充血性心力衰竭患者抑郁症的治疗
Treatment of depression in patients with congestive heart failure.
作者信息
Shapiro Peter A
机构信息
Department of Psychiatry, New York Presbyterian Hospital-Columbia University Medical Center, Columbia University, 622 W. 168 St., Box 427, New York, NY 10032, USA.
出版信息
Heart Fail Rev. 2009 Mar;14(1):7-12. doi: 10.1007/s10741-007-9058-6. Epub 2007 Oct 23.
Heart failure is common, and depression is common in heart failure patients, adding substantially to the burden of the disease. There is some evidence for the safe and at least modestly effective use of psychotherapy and antidepressants to treat depression in heart failure patients. Cognitive behavioral psychotherapy and selective serotonin reuptake inhibitors are first line treatments. The efficacy of depression treatment in altering cardiac outcomes in heart failure patients has yet to be established.
心力衰竭很常见，心力衰竭患者中抑郁症也很常见，这大大加重了疾病负担。有一些证据表明，心理治疗和抗抑郁药用于治疗心力衰竭患者的抑郁症是安全的，且至少有一定疗效。认知行为心理治疗和选择性5-羟色胺再摄取抑制剂是一线治疗方法。抑郁症治疗对改善心力衰竭患者心脏预后的疗效尚未得到证实。
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