DEPRESSION IN END-STAGE RENAL-DISEASE PATIENTS

被引:11
作者
FISHBEIN, LJ
机构
[1] Consultation-Liaison Service, Department of Psychiatry, Boston City Hospital, Brigham Women's Hospital, Boston University School of Medicine, Harvard Medical School, Boston, Massachusetts
关键词
D O I
10.1111/j.1525-139X.1994.tb00834.x
中图分类号
R5 [内科学]; R69 [泌尿科学(泌尿生殖系疾病)];
学科分类号
1002 ; 100201 ;
摘要
A substantial proportion of ESRD patients suffer significant morbidity and mortality from major depression and severe adjustment disorders. Remission of major depression is often achieved with medications alone, though a lower relapse rate is associated with treatment combining psychotherapy and antidepressant medication. Adjustment disorders are often responsive to psychotherapy, with or without adjunctive medication therapy. Because treatment of these conditions is very often effective, I would urge the nephrologist to build comfortable consultation and referral relationships with local psychiatrists such that even the patients who decline psychiatric referral can benefit from treatment with judicious use of antidepressant medication. Copyright © 1994, Wiley Blackwell. All rights reserved
引用
收藏
页码:181 / 185
页数:5
相关论文
共 15 条
[1]  
Depression in Primary Care: Volume 1, Diagnosis and Detection., (1993)
[2]  
Craven JL, Rodin GM, Johmn L., Kennedy SH, The diagnosis of major depression in renal dialysis patients, Psychosom Med, 49, pp. 482-492, (1987)
[3]  
Hinrichsen GA, Lieberman JA, Pollack S., Steinberg H., Depression in hemodialysis patients, Psychosomatics, 30, pp. 284-289, (1989)
[4]  
Levemon JL, Glocheski S., Psychological factors affecting end‐stage renal disease, Psychosomatics, 32, 4, pp. 382-387, (1991)
[5]  
Abram HS, Moore GI, Westervelt PB, Suicidal behavior in chronic dialysis patients, Am J Psychiatry, 127, (1971)
[6]  
Burton HJ, Wine SA, Lindsay RM, Heidenheim PA, The relationship of depression to survival in chronic renal failure, Psychosom Med, 48, pp. 261-269, (1986)
[7]  
Shulman R., Price JD, Spinelli J., Biopsychosocial aspects of long‐term survival on end‐state renal failure therapy, Psychol Med, 19, pp. 945-954, (1989)
[8]  
Nemeroff C., Interrelations between depression, the immune system and the endocrine system, J Clin Psychiatry, 50, pp. 13-20, (1989)
[9]  
Sachcr EJ, Hellman L., Roffwarg H., Disrupted 24 hour patterns of cortisol secretion in psychiatric depression, Arch Gen Psychiatry, 28, pp. 19-24, (1973)
[10]  
Diagnostic and Statistical Manual of Mental Disorders, (1987)