Sartorius Norman
Association for the Improvement of Mental Health Programmes (AMH), Switzerland.
Dialogues Clin Neurosci. 2018 Mar;20(1):47-52. doi: 10.31887/DCNS.2018.20.1/nsartorius.
The comorbidity of mental and physical disorders is a major challenge for health care worldwide. Its prevalence is increasing and is likely to continue to grow due to the increase in life expectancy and a variety of other reasons. The comorbidity of depression and diabetes can be seen as a prototypical example of mental/physical comorbidity. The prevalence of both conditions is growing, and depression is twice as frequent in people with diabetes compared with those without diabetes. Health services are by and large inadequately prepared to deal with comorbid depression and diabetes, and the increasing specialization (and fragmentation) of medicine will probably make things worse. This paper reviews the epidemiology and risk factors of the comorbidity of depression and diabetes and describes areas that should be given attention in order to reduce problems arising as a result of the comorbidity of these two conditions.
精神障碍与躯体疾病的共病是全球医疗保健面临的一项重大挑战。其患病率正在上升，并且由于预期寿命的增加和各种其他原因，可能会继续增长。抑郁症与糖尿病的共病可被视为精神/躯体共病的一个典型例子。这两种疾病的患病率都在上升，糖尿病患者中抑郁症的发病率是无糖尿病者的两倍。卫生服务总体上对共病的抑郁症和糖尿病准备不足，而医学日益专业化（以及碎片化）可能会使情况变得更糟。本文综述了抑郁症与糖尿病共病的流行病学和危险因素，并描述了为减少这两种疾病共病所产生的问题而应予以关注的领域。
