Rubin Richard R, Ciechanowski Paul, Egede Leonard E, Lin Elizabeth H B, Lustman Patrick J
Departments of Medicine and Pediatrics, Johns Hopkins University School of Medicine, 500 West University Parkway, Baltimore, MD 21210, USA.
Curr Diab Rep. 2004 Apr;4(2):119-25. doi: 10.1007/s11892-004-0067-8.
Diabetes doubles the risk for depression, which in turn may interfere with effective diabetes self-management, and is associated with hyperglycemia and with increased risk for diabetes complications. Despite its relevance to the course of diabetes and its chronic character, depression is recognized and treated appropriately in fewer than 25% of depressed diabetic patients. The authors discuss the use of screening tools to assist primary care providers in identifying depressed diabetic patients, as well as the application of a chronic care model of depression management. Data from controlled trials are limited but promising. They suggest that pharmacologic and psychological approaches are effective in the face of diabetes, and that successful treatment also produces improvements in glycemic control, overall functioning, and quality of life.
糖尿病会使抑郁症风险增加一倍，而抑郁症反过来可能会干扰有效的糖尿病自我管理，还与高血糖及糖尿病并发症风险增加相关。尽管抑郁症与糖尿病病程相关且具有慢性特征，但在不到25%的糖尿病抑郁症患者中，该疾病得到了正确的识别与治疗。作者讨论了使用筛查工具来帮助初级保健提供者识别糖尿病抑郁症患者，以及应用抑郁症管理的慢性病护理模式。对照试验的数据有限但很有前景。这些数据表明，药物治疗和心理治疗方法在应对糖尿病方面是有效的，而且成功的治疗还能改善血糖控制、整体功能和生活质量。
