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Depression in the terminally ill

T S Brugha1

  • 1Department of Psychiatry, University of Leicester, Leicester Royal Infirmary.

British Journal of Hospital Medicine
|August 18, 1993
PubMed
Summary

Depression is common but treatable in terminally ill patients. It is not an inevitable outcome of advanced illness and requires proper recognition and management.

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Area of Science:

  • Palliative Care
  • Oncology
  • Psychiatry

Background:

  • Clinical depression is often overlooked and undertreated in terminally ill patients.
  • Depression is not an inevitable consequence of terminal illness for cognitively intact individuals.
  • The majority of patients with advanced malignant disease do not experience depression.

Purpose of the Study:

  • To review the epidemiology of depression in terminally ill patients.
  • To examine the causes of depression in the terminally ill.
  • To discuss the treatment of depression in terminally ill patients.

Main Methods:

  • Literature review of epidemiological data.
  • Analysis of etiological factors contributing to depression in advanced illness.
  • Synthesis of current treatment strategies for depression in palliative care.

Main Results:

  • Depression is prevalent but treatable in terminally ill populations.
  • Various factors contribute to depression, distinct from the terminal illness itself.
  • Effective management strategies exist for depression in this patient group.

Conclusions:

  • Early recognition and treatment of depression are crucial for improving quality of life in terminally ill patients.
  • Depression in terminal illness requires a multidisciplinary approach.
  • Addressing depression enhances patient well-being and care outcomes.

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