Depression

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NEW TREATMENT ADDED BY A MEMBER
3 Studies
Physical exercise
Physical exercise is recommended for management of mild depression.
81% of users reported improvements
1 review
Physical
Lifestyle
TRIED
TRYING
How effective is it?
REMOVE ANSWER
completely cured
significant improvement
minor improvement
no difference
worse than before
Helps with prevention
3 (8%)
16 (43%)
11 (30%)
5 (14%)
2 (5%)
ESSENTIAL RESEARCH
Changes in Burnout and Satisfaction With Work-Life Balance in Physicians and the General US Working Population Between 2011 and 2014.
Burnout and satisfaction with work-life balance in US physicians worsened from 2011 to 2014. More than half of US physicians are now experiencing professional burnout.
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NEW SYMPTOM ADDED BY A MEMBER
Yes
12
No
0
Loss of interest
100% reported this symptom
Loss of interest or pleasure in most or all normal activities, such as sex, hobbies or sports.
Citalopram
Hi does anyone have data on the potential increase and suicide thoughts on citalopram in people over the age of 24 Also what is max does recommended In Canada the max dose allowed by health Canada is 40mg. I was prescribed 80mg in error on May 7 2019 and was on it for 11 days before I noticed something wasn’t write. Upon phoning psychiatrist he informed me it was in error and said to go down to 40mg. (My gp recommended 20mg to clean it out of my system ). I stuck w 40mg because I believe psychiatrist was expert I ended up in our mental hospital in Saskatoon on July 11 2019 with thoughts of suicide. From May 7th I lost 20lbs, could not sleep, eat or function I had been on citalopram for 12 years prior to this ranging from 10 to 20mg. In April 2019 I was increased to 40mg Thoughts ?
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0REPLY1 YEAR AGO
PROGRESS UPDATE
SYMPTOM
Loss of interest marked as severe
Sleep disturbance marked as mild
Sadness marked as severe
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0REPLY1 YEAR AGO
CLINICAL TRIALActive, not recruiting
Virtual Reality Job Interview Training in Severe Mental Illness
4 Locations
All genders
This is a randomized controlled trial to evaluate the community-based effectiveness of virtual reality job interview training (VR-JIT). Northwestern University is partnering with Thresholds Inc. to evaluate the effectiveness of VR-JIT at improving interviewing skills and access to employment. In addition, we will evaluate the cost effectiveness of VR-JIT and the process for implementing VR-JIT at Thresholds.
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0REPLY1 YEAR AGO
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ESSENTIAL RESEARCH
Screening for Depression in Adults: US Preventive Services Task Force Recommendation Statement.
The USPSTF recommends screening for depression in the general adult population, including pregnant and postpartum women. Screening should be implemented with adequate systems in place to ensure accurate diagnosis, effective treatment, and appropriate follow-up. (B recommendation).
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ESSENTIAL RESEARCH
Epidemiology of DSM-5 Drug Use Disorder: Results From the National Epidemiologic Survey on Alcohol and Related Conditions-III.
DSM-5 DUD is a common, highly comorbid, and disabling disorder that largely goes untreated in the United States. These findings indicate the need for additional studies to understand the broad relationships in more detail; estimate present-day economic costs of DUDs; investigate hypotheses regarding etiology, chronicity, and treatment use; and provide information to policy makers about allocation of resources for service delivery and research. Findings also indicate an urgent need to destigmatize DUD and educate the public, clinicians, and policy makers about its treatment to encourage affected individuals to obtain help.
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NEW TREATMENT ADDED BY A MEMBER
Get enough sleep
Lack of sleep can make depression worse.
74% of users reported improvements
Home Remedy
Physical
TRIED
TRYING
How effective is it?
REMOVE ANSWER
completely cured
significant improvement
minor improvement
no difference
worse than before
Helps with prevention
2 (7%)
6 (22%)
12 (44%)
6 (22%)
1 (4%)
NEW SYMPTOM ADDED BY A MEMBER
Yes
12
No
0
Sleep disturbance
100% reported this symptom
Sleep disturbances, including insomnia or sleeping too much.
ESSENTIAL RESEARCH
Effects of Testosterone Treatment in Older Men.
In symptomatic men 65 years of age or older, raising testosterone concentrations for 1 year from moderately low to the mid-normal range for men 19 to 40 years of age had a moderate benefit with respect to sexual function and some benefit with respect to mood and depressive symptoms but no benefit with respect to vitality or walking distance. The number of participants was too few to draw conclusions about the risks of testosterone treatment. (Funded by the National Institutes of Health and others; ClinicalTrials.gov number, NCT00799617.).
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CLINICAL TRIALNot yet recruiting
Treating Comorbid Insomnia in Transdiagnostic Internet-Delivered Cognitive Behaviour Therapy
Regina, Canada
All genders
Transdiagnostic Internet-delivered Cognitive Behaviour Therapy (ICBT) is an efficacious treatment option for anxiety and depression; however, not all patients benefit equally and some leave treatment before program completion. Comorbid symptoms of insomnia are extremely common among individuals seeking ICBT, yet sleep problems are rarely a primary focus of treatment in transdiagnostic ICBT despite insomnia being a known risk factor for anxiety and depression. This trial is designed to test whether an ICBT program for anxiety and depression can be improved by providing therapy for insomnia alongside the standard transdiagnostic program. For this randomized controlled trial, patients will be randomly assigned to receive either the standard ICBT program for anxiety and depression, which includes only brief supplementary information about sleep (n = 68), or a modified version that includes a lesson specifically on sleep (n = 132). The sleep lesson will introduce patients to two key behavioural strategies: sleep restriction and stimulus control, which previous research has demonstrated are effective at reducing insomnia. Patients will monitor their sleep throughout treatment and will complete measures of insomnia, anxiety and depression before treatment, at the end of the 8-week program, and 3 months after program conclusion to allow for a comparison of patient outcomes and completion rates between conditions. The acceptability of the new intervention will also be assessed by asking participants to provide feedback on the new materials and to complete measures of treatment satisfaction and working alliance.
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0REPLY1 YEAR AGO
NEW TREATMENT ADDED BY A MEMBER
Talk to friends or family
Friends and family can give you support.
71% of users reported improvements
Lifestyle
TRIED
TRYING
How effective is it?
REMOVE ANSWER
completely cured
significant improvement
minor improvement
no difference
worse than before
Helps with prevention
2 (10%)
5 (24%)
8 (38%)
5 (24%)
1 (5%)
PROGRESS UPDATE
TREATMENT
Physical exercise made no difference
SYMPTOM
Loss of interest marked as mild
Sleep disturbance marked as severe
Sadness marked as moderate
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0REPLY1 YEAR AGO
ESSENTIAL RESEARCH
Prevalence of Depression and Depressive Symptoms Among Resident Physicians: A Systematic Review and Meta-analysis.
In this systematic review, the summary estimate of the prevalence of depression or depressive symptoms among resident physicians was 28.8%, ranging from 20.9% to 43.2% depending on the instrument used, and increased with calendar year. Further research is needed to identify effective strategies for preventing and treating depression among physicians in training.
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ESSENTIAL RESEARCH
Prevalence of Depression, Depressive Symptoms, and Suicidal Ideation Among Medical Students: A Systematic Review and Meta-Analysis.
In this systematic review, the summary estimate of the prevalence of depression or depressive symptoms among medical students was 27.2% and that of suicidal ideation was 11.1%. Further research is needed to identify strategies for preventing and treating these disorders in this population.
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ESSENTIAL RESEARCH
Computerised cognitive behaviour therapy (cCBT) as treatment for depression in primary care (REEACT trial): large scale pragmatic randomised controlled trial.
Supported cCBT does not substantially improve depression outcomes compared with usual GP care alone. In this study, neither a commercially available nor free to use computerised CBT intervention was superior to usual GP care.
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CLINICAL TRIALRecruiting
The Effect and Applicability of CBT-Based Weight Loss Treatment Model in Obese Patients With Comorbid Depression in Health Care
Kuopio, Finland
All genders
The aim of this study is find out how CBT-based weight loss program affects on eating behavior, weight loss, mood symptoms and risk for coronary heart diseases and type 2 diabetes and applicability of the program to obesity treatment among patients with comorbid depression. Our hypothesis is that the CBT-based intervention improves long-term weight management results and supports positively the change in eating behavior and the risk for CHD on type 2 DM. The study is randomized controlled one-year intervention study with 1 year follow-up. Study subjects are adult obese (BMI>35) subjects with comorbid depression. Number of randomized study subjects will be 80, 40 in intervention group, 40 in control group. Intervention group will proceed through a 52-week CBT-based weight loss group intervention. The aim of the intervention is to modify eating behavior and lifestyle factors affecting weight and weight maintenance. There will be 22 group counselling of 90 minutes divided in five modules and also three individual person-centered counselling visit, during which participants had an opportunity to discuss their personal concerns about diet and weight loss plan. Control group will receive the usual care of obesity in Kuopio University hospital. (4-8 individual 45-minute visit conducted by dieticians) Study visits are at baseline and one and 2 years after baseline. For example eating behavior, health behavior, motivation and depression are studied with questionnaires. Weight, waist circumference, height and blood pressure are measured. Laboratory tests (lipid, glucose etc) are taken.
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0REPLY1 YEAR AGO
ESSENTIAL RESEARCH
Comparative efficacy and tolerability of antidepressants for major depressive disorder in children and adolescents: a network meta-analysis.
When considering the risk-benefit profile of antidepressants in the acute treatment of major depressive disorder, these drugs do not seem to offer a clear advantage for children and adolescents. Fluoxetine is probably the best option to consider when a pharmacological treatment is indicated.
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ABOUT
Depression, also called major depressive disorder, is a mood disorder that causes a persistent feeling of sadness and loss of interest. It is often accompanied by low self-esteem, loss of interest in normally enjoyable activities, low energy, and pain without a clear cause. Some people have periods of depression separated by years in which they are normal while others nearly always have symptoms present. Depression may require long-term treatment, but don't get discouraged. Most people with depression feel better with medication, psychotherapy or both.
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