患有糖尿病的老年人中的抑郁症
Depression among older adults with diabetes mellitus.
作者信息
Park Mijung, Reynolds Charles F
机构信息
Department of Health and Community Systems, University of Pittsburgh, School of Nursing, 3500 Victoria Street, 421 Victoria Building, Pittsburgh, PA 15213, USA.
NIMH Center of Excellence in Late Life Depression Prevention and Treatment, Hartford Center of Excellence in Geriatric Psychiatry, Aging Institute of UPMC Senior Services and University of Pittsburgh, 3811 O'Hara Street, Pittsburgh, PA 15213-2582, USA.
出版信息
Clin Geriatr Med. 2015 Feb;31(1):117-37, ix. doi: 10.1016/j.cger.2014.08.022. Epub 2014 Nov 15.
Abstract
Older adults with Diabetes Mellitus (DM) experience greater risk for comorbid depression compared to those who do not have DM. Undetected, untreated or under-treated depression impinges an individual's ability to manage their DM successfully, hinders their adherence to treatment regime, and undermines provider-patient relationships. Thus, in the context of caring for older adults with DM, comorbid depression presents special challenges and opportunities for clinicians. In this article, we summarize the clinical presentation of late-life depression, potential mechanisms of comorbidity of depression and DM, importance of depression in the successful management of DM, and available best practice models for depression treatment.
摘要
与没有糖尿病（DM）的老年人相比，患有糖尿病的老年人患合并抑郁症的风险更高。未被发现、未治疗或治疗不足的抑郁症会影响个体成功管理糖尿病的能力，阻碍他们坚持治疗方案，并破坏医患关系。因此，在照顾患有糖尿病的老年人的背景下，合并抑郁症给临床医生带来了特殊的挑战和机遇。在本文中，我们总结了老年抑郁症的临床表现、抑郁症与糖尿病合并症的潜在机制、抑郁症在糖尿病成功管理中的重要性以及现有的抑郁症治疗最佳实践模式。
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