The Danish Depression Database

Videbech, Poul; Deleuran, Anette

doi:10.2147/clep.s100298

Cited by 29 publications

(38 citation statements)

References 9 publications

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“…Depression severity was measured using the Hamilton Depression Rating Scale 17-item version (HAM-D 17 ) [25] upon admission to the ward and at discharge, according to national guidelines [26], and recorded in a paper-and-pen version in the patients' case-files. A rating window of ±4 days was allowed in relation to admission and discharge.…”

Section: Methodsmentioning

confidence: 99%

Depressed Patients Hospitalized in Southeast-Facing Rooms Are Discharged Earlier than Patients in Northwest-Facing Rooms

et al. 2016

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Background and Aim: Improvement in patients admitted to inpatient wards with severe depression is slow, and such patients are often discharged with residual symptoms which put them at risk for relapse. New treatments that can speed up recovery are highly desired. This naturalistic follow-up study in a specialized affective disorders unit investigated the impact of daylight on the length of hospital stay and improvement of depression. Methods: For a period of 1 year, we collected data on sociodemographics, length of stay, vitamin D, and depression severity for patients in an inpatient affective disorders unit. The ward is located with one facade that faces southeast (SE); the opposite one faces northwest (NW) and receives far less light and no direct sunlight during winter. Results: SE-facing rooms received far more daylight than NW-facing rooms. The length of stay was significantly lower in the SE rooms, i.e., 29.2 (±26.8) versus 58.8 (±42.0) days in the NW rooms (p = 0.01). There was a statistically nonsignificant greater reduction of 52.2% in depression severity for the patients staying in the SE rooms compared to 42.2% in the NW rooms, which may nevertheless be clinically relevant. Conclusion: Due to the study design, no causality for the observed difference in length of stay can be given, but the results support findings in previous studies of the importance of architectural orientation providing natural daylight as a factor for improvement.

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Section: Methodsmentioning

confidence: 99%

Depressed Patients Hospitalized in Southeast-Facing Rooms Are Discharged Earlier than Patients in Northwest-Facing Rooms

et al. 2016

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“…More recently, the use of healthcare administrative databases has facilitated acquisition of more generalizable samples to decrease the inherent bias of convenient sampling (i.e. Berkson's bias), although such databases may have limited reliability as the diagnosis is typically clinical and not standardized (Lo et al, 2013;Ratnasingham et al, 2013;Videbech and Deleuran, 2016).…”

Section: Epidemiology and Pathogenesismentioning

confidence: 99%

Depression in the medically ill

Rosenblat

Kurdyak

Cosci

et al. 2019

Aust N Z J Psychiatry

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Background: Depressive disorders are significantly more common in the medically ill compared to the general population. Depression is associated with worsening of physical symptoms, greater healthcare utilization and poorer treatment adherence. The present paper provides a critical review on the assessment and management of depression in the medically ill. Methods: Relevant articles pertaining to depression in the medically ill were identified, reviewed and synthesized qualitatively. A systematic review was not performed due to the large breadth of this topic, making a meaningful summary of all published and unpublished studies not feasible. Notable studies were reviewed and synthesized by a diverse set of experts to provide a balanced summary. Results: Depression is frequently under-recognized in medical settings. Differential diagnoses include delirium, personality disorders and depressive disorders secondary to substances, medications or another medical condition. Depressive symptoms in the context of an adjustment disorder should be initially managed by supportive psychological approaches. Once a mild to moderate major depressive episode is identified, a stepped care approach should be implemented, starting with general psychoeducation, psychosocial interventions and ongoing monitoring. For moderate to severe symptoms, or mild symptoms that are not responding to low-intensity interventions, the use of antidepressants or higher intensity psychotherapeutic interventions should be considered. Psychotherapeutic interventions have demonstrated benefits with small to moderate effect sizes. Antidepressant medications have also demonstrated benefits with moderate effect sizes; however, special caution is needed in evaluating side effects, drug–drug interactions as well as dose adjustments due to impairment in hepatic metabolism and/or renal clearance. Novel interventions for the treatment of depression and other illness-related psychological symptoms (e.g. death anxiety, loss of dignity) are under investigation. Limitations: Non-systematic review of the literature. Conclusion: Replicated evidence has demonstrated a bidirectional interaction between depression and medical illness. Screening and stepped care using pharmacological and non-pharmacological interventions is merited.

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“…It is mandatory by law for all Danish psychiatric hospital wards to report data to the registry on all patients with depression who received treatment. The database holds information on process performance measures reflecting recommendations from national clinical guidelines (14)(15)(16)(17). The following process performance measures were obtained for inpatients (Table 1): examination by a psychiatrist, somatic examination, assessment by a social worker, assessment of depression (soon after admission and upon discharge), assessment of suicide risk (upon admission and before discharge), contact with relatives, and plans for psychiatric aftercare.…”

Section: Danish Depression Databasementioning

confidence: 99%