Management and Treatment of Patients With Major Depressive Disorder and Chronic Diseases: A Multidisciplinary Approach

Susana Sousa Almeida, Francesca Benedetta Zizzi, Agnese Cattaneo, Alessandro Comandini, Giorgio Di Dato, Ennio Lubrano, Clelia Pellicano, Vincenza Spallone, Serena Tongiani, Riccardo Torta

Research output: Contribution to journalArticlepeer-review


In patients with physical chronic diseases, the prevalence of major depressive disorder (MDD) is approximately 2‐ to 3-fold higher than in the general population, and it can reach up to 20–40%. The comorbidity of MDD with chronic medical diseases is associated with poorer quality of life, increased medical symptom burden, poor adherence to self-care regimens, increased risk of functional impairment, morbidity, and mortality, and also higher medical costs. Despite this evidence, in routine practice, psychological issues and concerns are frequently inadequately managed. This consensus document proposes that a proper diagnosis, a multidisciplinary approach, and a personalized treatment plan would allow patients with MDD and chronic comorbidities to be more compliant, to improve the outcomes, to reduce possible relapses in the long term, and to prevent or better manage complications and adverse events. This proposal might be useful for any health professionals who deal with patients with chronic diseases, as it can help to pay more attention to the emotional impact of these conditions, in particular in terms of depressive symptoms.

Original languageEnglish
Article number542444
JournalFrontiers in Psychology
Publication statusPublished - Sep 24 2020


  • cancer
  • chronic diseases
  • depression
  • diabetes
  • major depressive disorder
  • Parkinson’s disease
  • rheumatoid arthritis

ASJC Scopus subject areas

  • Psychology(all)


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