Snyderman Danielle, Wynn Daisy
Division of Geriatric Medicine, Department of Family and Community Medicine, Thomas Jefferson University, Philadelphia, PA 19107, USA.
Prim Care. 2009 Dec;36(4):703-19. doi: 10.1016/j.pop.2009.07.008.
Primary care clinicians who care for cancer patients are integral to the recognition, diagnosis, and management of depression in this population. A review of risk factors that may make patients more likely to develop depression can be a useful first step in screening for depression. Several screening instruments may guide clinicians in further work-up of patients suspected of being depressed. Depression is treatable in this patient population and prompt management may have a positive impact on overall outcomes. Pharmacologic and psychotherapeutic treatment options are numerous, and consideration of specific cancer treatments, including side-effect profiles, patient comorbidity, patient preference, and clinician resources, should direct management.
负责照料癌症患者的基层医疗临床医生对于识别、诊断和管理该人群中的抑郁症至关重要。回顾可能使患者更易患抑郁症的风险因素，可能是筛查抑郁症的有益第一步。几种筛查工具可指导临床医生对疑似抑郁症患者进行进一步检查。抑郁症在该患者群体中是可治疗的，及时管理可能对总体预后产生积极影响。药物和心理治疗选择众多，应根据特定癌症治疗方法，包括副作用、患者合并症、患者偏好和临床医生资源等，来指导治疗。
