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Revisiting depression in palliative care settings : the need to focus on clinical utility over validity
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Reeve, Joanne L., Lloyd-Williams, M and Dowrick, C (2008) Revisiting depression in palliative care settings : the need to focus on clinical utility over validity. Palliative Medicine, Volume 22 (Number 4). pp. 383-391. doi:10.1177/0269216307087953 ISSN 0269-2163.
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Official URL: http://dx.doi.org/10.1177/0269216307087953
Abstract
Objective: To review the literature on depression in palliative care patients to identify implications for development of clinical practice and individual patient care. Method: A qualitative review of epression prevalence studies in palliative care settings. We
explore the utility of existing prevalence studies for clinical practice through testing two hypotheses: that high prevalence rates are associated with increased risk factors in study samples, and that poor methodological quality of the studies artefactually
inflate prevalence estimates. Eighteen studies were identified in the search and included in this review. Results: Risk factors may contribute to depression prevalence but through a complex interaction of factors making individual risk levels hard to determine. Measurement artefact cannot, alone, account for elevated levels of depression in this population but may contribute to imprecision. The importance of organic decline as a potential confounding variable is highlighted. Conclusion: Future research into the causes and prevalence of depression should adopt longitudinal approaches using large samples, and consider the impact of organic disorder as an important confounding factor. Clinical practice and care of individual patients may be better supported by development of a prognostic index considering the predictive power of depressive symptoms and risk factors on well-being. Palliative Medicine (2008); 22: 383–391
Item Type: | Journal Article | ||||
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Divisions: | Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School > Health Sciences Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School > Health Sciences > Social Science & Systems in Health (SSSH) Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School |
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Journal or Publication Title: | Palliative Medicine | ||||
Publisher: | Sage | ||||
ISSN: | 0269-2163 | ||||
Official Date: | June 2008 | ||||
Dates: |
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Volume: | Volume 22 | ||||
Number: | Number 4 | ||||
Page Range: | pp. 383-391 | ||||
DOI: | 10.1177/0269216307087953 | ||||
Status: | Peer Reviewed | ||||
Publication Status: | Published | ||||
Access rights to Published version: | Restricted or Subscription Access |
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