ITEMS IN AFP WITH KEYWORD:
Oct 1, 2015 Issue
ACOG Releases Recommendations on Screening for Perinatal Depression [Practice Guidelines]
The American College of Obstetricians and Gynecologists (ACOG) has released recommendations on screening women for perinatal depression, with the purpose of increasing awareness of depression and lessening the effects it has on pregnant and post-partum women and their families.
Get the latest information on which patients benefit most from treatment with antidepressants, how long therapy should continue, and the safety of antidepressants in older adults and in patients who are pregnant or breastfeeding.
Mirtazapine (Remeron) and venlafaxine are associated with higher rates of completed suicide in primary care patients. Rates of suicide attempts and completion are similar with the use of selective serotonin reuptake inhibitors (SSRIs) and tricyclic antidepressants.
Current evidence does not support the routine use of vortioxetine in the treatment of depression. Family physicians most often encounter patients with mild to moderate depression, and vortioxetine has not been studied in this population. There is no clear benefit of using vortioxetine over other more affordable options in its class.
Feb 1, 2015 Issue
Screening for Suicide Risk in Adolescents, Adults, and Older Adults in Primary Care: Recommendation Statement [U.S. Preventive Services Task Force]
The U.S. Preventive Services Task Force (USPSTF) concludes that the current evidence is insufficient to assess the balance of benefits and harms of screening for suicide risk in adolescents, adults, and older adults in primary care.
One of the more controversial revisions in the DSM-5, the elimination of the bereavement exclusion criterion for major depressive disorder (MDD), is discussed.
Jun 1, 2014 Issue
Psychosocial and Psychological Interventions for Preventing Postpartum Depression [Cochrane for Clinicians]
A range of prevention strategies can reduce the risk of postpartum depression, but more study is needed to determine which interventions are most effective.
The collaborative care model is effective for treating adults with depression and/or anxiety using a multiprofessional approach to patient care, a structured management plan, scheduled patient follow-ups, and enhanced interprofessional communication.
Taken in aggregate, symptoms of depression do not improve in patients with low vitamin D levels when given vitamin D supplementation any more than when given placebo. There may be a benefit in patients with low vitamin D levels and mild to moderate depression.
An organized exercise program for older patients, which may include strength training, endurance training, or both, may be helpful for some patients with symptoms of depression. The results will not be striking, but exercise is an option for patients willing to participate.