Major depressive disorders in the general hospital: how to implement guidelines.

Details

Serval ID
serval:BIB_1DEB374ABAED
Type
Article: article from journal or magazin.
Collection
Publications
Title
Major depressive disorders in the general hospital: how to implement guidelines.
Journal
Journal of psychosomatic research
Author(s)
Michaud L., Voellinger R., Burnand B., Stiefel F.
ISSN
0022-3999
Publication state
Published
Issued date
2006
Peer-reviewed
Oui
Volume
60
Number
5
Pages
455-9
Language
english
Notes
Publication types: Journal Article - Publication Status: ppublish
Abstract
OBJECTIVE: An implementation study that evaluated the impact of previously adopted guidelines on the clinical practice of medical residents was conducted to improve the recognition and treatment of major depressive disorders (MDDs) in hospitalized patients with somatic diseases. METHODS: Guidelines were implemented in two wards (ENT and oncology) using intranet diffusion, interactive sessions with medical residents, and support material. Discharge letters of 337 and 325 patients, before and after the intervention, respectively, were checked for statement of diagnosis or treatment of MDDs and, in a post hoc analysis, for any mention about psychiatric management. RESULTS: No difference was found in the number of diagnosed or treated MDDs before and after the intervention. However, significantly more statements about psychological status (29/309 vs. 13/327) and its management (36/309 vs. 19/327) were observed after the intervention (P<.01). CONCLUSION: The intervention was not successful in improving the management of MDDs. However, a possible effect on general psychological aspects of medical diseases was observed.
Keywords
Adolescent, Adult, Aged, Aged, 80 and over, Anxiety Disorders, Depressive Disorder, Major, Female, Guidelines as Topic, Health Promotion, Hospitals, General, Humans, Internship and Residency, Length of Stay, Middle Aged, Physician's Practice Patterns, Prevalence, Questionnaires, Severity of Illness Index
Pubmed
Web of science
Create date
10/03/2008 10:28
Last modification date
20/08/2019 12:54
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