This guideline covers identifying, treating and managing depression in people aged 18 and over who also have a chronic physical health problem such as cancer, heart disease or diabetes. It aims to improve the care of people with a long-term physical health problem, which can cause or exacerbate depression. This had the potential to increase their quality of life and life expectancy.
NICE has also produced a guideline on depression in adults: recognition and management.
This guideline includes recommendations on:
- care of all people with depression
- stepped care
- recognition, assessment and initial management
- persistent subthreshold depressive symptoms or mild to moderate depression
- persistent subthreshold depressive symptoms, mild to moderate depression with inadequate response to initial interventions or moderate and severe depression
- complex and severe depression
Who is it for?
- Healthcare professionals
- Adults with depression and a chronic physical health problem, and their families and carers
Is this guideline up to date?
We checked this guideline in November 2015. We found nothing new that affects the recommendations in this guideline.
Next review: 2017
Guideline development process
This guideline updates recommendations made in NICE technology appraisal guidance 97 for the treatment of depression only.
This guideline was previously called depression in adults with chronic physical health problem: treatment and management.
The recommendations in this guideline represent the view of NICE, arrived at after careful consideration of the evidence available. When exercising their judgement, professionals are expected to take this guideline fully into account, alongside the individual needs, preferences and values of their patients or service users. The application of the recommendations in this guideline is not mandatory and the guideline does not override the responsibility of healthcare professionals to make decisions appropriate to the circumstances of the individual patient, in consultation with the patient and/or their carer or guardian.
Local commissioners and/or providers have a responsibility to enable the guideline to be applied when individual health professionals and their patients or service users wish to use it. They should do so in the context of local and national priorities for funding and developing services, and in light of their duties to have due regard to the need to eliminate unlawful discrimination, to advance equality of opportunity and to reduce health inequalities. Nothing in this guideline should be interpreted in a way that would be inconsistent with compliance with those duties.
Commissioners and providers have a responsibility to promote an environmentally sustainable health and care system and should assess and reduce the environmental impact of implementing NICE recommendations wherever possible.