This site is intended for healthcare professionals only

Beating ‘the black dog’

Written by: | Published:

Rates of depression have risen globally by a fifth in the last decade. But researchers are building up a better picture of its causes and management

Unless you’ve suffered from major depression, it’s difficult to appreciate the devastating impact on every aspect of your life. As William Styron commented, ‘to most of those who have experienced it, the horror of depression is so overwhelming as to be quite beyond expression’.1 Indeed, depression makes the single largest contribution to global disability.2 Now new studies help clarify depression’s risk factors, confirm that antidepressants can help, but are associated with several issues, and underscore the value of non-pharmacological management.

One recent study, for example, reported that older people with major depression tend to have a particularly poor prognosis, even allowing for other risk factors. Researchers enrolled 1042 people aged between 18 and 88 years. Older age was significantly associated with a worse 2-year course for all four outcomes studied: diagnosis of major depression, chronic symptom course, time to remission and change in depression severity. For instance, a diagnosis of depression was still present after 2 years in 36% of people aged 18–29 years compared to 51% of those aged 70 years or older. Furthermore, 18.2% of those aged 18–29 years had a chronic symptom course compared to 40.6% of people aged 70 years or older.3

Please login or register to read the rest of the article and to have access to downloads and comments.

What do you think? Leave a comment below or tweet your views to @IndyNurseMag

This material is protected by MA Healthcare Ltd copyright.
See Terms and Conditions.

Read a free issue from Practice Nursing

Register to read a free issue from our sister publication, Practice Nursing.

Including articles on asthma, diabetes and more. Read your copy.


Sign up to the newsletter


Independent Nurse is the professional resource for primary care and community nurses, providing clinical articles for practice nurses and prescribers.


Subscribe to our newsletter and stay up to date with the latest nursing news.

Stay Connected

Stay social with Independent Nurse by following us on Twitter, liking us on Facebook or connecting on LinkedIn.


Need access to some of our older articles? You can view our archive, or alternatively contact us.

Contact Us

MA Healthcare Ltd.
St Jude's Church, Dulwich Road
London, SE24 0PB

Tel: +44 (0)20 7738 5454
Registered in England and Wales No. 01878373

Meet the team


Find out how to contribute to Independent Nurse here.