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Titolo:
Depression in palliative care: a pragmatic report from the expert working group of the European Association for Palliative Care
Autore:
Stiefel, F; Trill, MD; Berney, A; Olarte, JMN; Razavi, D;
Indirizzi:
Univ Lausanne Hosp, Psychiat Serv, CH-1011 Lausanne, Switzerland Univ Lausanne Hosp Lausanne Switzerland CH-1011 11 Lausanne, Switzerland Univ Gen Hosp Gregorio Maranon, Psychooncol Unit, Madrid, Spain Univ Gen Hosp Gregorio Maranon Madrid Spain hooncol Unit, Madrid, Spain Univ Gen Hosp Gregorio Maranon, Palliat Care Serv, Madrid, Spain Univ Gen Hosp Gregorio Maranon Madrid Spain at Care Serv, Madrid, Spain Hop St Anne, Psychiat Univ Clin, Brussels, Belgium Hop St Anne Brussels Belgium nne, Psychiat Univ Clin, Brussels, Belgium
Titolo Testata:
SUPPORTIVE CARE IN CANCER
fascicolo: 7, volume: 9, anno: 2001,
pagine: 477 - 488
SICI:
0941-4355(200110)9:7<477:DIPCAP>2.0.ZU;2-0
Fonte:
ISI
Lingua:
ENG
Soggetto:
COMMON PSYCHIATRIC-DISORDERS; SELF-REPORT QUESTIONNAIRES; CANCER-PATIENTS; SUPPORTIVE CARE; MAJOR DEPRESSION; BREAST-CANCER; PHARMACOLOGICAL TREATMENT; PSYCHOLOGICAL DISTRESS; ADJUSTMENT DISORDERS; HOSPITAL ANXIETY;
Keywords:
depression; palliative care; detection; treatment; staff training;
Tipo documento:
Review
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Citazioni:
113
Recensione:
Indirizzi per estratti:
Indirizzo: Stiefel, F Univ Lausanne Hosp, Psychiat Serv, CH-1011 Lausanne, Switzerland Univ Lausanne Hosp Lausanne Switzerland CH-1011 , Switzerland
Citazione:
F. Stiefel et al., "Depression in palliative care: a pragmatic report from the expert working group of the European Association for Palliative Care", SUPP CARE C, 9(7), 2001, pp. 477-488

Abstract

Our objective in this study was to summarize the relevant knowledge on depression in palliative care and to provide a framework for clinical, scientific and educational efforts at improving its management. The Research Steering Committee (RSC) of the European Association of Palliative Care (EAPC) established an Expert Working Group (EWG) to address the issue of depressionin palliative care. Each invited expert was allocated a specific topic andwas asked to review the literature. These reviews were presented during the Sixth Congress of the EAPC in 1999 and then discussed in a closed meetingwith members of the RSC. Based on these reviews, and the discussions that followed their presentation, a first draft of the paper was produced and circulated among the invited experts and members of the RSC who had been present at the meetings. After some debate the manuscript was revised, and a second draft was circulated, this time also to RSC members who had not attended the meetings. All persons consulted have agreed on this final version ofthe report. The EWG concluded that the current level of evidence did not lend itself to the development of clinical guidelines and decided to publishthe results of their work as a pragmatic report. The report is divided into four sections, focusing on detection, training and nonpharmacological. and pharmacological treatment of depression in palliative care. For each of these sections, general considerations are addressed on the basis of the literature review and of clinical experience and a short description of unresolved issues and recommendations is provided. Underdetection and undertreatment of depression is a serious problem in palliative care. Training of the nonpsychiatric staff should therefore have the highest priority. A proactive, flexible and comprehensive strategy embracing clinical, scientific, and educational aspects is advocated.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 18/01/20 alle ore 08:09:41