy for depression: multicentre randomised controlled trial with 12-month follow-up. 414-420 Evidence-based treatment of depression continues to grow, but successful (...) treatment and maintenance of treatment response remains limited. To compare the effectiveness of exercise, internet-based cognitive-behavioural therapy (ICBT) and usual care for depression. A multicentre, three-group parallel, randomised controlled trial was conducted with assessment at 3 months (post-treatment) and 12 months (primary end-point). Outcome assessors were masked to group allocation. Computer-generated allocation was performed externally in blocks of 36 and the ratio of participants per
Association Between Depressive Disorders and Incident Acute Myocardial Infarction in Human Immunodeficiency Virusâ€“Infected Adults: Veterans Aging Cohort Study 27557332 2018 09 17 2018 11 13 2380-6591 1 8 2016 11 01 JAMA cardiology JAMA Cardiol Association Between Depressive Disorders and Incident Acute Myocardial Infarction in Human Immunodeficiency Virus-Infected Adults: Veterans Aging Cohort Study. 929-937 10.1001/jamacardio.2016.2716 With the advent of highly effective antiretroviral (...) therapy and improved survival, human immunodeficiency virus (HIV)-infected people are living longer and are now at an increased risk for cardiovascular disease (CVD). There is an urgent need to identify novel risk factors and primary prevention approaches for CVD in HIV. Although depression is prevalent in HIV-infected adults and is associated with future CVD in the general population, its association with CVD events has not been examined in the HIV-infected population. To examine whether depressive
Depression and Immunosuppressive Therapy Adherence Following Renal Transplantation in Military Healthcare System Beneficiaries 29142960 2018 11 13 2468-0249 2 2 2017 Mar Kidney international reports Kidney Int Rep Depression and Immunosuppressive Therapy Adherence Following Renal Transplantation in Military Healthcare System Beneficiaries. 248-250 10.1016/j.ekir.2016.10.005 Little Dustin J DJ Nephrology Service, Department of Medicine, Walter Reed National Military Medical Center, Bethesda
A training programme involving automatic self-transcending meditation in late-life depression: preliminary analysis of an ongoing randomised controlled trial. 27703774 2016 10 05 2017 02 20 2 2 2016 Mar BJPsych open BJPsych Open A training programme involving automatic self-transcending meditation in late-life depression: preliminary analysis of an ongoing randomised controlled trial. 195-198 Late-life depression affects 2-6% of seniors aged 60 years and above. Patients are increasingly (...) embracing non-pharmacological therapies, many of which have not been scientifically evaluated. This study aimed to evaluate a category of meditation, automatic self-transcending meditation (ASTM), in alleviating symptoms of depression when augmenting treatment as usual (NCT02149810). The preliminary results of an ongoing single-blind randomised controlled trial comparing a training programme involving ASTM with a wait-list control indicate that a 12-week ASTM programme may lead to significantly greater
Treating anxiety and depression in older adults: randomised controlled trial comparing guided 27703754 2016 10 05 2017 02 20 2056-4724 2 1 2016 Jan BJPsych open BJPsych Open Treating anxiety and depression in older adults: randomised controlled trial comparing guided v. self-guided internet-delivered cognitive-behavioural therapy. 50-58 Symptoms of anxiety and depression are prevalent in older adults. To compare clinician-guided and self-guided versions of a transdiagnostic internet-delivered (...) cognitive-behavioural therapy (iCBT) intervention for adults aged 60 years and above. Adults (n=433) with symptoms of anxiety and depression were randomly allocated to: (1) clinician-guided treatment (n=153); (2) initial clinician interview followed by self-guided treatment (n=140); or (3) self-guided treatment without interview (n=140). Large reductions (d ≥1.00) in symptoms of depression and anxiety were observed across groups, and sustained at follow-up. No differences were observed in clinical
Internet-delivered treatment for older adults with anxiety and depression: implementation of the Wellbeing Plus Course in routine clinical care and comparison with research trial outcomes. 27703794 2016 10 05 2017 02 20 2056-4724 2 5 2016 Sep BJPsych open BJPsych Open Internet-delivered treatment for older adults with anxiety and depression: implementation of the Wellbeing Plus Course in routine clinical care and comparison with research trial outcomes. 307-313 The Wellbeing Plus Course (...) is an internet-delivered psychological intervention for older adults with anxiety or depression. To compare the effectiveness of the Wellbeing Plus Course in a public health setting (clinic group) with its efficacy in a randomised controlled trial (research group). Participants (n=949) were Australian adults aged 60 and above. Primary outcome measures were the Patient Health Questionnaire (PHQ-9) and Generalized Anxiety Disorder scale (GAD-7). Initial symptom severity was higher in the clinic group
Cost-effectiveness of telehealth for patients with depression: evidence from the Healthlines randomised controlled trial. 27703785 2016 10 05 2017 02 20 2056-4724 2 4 2016 Jul BJPsych open BJPsych Open Cost-effectiveness of telehealth for patients with depression: evidence from the Healthlines randomised controlled trial. 262-269 Depression is a prevalent long-term condition that is associated with substantial resource use. Telehealth may offer a cost-effective means of supporting (...) the management of people with depression. To investigate the cost-effectiveness of a telehealth intervention ('Healthlines') for patients with depression. A prospective patient-level economic evaluation conducted alongside a randomised controlled trial. Patients were recruited through primary care, and the intervention was delivered via a telehealth service. Participants with a confirmed diagnosis of depression and PHQ-9 score ≥10 were recruited from 43 English general practices. A series of up to 10
Missed opportunity to screen and diagnose PTSD and depression among deploying shipboard US military personnel 27713833 2018 11 13 2056-4724 2 5 2016 Sep BJPsych open BJPsych Open Missed opportunity to screen and diagnose PTSD and depression among deploying shipboard US military personnel. 314-317 Depression and post-traumatic stress disorder (PTSD) are significant risks for suicide and other adverse events among US military personnel, but prevalence data among ship-assigned personnel (...) at the onset of deployment are unknown. To determine the prevalence of shipboard personnel who screen positive for PTSD and/or major depressive disorder (MDD) at the onset of deployment, and also those who reported these diagnoses made by a physician or healthcare professional in the year prior to deployment. Active-duty ship-assigned personnel ( N = 2078) completed anonymous assessments at the beginning of deployment. Depression was measured using the Center for Epidemiologic Studies Depression Scale (CES
Depression. This issue provides a clinical overview of depression, focusing on screening, diagnosis, treatment, and practice improvement. The content of In the Clinic is drawn from the clinical information and education resources of the American College of Physicians (ACP), including MKSAP (Medical Knowledge and Self-Assessment Program). Annals of Internal Medicine editors develop In the Clinic in collaboration with the ACP's Medical Education and Publishing divisions and with the assistance
The Association Between Geographic Location and Anxiety and Depression in Transgender Individuals: An Exploratory Study of an Online Sample 28861531 2018 11 13 2380-193X 1 1 2016 Transgender health Transgend Health The Association Between Geographic Location and Anxiety and Depression in Transgender Individuals: An Exploratory Study of an Online Sample. 181-186 10.1089/trgh.2016.0020 Purpose: Research has demonstrated associations between discrimination and mental health in lesbian, gay (...) , bisexual, and transgender populations. However, little is known about the influence of geographic location on psychological distress in these populations, particularly among transgender people. Methods: This secondary analysis conducted on a national sample of transgender individuals ( N =414) offers a preliminary understanding of the effects of geographic location on psychological distress (i.e., anxiety and depression). A univariate analysis of variance was calculated to determine this relationship
Depression in Chronic Kidney Disease and End-Stage Renal Disease: Similarities and Differences in Diagnosis, Epidemiology, andÂ Management 29318209 2018 11 13 2468-0249 2 1 2017 Jan Kidney international reports Kidney Int Rep Depression in Chronic Kidney Disease and End-Stage Renal Disease: Similarities and Differences in Diagnosis, Epidemiology, and Management. 94-107 10.1016/j.ekir.2016.09.005 Depression is highly prevalent and is associated with poor quality of life and increased mortality (...) among adults with chronic kidney disease (CKD), including those with end-stage renal disease (ESRD). However, there are several important differences in the diagnosis, epidemiology, and management of depression between patients with non-dialysis-dependent CKD and ESRD. Understanding these differences may lead to a better understanding of depression in these 2 distinct populations. First, diagnosing depression using self-reported questionnaires may be less accurate in patients with ESRD compared with
Continuation and maintenance treatments for depression in older people. BACKGROUND: Depressive illness is common in old age. Prevalence in the community of case level depression is around 15% and milder forms of depression are more common. It causes significant distress and disability. The number of people over the age of 60 years is expected to double by 2050 and so interventions for this often long-term and recurrent condition are increasingly important. The causes of late-life depression (...) differ from depression in younger adults and so it is appropriate to study it separately.This is an update of a Cochrane review first published in 2012. OBJECTIVES: To examine the efficacy of antidepressants and psychological therapies in preventing the relapse and recurrence of depression in older people. SEARCH METHODS: We performed a search of the Cochrane Common Mental Disorders Group's specialised register (the CCMDCTR) to 13 July 2015. The CCMDCTR includes relevant randomised controlled trials
Breaking the Cycle: Shining a Light on Physician Depression and Suicide for the Next Generation Breaking the Cycle: Shining a Light on Physician Depression and Suicide for the Next Generation | Clinical Correlations Breaking the Cycle: Shining a Light on Physician Depression and Suicide for the Next Generation September 16, 2016 By Andrew Hallett Peer Reviewed For decades, surveys and public data have shown staggeringly high rates of suicide, suicidal ideation, and depression among . 1-4 Male (...) doctors are 40% more likely to commit suicide than other men, and female doctors are 130% more likely to do so than other women, . 5 With expanded access to care and new regulatory requirements under the Affordable Care Act increasing pressure on doctors, a focus on physician health has never been more pressing. Research within the last decade has increased our understanding of psychological distress and associated burnout, depression, and suicidality among physicians, leading some institutions
Depression, anxiety, and psychotropic medication use and fecundability 27131586 2016 09 30 2016 09 30 1097-6868 215 4 2016 Oct American journal of obstetrics and gynecology Am. J. Obstet. Gynecol. Depression, anxiety, and psychotropic medication use and fecundability. 453.e1-8 10.1016/j.ajog.2016.04.022 S0002-9378(16)30100-4 The literature regarding the associations between depression, anxiety, and fecundity is inconsistent. While cross-sectional studies suggest that depression and/or anxiety (...) may adversely affect fecundity, the sole cohort study showed only a small association. We sought to evaluate the association of self-reported depressive symptoms, self-reported diagnoses of depression and anxiety, and psychotropic medication use with fecundability in a prospective cohort study. Data were derived from Pregnancy Study Online (PRESTO), an Internet-based preconception cohort study of couples attempting to conceive in the United States and Canada. At baseline, female participants