Management and Treatment of Patients With Major Depressive Disorder and Chronic Diseases: A Multidisciplinary Approach
In patients with physical chronic diseases, the prevalence of major depressive disorder (MDD) is approximately 2‐ to 3-fold higher than in the general population, and it can reach up to 20–40%. The comorbidity of MDD with chronic medical diseases is associated with poorer quality of life, increased...
| Main Authors: | , , , , , , , , , |
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| Format: | Article |
| Language: | English |
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Frontiers Media S.A.
2020-09-01
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| Series: | Frontiers in Psychology |
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| Online Access: | https://www.frontiersin.org/article/10.3389/fpsyg.2020.542444/full |
| _version_ | 1819150402793242624 |
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| author | Susana Sousa Almeida Francesca Benedetta Zizzi Agnese Cattaneo Alessandro Comandini Giorgio Di Dato Ennio Lubrano Clelia Pellicano Vincenza Spallone Serena Tongiani Riccardo Torta |
| author_facet | Susana Sousa Almeida Francesca Benedetta Zizzi Agnese Cattaneo Alessandro Comandini Giorgio Di Dato Ennio Lubrano Clelia Pellicano Vincenza Spallone Serena Tongiani Riccardo Torta |
| author_sort | Susana Sousa Almeida |
| collection | DOAJ |
| description | In patients with physical chronic diseases, the prevalence of major depressive disorder (MDD) is approximately 2‐ to 3-fold higher than in the general population, and it can reach up to 20–40%. The comorbidity of MDD with chronic medical diseases is associated with poorer quality of life, increased medical symptom burden, poor adherence to self-care regimens, increased risk of functional impairment, morbidity, and mortality, and also higher medical costs. Despite this evidence, in routine practice, psychological issues and concerns are frequently inadequately managed. This consensus document proposes that a proper diagnosis, a multidisciplinary approach, and a personalized treatment plan would allow patients with MDD and chronic comorbidities to be more compliant, to improve the outcomes, to reduce possible relapses in the long term, and to prevent or better manage complications and adverse events. This proposal might be useful for any health professionals who deal with patients with chronic diseases, as it can help to pay more attention to the emotional impact of these conditions, in particular in terms of depressive symptoms. |
| first_indexed | 2024-12-22T14:16:56Z |
| format | Article |
| id | doaj.art-0e5bbee6edb04e088d79cca422243c26 |
| institution | Directory Open Access Journal |
| issn | 1664-1078 |
| language | English |
| last_indexed | 2024-12-22T14:16:56Z |
| publishDate | 2020-09-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Psychology |
| spelling | doaj.art-0e5bbee6edb04e088d79cca422243c262022-12-21T18:23:05ZengFrontiers Media S.A.Frontiers in Psychology1664-10782020-09-011110.3389/fpsyg.2020.542444542444Management and Treatment of Patients With Major Depressive Disorder and Chronic Diseases: A Multidisciplinary ApproachSusana Sousa Almeida0Francesca Benedetta Zizzi1Agnese Cattaneo2Alessandro Comandini3Giorgio Di Dato4Ennio Lubrano5Clelia Pellicano6Vincenza Spallone7Serena Tongiani8Riccardo Torta9Portuguese Institute of Oncology Porto (IPO Porto), Hospital Cuf Porto (HCuf Porto), University of Porto (FMUP), Porto, PortugalNeurology, Psychiatry and Psychology Unit, Koelliker Hospital, Turin, ItalyAngelini RR&D (Research, Regulatory & Development) – Angelini S.p.A, Rome, ItalyAngelini RR&D (Research, Regulatory & Development) – Angelini S.p.A, Rome, ItalyAngelini RR&D (Research, Regulatory & Development) – Angelini S.p.A, Rome, ItalyAcademic Rheumatology Unit, Dipartimento di Medicina e Scienze della salute “Vincenzo Tiberio”, Università degli Studi del Molise, Campobasso, ItalyLaboratory of Neuropsychiatry, Istituto di Ricovero e Cura a Carattere Scientifico (IRCCS) Santa Lucia Foundation, Rome, ItalyDivision of Endocrinology, Department of Systems Medicine, University of Rome Tor Vergata, Rome, ItalyAngelini RR&D (Research, Regulatory & Development) – Angelini S.p.A, Rome, ItalyClinical Psychology and Psycho-Oncology Unit, Department of Neuroscience “Rita Levi Montalcini”, University of Turin, A.O.U. “Città della Salute e della Scienza” Hospital, Turin, ItalyIn patients with physical chronic diseases, the prevalence of major depressive disorder (MDD) is approximately 2‐ to 3-fold higher than in the general population, and it can reach up to 20–40%. The comorbidity of MDD with chronic medical diseases is associated with poorer quality of life, increased medical symptom burden, poor adherence to self-care regimens, increased risk of functional impairment, morbidity, and mortality, and also higher medical costs. Despite this evidence, in routine practice, psychological issues and concerns are frequently inadequately managed. This consensus document proposes that a proper diagnosis, a multidisciplinary approach, and a personalized treatment plan would allow patients with MDD and chronic comorbidities to be more compliant, to improve the outcomes, to reduce possible relapses in the long term, and to prevent or better manage complications and adverse events. This proposal might be useful for any health professionals who deal with patients with chronic diseases, as it can help to pay more attention to the emotional impact of these conditions, in particular in terms of depressive symptoms.https://www.frontiersin.org/article/10.3389/fpsyg.2020.542444/fulldepressionmajor depressive disorderchronic diseasesdiabetesrheumatoid arthritiscancer |
| spellingShingle | Susana Sousa Almeida Francesca Benedetta Zizzi Agnese Cattaneo Alessandro Comandini Giorgio Di Dato Ennio Lubrano Clelia Pellicano Vincenza Spallone Serena Tongiani Riccardo Torta Management and Treatment of Patients With Major Depressive Disorder and Chronic Diseases: A Multidisciplinary Approach Frontiers in Psychology depression major depressive disorder chronic diseases diabetes rheumatoid arthritis cancer |
| title | Management and Treatment of Patients With Major Depressive Disorder and Chronic Diseases: A Multidisciplinary Approach |
| title_full | Management and Treatment of Patients With Major Depressive Disorder and Chronic Diseases: A Multidisciplinary Approach |
| title_fullStr | Management and Treatment of Patients With Major Depressive Disorder and Chronic Diseases: A Multidisciplinary Approach |
| title_full_unstemmed | Management and Treatment of Patients With Major Depressive Disorder and Chronic Diseases: A Multidisciplinary Approach |
| title_short | Management and Treatment of Patients With Major Depressive Disorder and Chronic Diseases: A Multidisciplinary Approach |
| title_sort | management and treatment of patients with major depressive disorder and chronic diseases a multidisciplinary approach |
| topic | depression major depressive disorder chronic diseases diabetes rheumatoid arthritis cancer |
| url | https://www.frontiersin.org/article/10.3389/fpsyg.2020.542444/full |
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