Diabetes Zentrum Mergentheim, Forschungsinstitut Diabetes-Akademie Bad Mergentheim (FIDAM GmbH), Bad Mergentheim, Germany.
Prim Care Diabetes. 2013 Apr;7(1):1-10. doi: 10.1016/j.pcd.2012.11.002. Epub 2012 Dec 30.
Family physicians are responsible for diagnosing and treating the majority of people with type 2 diabetes mellitus and co-morbid depression. As a result of the impact of co-morbid depression on patient self-care and treatment outcomes, screening for depression in the context of a structured approach to case management and patient follow up is recommended in people with diabetes and cardiovascular disease. This review summarizes the need for improved recognition and treatment of depression in diabetes; and makes expert recommendations with regard to integrating screening tools and therapies into a busy family or general medical practice setting.
家庭医生负责诊断和治疗大多数患有 2 型糖尿病和共病性抑郁症的患者。由于共病性抑郁症对患者自我护理和治疗结果的影响，建议在对糖尿病和心血管疾病患者进行病例管理和患者随访的结构化方法中筛查抑郁症。这篇综述总结了提高对糖尿病患者中抑郁症的识别和治疗的必要性，并就将筛查工具和治疗方法整合到繁忙的家庭或普通医疗实践环境中提出了专家建议。
