ITEMS IN AFP WITH KEYWORD:
Depression and Bipolar Disorder
Jun 15, 2019 Issue
Depression After ACS Events: AAFP Releases Updated Guidelines [Practice Guidelines]
The American Academy of Family Physicians has released a guideline focusing on depression in adults within three months of an ACS event (unstable angina or myocardial infarction). The guideline is based on a systematic review of randomized controlled trials and observational studies and covers screening and treatment.
The purpose of this guideline is to provide recommendations that are relevant to primary care for the screening and treatment of depression in patients following an acute coronary syndrome (ACS) event.
Many people with depression or anxiety turn to nonpharmacologic and nonconventional interventions, including exercise, yoga, meditation, tai chi, or qi gong. Get the latest evidence on how effective each of these interventions is for the treatment of depression and anxiety.
Key clinical questions and their evidence-based answers directly from the journal’s content, written by and for family physicians.
All adults should be screened for depression regardless of risk factors, as well as children and adolescents 12 years and older. Diagnosis should begin with a validated screening instrument, such as the Patient Health Questionnaire, and positive results should be confirmed using Diagnostic and Statistical Manual of Mental Disorders criteria.
These updated recommendations from the American Academy of Pediatrics aim to address the identification and diagnosis of all forms of depression in adolescents, defined in this guideline as those 10 to 21 years of age.
Although the association between stroke and depression is well known and prevalent, it is often overlooked.
The latest installment of the top 20 research studies for primary care physicians includes studies on cardiovascular disease and hypertension, infections, diabetes mellitus, musculoskeletal problems, and cancer screening, among other topics. The five highest-rated practice guidelines are also summarized.
A combination of three probiotic species slightly improves symptoms in patients with major depressive disorder. Lactobacillus casei alone does not affect depressive symptoms in patients with chronic fatigue syndrome, but it does improve anxiety.
In this meta-analysis, older patients with cognitive impairment who were exposed to light therapy had moderate improvements in behavioral disturbances, small improvements in sleep quality, and moderate improvements in depression. The authors did not report data on responders vs. nonresponders or on the potential adverse effects of treatment.