Wagner G, Icks A, Albers B, Abholz H-H
Abteilung für Allgemeinmedizin, Heinrich-Heine-Universität, Universitätsklinikum Düsseldorf.
Dtsch Med Wochenschr. 2012 Mar;137(11):523-8. doi: 10.1055/s-0031-1299009. Epub 2012 Mar 6.
Diabetes mellitus type 2 and depressive symptoms are statistically associated. The question is if one of the two diseases is causal for the other.
Systematic review using Medline and searching for prospective controlled population based observational studies and meta-analysis in English or German language.
Patients with type 2 diabetes have a higher incidence of depressive symptoms - compared to patients having no diabetes. And patients with depressive symptoms have a higher incidence of type 2 diabetes; however the findings for the first relation are only weak.
Knowing about this - even causal - co-morbidity is important in care, including a routine diagnostic approach to find out if the other disease is also present.
2型糖尿病与抑郁症状在统计学上相关。问题在于这两种疾病中的一种是否是另一种的病因。
使用医学文献数据库（Medline）进行系统综述，并检索基于人群的前瞻性对照观察性研究以及英文或德文的荟萃分析。
与无糖尿病患者相比，2型糖尿病患者抑郁症状的发生率更高。有抑郁症状的患者2型糖尿病的发生率也更高；然而，第一种关系的研究结果仅为弱阳性。
了解这种共病情况——甚至是因果关系——在护理中很重要，包括采用常规诊断方法来确定是否还存在另一种疾病。
