A Review of Treating Depression in Diabetes: Emerging Findings

被引:162
作者
Markowitz, Sarah M. [1 ,2 ]
Gonzalez, Jeffrey S. [3 ,4 ]
Wilkinson, Jesse L. [1 ]
Safren, Steven A. [1 ,2 ]
机构
[1] Massachusetts Gen Hosp, Boston, MA 02114 USA
[2] Harvard Univ, Sch Med, Boston, MA USA
[3] Yeshiva Univ, Ferkauf Grad Sch Psychol, Bronx, NY USA
[4] Yeshiva Univ, Albert Einstein Coll Med, Bronx, NY USA
关键词
QUALITY-OF-LIFE; SEROTONIN REUPTAKE INHIBITORS; CORONARY-HEART-DISEASE; PRIMARY-CARE PATIENTS; DSM-IV DISORDERS; SELF-MANAGEMENT; GLYCEMIC CONTROL; COMORBID DEPRESSION; PSYCHOLOGICAL INTERVENTIONS; ATYPICAL ANTIPSYCHOTICS;
D O I
10.1016/j.psym.2010.11.007
中图分类号
R749 [精神病学];
学科分类号
100205 ;
摘要
Background: Depression in patients with diabetes is associated with poorer adherence and worse health outcomes, however treating depression may help improve these outcomes. Objective: The present systematic review identified published papers to evaluate treatments for depression in patients with diabetes. Results: Seventeen studies that met criteria were identified, indicating that psychosocial interventions, particularly cognitive-behavior therapy, anti-depressant medications, and collaborative care are effective in the treatment of depression in patients with diabetes. Conclusion: Evidence for the efficacy of these interventions in improving glycemic control was mixed. No study targeted adherence to treatment or health behaviors in addition to depression, which may be necessary to maximize improvement in diabetes outcomes such as glycemic control. (Psychosomatics 2011; 52:1-18)
引用
收藏
页码:1 / 18
页数:18
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