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脑肿瘤患者的抑郁筛查:综述

Depression screening in patients with brain tumors: a review.

作者信息

Pranckeviciene Aiste, Bunevicius Adomas

机构信息

Neuroscience Institute, Laboratory of Clinical Research, Lithuanian University of Health Sciences, Eiveniu g. 4, LT-50009 Kaunas, Lithuania.

出版信息

CNS Oncol. 2015;4(2):71-8. doi: 10.2217/cns.14.60.

Abstract

Brain tumor (BT) is often a devastating disease associated with poor prognosis. Depression is a common complication in BT patients that often remains under-recognized and untreated. Implementation of reliable depression screening algorithms in routine neuro-oncology setting could potentially improve recognition of depression. The Hospital Anxiety and Depression scale-Depression subscale and Patient Health Questionnaire-9 demonstrated adequate psychometric properties for depressive disorder screening in glioma patients. Patients screened positive for depression should be referred for detailed psychiatric assessment prior to initiating anti-depressive treatment. Further methodologically rigorous studies investigating psychometric properties of single-item and multiple-item depression scales are urgently warranted. Studies evaluating anti-depressive treatments' efficacy and clinical value of depression biomarkers are important avenues for future research endeavors in BT patients.

摘要

脑肿瘤(BT)通常是一种预后不良的毁灭性疾病。抑郁症是脑肿瘤患者常见的并发症,往往未得到充分认识和治疗。在常规神经肿瘤学环境中实施可靠的抑郁症筛查算法可能会提高对抑郁症的识别率。医院焦虑抑郁量表抑郁分量表和患者健康问卷-9在胶质瘤患者抑郁症筛查中表现出足够的心理测量学特性。筛查出抑郁症阳性的患者在开始抗抑郁治疗前应转诊进行详细的精神科评估。迫切需要进一步开展方法学严谨的研究,以调查单项和多项抑郁量表的心理测量学特性。评估抗抑郁治疗疗效和抑郁生物标志物临床价值的研究是未来脑肿瘤患者研究努力的重要途径。

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