Barolin G S, Saurugg D
MMW Munch Med Wochenschr. 1976 Jul 30;118(31):975-82.
We introduce the new term "concomitant depression" and define it purely phenomenologically as the simultaneous appearance of a depressive mood and physical disease. Its place within the framework of previously current nomenclatures and classification according to causal principles are discussed. Neurology and internal medicine in particular are greatly confronted with the problem of concomitant depression. The main fields are the cerebral insult, radicular pain syndromes and internal medical conditions which tend to chroncity. The proportion of depressive component amounts to 1/5 to 1/3 of the total number of patients. By means of an anterospectively programmed medical record, we were able to evaluate the concomitant depression quantitatively. Suggestions for rational pharmacotherapy are given.
我们引入了“伴发抑郁”这一新术语，并纯粹从现象学角度将其定义为抑郁情绪与躯体疾病同时出现。本文讨论了它在既往现行命名法框架内以及根据因果原则进行分类中的位置。神经病学和内科尤其面临伴发抑郁的问题。主要领域包括脑损伤、神经根性疼痛综合征以及倾向于慢性化的内科疾病。抑郁成分在患者总数中所占比例为五分之一至三分之一。通过前瞻性规划的病历，我们得以对伴发抑郁进行定量评估。文中给出了合理药物治疗的建议。
