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1 - Depression in the medically ill

from Part 1 - Introduction to depression and its determinants

Published online by Cambridge University Press:  17 September 2009

By
Francis Creed  and
Chris Dickens
Edited by
Andrew Steptoe
Francis Creed
Affiliation:
Department of Psychiatry, University of Manchester, Manchester, UK
Chris Dickens
Affiliation:
Department of Psychiatry, University of Manchester, Manchester, UK
Andrew Steptoe
Affiliation:
University College London
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Summary

Introduction

Psychiatric disorders of all types are more common in people with physical illness compared with the general population. Depression is the most common disorder, accounting for approximately 50% of psychopathology in the medically ill, with the remainder made up of various anxiety disorders and mixed subsyndromal symptoms of anxiety and depression. The importance of depression in the medically ill lies in its adverse effect on outcome, most notably health-related quality of life, combined with the fact that it is rarely detected and treated adequately in people who have physical illness.

The prevalence of depression in medically ill populations varies greatly according to the definition of depression and the type of measure used [1–4]. Variation in the definition and measuring instrument are the main reasons for the large variation in the prevalence figures quoted in the literature [5]. A higher prevalence of depression has been reported by studies that have used a self-administered questionnaire compared with those that used standardised research interviews administered by a trained interviewer [6]. The prevalence of depression also varies according to sociodemographic characteristics of the sample and the location of the survey (out-patient, in-patient, community) [3]. Only after all of these factors have been taken into account is it possible to assess whether the prevalence of depression varies according to type of medical disorder, its chronicity or severity [2, 3].

Keywords

cross-sectional studiesdepressionhealthcare costsphysical illnessquality of lifepopulation-based studiespsychiatric disorder
Type
Chapter
Information
Depression and Physical Illness , pp. 3 - 18
Publisher: Cambridge University Press
Print publication year: 2006

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  • Depression in the medically ill
    • By Francis Creed, Department of Psychiatry, University of Manchester, Manchester, UK, Chris Dickens, Department of Psychiatry, University of Manchester, Manchester, UK
  • Edited by Andrew Steptoe, University College London
  • Book: Depression and Physical Illness
  • Online publication: 17 September 2009
  • Chapter DOI: https://doi.org/10.1017/CBO9780511544293.002
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  • Depression in the medically ill
    • By Francis Creed, Department of Psychiatry, University of Manchester, Manchester, UK, Chris Dickens, Department of Psychiatry, University of Manchester, Manchester, UK
  • Edited by Andrew Steptoe, University College London
  • Book: Depression and Physical Illness
  • Online publication: 17 September 2009
  • Chapter DOI: https://doi.org/10.1017/CBO9780511544293.002
Available formats
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Save book to Google Drive

To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Google Drive.

  • Depression in the medically ill
    • By Francis Creed, Department of Psychiatry, University of Manchester, Manchester, UK, Chris Dickens, Department of Psychiatry, University of Manchester, Manchester, UK
  • Edited by Andrew Steptoe, University College London
  • Book: Depression and Physical Illness
  • Online publication: 17 September 2009
  • Chapter DOI: https://doi.org/10.1017/CBO9780511544293.002
Available formats
×