The University of Southampton
University of Southampton Institutional Repository

How could depression guidelines be made more relevant and applicable to primary care?

Hegarty, Kelsey, Gunn, Jane, Blashki, Grant, Griffiths, Frances, Dowell, Tony and Kendrick, Tony (2009) How could depression guidelines be made more relevant and applicable to primary care? British Journal of General Practice, 59, (562), e149-e156. (doi:10.3399/bjgp09X420581).

Record type: Article

Abstract

Background
Many guidelines have been developed in the area of depression but there has been no systematic assessment of their relevance to general practice.
Aim
To assess national guidelines on general practice management of depression using two complementary approaches to identify specific ways in which guidance could be made more relevant and applicable to the nature of general practice and the patients who seek help in this context.
Design of study
Review of national guidelines.
Setting
Seven English speaking countries: UK, US, Australia, New Zealand, Ireland, Canada, and Singapore.
Method
Seven guidelines were independently reviewed quantitatively using the Appraisal of Guidelines for Research and Evaluation (AGREE) scores and qualitatively using thematic coding.
Results
The quantitative assessment highlights that most of the guidelines fail to meet the criteria on rigour of development, applicability, and editorial independence. The qualitative assessment shows that the majority of guidelines do not address associated risk factors sufficiently and the dilemma of diagnostic uncertainty flows over into management recommendations. Management strategies for depression (antidepressants and psychological strategies) are supported by all of the guidelines, with several listing drugs before psychological therapies; there is limited attention paid to the different types of psychological therapies. Moreover, the guidelines in the main fail to acknowledge individual patient circumstances, in particular the influence on response to treatment of social issues such as adverse life events or social support.
Conclusion
Assessments of current national guidelines on depression management in general practice suggest significant limitations in their relevance to general practice.

Full text not available from this repository.

More information

Published date: May 2009
Keywords: appraisal, depression, guidelines

Identifiers

Local EPrints ID: 68823
URI: http://eprints.soton.ac.uk/id/eprint/68823
ISSN: 0960-1643
PURE UUID: 65984b70-473c-44da-b66c-90c948249ac3
ORCID for Tony Kendrick: ORCID iD orcid.org/0000-0003-1618-9381

Catalogue record

Date deposited: 06 Oct 2009
Last modified: 19 Jul 2017 00:15

Export record

Altmetrics

Contributors

Author: Kelsey Hegarty
Author: Jane Gunn
Author: Grant Blashki
Author: Frances Griffiths
Author: Tony Dowell
Author: Tony Kendrick ORCID iD

University divisions

Download statistics

Downloads from ePrints over the past year. Other digital versions may also be available to download e.g. from the publisher's website.

View more statistics

Atom RSS 1.0 RSS 2.0

Contact ePrints Soton: eprints@soton.ac.uk

ePrints Soton supports OAI 2.0 with a base URL of http://eprints.soton.ac.uk/cgi/oai2

This repository has been built using EPrints software, developed at the University of Southampton, but available to everyone to use.

We use cookies to ensure that we give you the best experience on our website. If you continue without changing your settings, we will assume that you are happy to receive cookies on the University of Southampton website.

×