Clinical Case Database / Category: Patient Management
Diagnosis and management of anxiety and depression in patients with physical illness
Publication details
Dr Alifa Isaacs-Itua BM BS, LLDip, BA (Hons), Dr Jim Bolton MB BS, BSc(Hons), FRCPsyc
Foundation Years Journal, volume 4, issue 8, p.9 (123Doc Education, London, September 2010)
Abstract
Patients with physical illnesses have higher rates of depression and anxiety, particularly those with a history of mental illness. Physical and psychological co-morbidity are associated with a poorer physical outcome and an increased use of health care resources. Foundation doctors play an important role in identifying patients with anxiety and depression in the context of physical ill health. This can be achieved by observation and careful enquiry about psychiatric symptoms. We describe a case of a patient whose initial recovery and rehabilitation was hindered by anxiety and depression.
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Authors
Dr Alifa Isaacs-Itua BM BS, LLDip, BA (Hons)
Foundation Doctor
Dr Jim Bolton MB BS, BSc(Hons), FRCPsyc
Consultant Liaison Psychiatrist & Honorary Senior Lecturer
Department of Liaison Psychiatry
St Helier Hospital
Wrythe Lane
Carshalton
Surrey SM5 1AA
jim.bolton@swlsg-tr.nhs.uk
References
1. Whooley MA, Avins AL, Miranda J, et al.(1997) Case-finding instruments for depression. Two questions are as good as many. J Gen Intern Med. 12(7):439–445.
2. National Institute for Health and Clinical Excellence (NICE) (2009) Depression in adults with chronic physical health problem. http://www.nice.org.uk/nicemedia/pdf/CG91QuickRefGuide.pdf
3. Beck AT, Ward CH, Mendelson M, et al. (1961) An inventory for measuring depression. Arch of Gen Psychiatry. 4:561–571.
4. Snaith RP, Zigmond AS. (1983) The hospital anxiety and depression scale. Acta Psychiatr Scand. 67(6):361–370.
5. Longson D. (2007) Detection of psychiatric disorders in the general hospital: a practical guide. In: GG Lloyd and E Guthrie (eds) Handbook of Liaison Psychiatry. 1st edn. Cambridge: Cambridge University Press; 83–101.
6. Cleare AJ. (2008) Mood disorders in the general hospital setting. Psychiatry. 8(2):67–70.
7. Rao M. (2008) Depression in the physically ill. Primary Psychiatry. 15(9):44–50.
Disclaimers
Conflict Of Interest
The Journal requires that authors disclose any potential conflict of interest that they may have. This is clearly stated in the Journal’s published “Guidelines for Authors”. The Journal follows the Guidelines against Conflict of Interest published in the Uniform Requirements for Manuscripts Submitted to Biomedical Journals (http://www.icmje.org/urm_full.pdf).
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When reporting experiments on human subjects, the Journal requires authors to indicate whether the procedures followed were in accordance with the ethical standards of the responsible committee on human experimentation (institutional and national) and with the HelsinkiDeclaration of 1975, as revised in 2008.
About the Clinical Cases Database
The Foundation Years Clinical Cases Database is a selection of 600 peer-reviewed clinical cases in the field of patient safety and clinical practice, specifically focused on the clinical information needs of junior doctors, based around the Foundation Year Curriculum programme (MMC). The cases have been chosen to align with the Foundation Year Curriculum.
The database is fully searchable, or can be browsed by medical specialty. Abstracts can be read free of charge, however a subscription is required in order to read the complete cases.