Booth Gardner Parkinson's Care Center, Evergreen Neuroscience Institute, 12039 NE 128th St, MS-77, Kirkland, WA 98034, USA.
Booth Gardner Parkinson's Care Center, Evergreen Neuroscience Institute, 12039 NE 128th St, MS-77, Kirkland, WA 98034, USA; University of Washington, Seattle, WA, USA.
Clin Geriatr Med. 2020 Feb;36(1):93-104. doi: 10.1016/j.cger.2019.09.012. Epub 2019 Sep 10.
Depression and anxiety are common neuropsychiatric manifestations of Parkinson disease. However, they are often under-recognized because the somatic symptoms of depression often overlap with the motor symptoms of Parkinson disease and there is low self-reporting. Clinicians need to be vigilant about early detection and treatment of anxiety and depression in the patient with Parkinson disease. The development of new therapeutic strategies, including diet, exercise, and counseling along with antidepressants provide a holistic approach to management.
抑郁和焦虑是帕金森病常见的神经精神表现。然而，由于抑郁的躯体症状常与帕金森病的运动症状重叠，且患者的自我报告率较低，因此往往被忽视。临床医生需要警惕帕金森病患者的焦虑和抑郁的早期发现和治疗。新的治疗策略的发展，包括饮食、运动、咨询和抗抑郁药物治疗，为管理提供了一种整体方法。
