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躯体疾病患者的抑郁障碍的检测与治疗。

The detection and treatment of depression in the physically ill.

机构信息

Institute of Psychiatry, King's College, London, UK.

出版信息

World Psychiatry. 2010 Feb;9(1):16-20. doi: 10.1002/j.2051-5545.2010.tb00256.x.

Abstract

DEPRESSION AND CHRONIC PHYSICAL ILLNESS ARE IN RECIPROCAL RELATIONSHIP WITH ONE ANOTHER

not only do many chronic illnesses cause higher rates of depression, but depression has been shown to antedate some chronic physical illnesses. Depression associated with physical illness is less well detected than depression occurring on its own, and various ways of improving both the detection and treatment of depression accompanying physical illness are described. This paper is in four parts, the first dealing with the evidence for depression having a special relationship with physical disorders, the second dealing with detection of depression in physically ill patients, the third with the treatment of depression, and the fourth describing the advantages of treating depression among physically ill patients.

摘要

抑郁和慢性生理疾病相互影响

许多慢性疾病会导致更高的抑郁发生率,而抑郁也被证明会先于某些慢性生理疾病发生。与生理疾病相关的抑郁比单纯的抑郁更难被发现,因此本文描述了各种改善生理疾病伴随的抑郁的检测和治疗方法。本文分为四部分,第一部分讨论了抑郁与生理障碍特殊关系的证据,第二部分讨论了在生理疾病患者中检测抑郁的方法,第三部分讨论了抑郁的治疗,第四部分描述了治疗生理疾病患者抑郁的优势。

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