naa a22 4500 510779379 CHVBK 20180411083241.0 cr unu---uuuuu 180411e20131201xx s 000 0 eng 10.1007/s11892-013-0416-6 doi (NATIONALLICENCE)springer-10.1007/s11892-013-0416-6 Psychological Care in a National Health Service: Challenges for People with Diabetes [Elektronische Daten] [Cathy Lloyd, Paramjit Gill, Margaret Stone] Recently, there has been a growing interest in psychological problems in people with diabetes and a concomitant increasing concern that these often go unreported and, thus, unidentified and treated. This has serious implications for both the self-management of diabetes and the individual's quality of life. In this review article we consider the question of screening for depression in people with diabetes within a national health service in the UK. The inadequacies of psychological care for patients with diabetes are discussed, in particular with regard to the importance of distinguishing between depressive symptoms and emotional distress related to having diabetes. Criteria for assessing the validity of screening for depression are discussed, together with national and international recommendations, with particular emphasis on current practice. The screening strategy currently recommended for implementation in primary care in the UK is outlined. The need for rigorous evaluation of screening initiatives is highlighted and a key conclusion is that case-finding alone is unlikely to be effective in terms of improving patient outcomes unless considered and applied in the context of overall case management. This review highlights the barriers and challenges to optimizing care for patients with co-morbid diabetes and depression, and outlines the therapies currently available in the UK, which might be disseminated in other countries. Springer Science+Business Media New York, 2013 Diabetes mellitus nationallicence Depression nationallicence Diabetes-related emotional distress nationallicence Primary care nationallicence Screening nationallicence Guidelines nationallicence Psychological care nationallicence National health service nationallicence Lloyd Cathy Faculty of Health and Social Care, The Open University, Milton Keynes, MK7 6AA, Buckinghamshire, UK aut Gill Paramjit Primary Care Clinical Sciences, School of Health and Population Sciences, College of Medical and Dental Sciences, University of Birmingham, Edgbaston, B15 2TT, Birmingham, UK aut Stone Margaret Diabetes Research Unit, University of Leicester, Leicester General Hospital, LE5 4PW, Leicester, UK aut Current Diabetes Reports Springer US; http://www.springer-ny.com 13/6(2013-12-01), 894-899 1534-4827 13:6<894 2013 13 11892 https://doi.org/10.1007/s11892-013-0416-6 text/html Onlinezugriff via DOI 1 review-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s11892-013-0416-6 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Lloyd Cathy Faculty of Health and Social Care, The Open University, Milton Keynes, MK7 6AA, Buckinghamshire, UK aut NATIONALLICENCE 700 1- Gill Paramjit Primary Care Clinical Sciences, School of Health and Population Sciences, College of Medical and Dental Sciences, University of Birmingham, Edgbaston, B15 2TT, Birmingham, UK aut NATIONALLICENCE 700 1- Stone Margaret Diabetes Research Unit, University of Leicester, Leicester General Hospital, LE5 4PW, Leicester, UK aut NATIONALLICENCE 773 0- Current Diabetes Reports Springer US; http://www.springer-ny.com 13/6(2013-12-01), 894-899 1534-4827 13:6<894 2013 13 11892 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer