Schultz R
Katherine Rural Medical Service, Northern Territory.
Aust Fam Physician. 2001 Mar;30(3):219-23.
Risk factor reduction may present a strategy for preventing depression. Risk factors for depression include cultural, social and personality as well as biochemical and pharmacological factors. Patients with cardiovascular disease have a high prevalence of depression. Depressed patients with cardiovascular disease have worse outcomes than other patients.
To review the literature on depression in patients with cardiovascular disease, focusing on strategies to reduce the impact of this dual pathology.
Several mechanisms may explain the high prevalence of depression in patients with cardiovascular disease, and why these patients experience worse outcomes. There is little evidence about the effectiveness of mental health promotion and illness prevention strategies for patients with cardiovascular disease. Implementation and evaluation of trial programs such as community mental health promotion, support groups, individual counselling, and treatment with psychotherapy and medication, will demonstrate which strategies are effective.
降低风险因素可能是预防抑郁症的一种策略。抑郁症的风险因素包括文化、社会、人格以及生化和药理学因素。心血管疾病患者中抑郁症的患病率很高。患有心血管疾病的抑郁症患者比其他患者的预后更差。
回顾关于心血管疾病患者抑郁症的文献，重点关注减轻这种双重病理影响的策略。
有几种机制可以解释心血管疾病患者中抑郁症的高患病率，以及为什么这些患者的预后更差。关于心血管疾病患者心理健康促进和疾病预防策略的有效性，几乎没有证据。实施和评估诸如社区心理健康促进、支持小组、个体咨询以及心理治疗和药物治疗等试验项目，将证明哪些策略是有效的。
