Recognizing and treating depression in patients with diabetes

被引：76

作者：

Rubin R.R. ^{[1
]}

Ciechanowski P. ^{[1
]}

Egede L.E. ^{[1
]}

Lin E.H.B. ^{[1
]}

Lustman P.J. ^{[1
]}

机构：

[1] Department of Medicine, Johns Hopkins Univ. School of Med., Baltimore, MD 21210

来源：

Current Diabetes Reports | 2004年 / 4卷 / 2期

关键词：

Glycemic Control; Primary Care Patient; Depression Treatment; Chronic Care Model; Primary Care Team;

D O I：

10.1007/s11892-004-0067-8

中图分类号：

学科分类号：

摘要：

Diabetes doubles the risk for depression, which in turn may interfere with effective diabetes self-management, and is associated with hyperglycemia and with increased risk for diabetes complications. Despite its relevance to the course of diabetes and its chronic character, depression is recognized and treated appropriately in fewer than 25% of depressed diabetic patients. The authors discuss the use of screening tools to assist primary care providers in identifying depressed diabetic patients, as well as the application of a chronic care model of depression management Data from controlled trials are limited but promising. They suggest that pharmacologic and psychological approaches are effective in the face of diabetes, and that successful treatment also produces improvements in glycemic control, overall functioning, and quality of life. Copyright © by Current Science Inc.

引用

页码：119 / 125

页数：6

共 54 条

[1]

Egede L.E., Zheng D., Independent factors associated with major depressive disorder in a national sample, Diabetes Care, 26, pp. 104-111, (2003)

[2]

Anderson R.J., Freedland K.E., Clouse R.E., Lustman P.J., The prevalence of comorbid depression in adults with diabetes, Diabetes Care, 24, pp. 1069-1078, (2001)

[3]

Ciechanowski P.S., Katon W.J., Russo J.E., Depression and diabetes: Impact of depressive symptoms on adherence, function, and costs, Arch. Intern. Med., 160, pp. 3278-3285, (2000)

[4]

Egede L.E., Zheng D., Simpson K., Comorbid depression is associated with increased health care use and expenditures in individuals with diabetes, Diabetes Care, 25, pp. 464-470, (2002)

[5]

Kessler R.C., Berglund P., Demler O., Et al., The epidemiology of major depressive disorder: Results from the National Comorbidity Replication (NCS-R), JAMA, 289, pp. 3095-3105, (2003)

[6]

Peyrot M., Rubin R.R., Levels and risks of depression and anxiety symptomatology among diabetic adults, Diabetes Care, 20, pp. 585-590, (1997)

[7]

Lustman P.J., Griffith L.S., Clouse R.E., Depression in adults with diabetes: Results of a 5-year follow-up study, Diabetes Care, 11, pp. 605-612, (1988)

[8]

Ciechanowski P.S., Katon W.J., Russo J.E., Hirsch I.B., The relationship of depressive symptoms to symptom reporting, self-care and glucose control in diabetes, Gen. Hosp. Psychiatry, 25, pp. 246-252, (2003)

[9]

Lustman P.J., Anderson R.J., Freedland K.E., Et al., Depression and poor glycemic control: A meta-analytic review of the literature, Diabetes Care, 23, pp. 934-942, (2000)

[10]

de Groot M., Anderson R., Freedland K.E., Et al., Association of depression and diabetes complications: A meta-analysis, Psychosom. Med., 63, pp. 619-630, (2001)

← 1 2 3 4 5 6 →