Laboratory of Panic and Respiration, Institute of Psychiatry, Federal University of Rio de Janeiro, INCT Translational Medicine, Brazil.
Diabetol Metab Syndr. 2010 Jan 28;2:9. doi: 10.1186/1758-5996-2-9.
Major depression is a disorder that significantly worsens a patient's morbidity and mortality. The association of depression and diabetes is well documented and has clinical impact in diabetes treatment's outcome. Patients usually aren't evaluated initially by a psychiatrist, so it is important that non-psychiatrists learn to evaluate major depression and its impact.
Major depression can and should be evaluated on a routine clinical assessment. Depression's impact on the patients' quality of life, productivity and social interactions is well documented. The initial diagnosis of depression should lead to its prompt treatment, and it has to be emphasized that the incorrect treatment can lead to worsening of the condition, relapses, recurrences or even chronification of major depression.
重度抑郁症是一种会显著加重患者发病率和死亡率的疾病。抑郁症与糖尿病之间的关联已得到充分证实，并对糖尿病治疗结果具有临床意义。患者通常最初不会由精神科医生进行评估，因此非精神科医生学习评估重度抑郁症及其影响非常重要。
可以而且应该在常规临床评估中评估重度抑郁症。抑郁症对患者生活质量、生产力和社交互动的影响已得到充分证实。重度抑郁症的初步诊断应导致其及时治疗，必须强调的是，不正确的治疗会导致病情恶化、复发、再次发作甚至重度抑郁症的慢性化。
