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The Challenge in Making the Diagnosis of Depression in Palliative Patients

Date: 29 December 2017

MJP Journal Issue: Malaysian Journal Of Psychiatry, December 2016, Vol. 25, No. 2 

Section: Editorial 

Author: Ng CG 

Institution: Department of Psychological Medicine, University of Malaya, Malaysia

Abstract: Palliative care patients are often vulnerable to psychological distress and the development of depression [1]. However, it is challenging to distinguish between depression and grief or appropriate sadness in this group of patients. There are several approaches proposed in the making of diagnosis of major depressive disorder in palliative care patients. The standard approach is using Structured Clinical Interview for DSM – IV (SCID) [2]. This etiological approach gives a more exact view on the presence of depression as these interviews will only include symptoms of depression if it is not attributed to medical conditions.

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