CME: Depression in der Hausarztpraxis

Checcucci, Marco; Brunner, Eleonora

doi:10.1024/1661-8157/a003168

Cited by 2 publications

(2 citation statements)

References 3 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Депрессия относится к наиболее распространенным расстройствам вообще и к числу пяти наиболее распространенных в сфере первичной медицинской помощи заболеваний, являясь частым коморбидным расстройством у пациентов с хроническими соматическими заболеваниями. На этапе первичной медицинской помощи выявляется лишь около половины депрессивных расстройств [2]. Депрессия часто остается нераспознанной, и пациент не получает необходимую терапию, что дополнительно усугубляет его физическое страдание, негативно влияет на лечение и прогноз [3].…”

unclassified

“…По нашим данным, в поле зрения интернистов часто оказываются пациенты с не диагностированной депрессией, однако депрессия впервые диагностируется врачами, не являющимися психиатрами, только примерно в 1/3 случаев. В то же время за рубежом аффективные расстройства выявляются в общемедицинской практике в половине случаев [2]; это свидетельствует в пользу актуальности совершенствования подходов к диагностике депрессии в общемедицинской практике.…”

unclassified

See 1 more Smart Citation

From accurate diagnosis to targeted therapy: depression in general medical practice

Петрова

2021

RJTAO

View full text Add to dashboard Cite

Objective: to analyze the diagnostic significance of clinical and phenomenological characteristics of affective disorders in patients with chronic somatic pathology.Patients and methods. The analysis included the results of a clinical evaluation of 131 patients with chronic somatic pathology, including 96 patients suffering from cardiovascular diseases and 35 patients with cerebral small vessel disease. Clinical assessment included Primary care evaluation of mental disorders (PRIME-MD) and Hamilton Depression Rating Scale.Results and discussion. Despite the significant frequency and transparent clinical symptoms, general practitioners diagnosed mental disorders in only 30% of patients with depression. We observed a higher prevalence of somatic rather than psychological complaints during the clinical survey. According to the screening using PRIME-MD, 74% of patients were diagnosed with mood disorders, anxiety, and somatoform disorders. We also noted their significant comorbidity with a predominance of a depression and anxiety combination (p < 0.001). Hypertensive patients had the highest depression prevalence (87%) and severity. Moderate depression was the most frequent diagnosis in the study participants, corresponding to major depressive disorder (61.5%).Conclusion. In general, the symptoms of anhedonia, depression, and anxiety were most pronounced in patients with affective disorders. The high prevalence of somatic symptoms complicates depression evaluation. It is possible to highlight depression and anhedonia as significant symptoms for the detection of depression in patients with somatic disorders.

show abstract

unclassified

From accurate diagnosis to targeted therapy: depression in general medical practice

Петрова

2021

RJTAO

View full text Add to dashboard Cite

show abstract

Prevalence of Depressive Symptoms and Associated Factors among Internal Migrants with Tuberculosis: A Cross-Sectional Study in China

Dong

Zhao

Sun

et al. 2020

The American Journal of Tropical Medicine and Hygiene

View full text Add to dashboard Cite

There are hundreds of millions of internal migrants in China, and tuberculosis (TB) is an important health threat to them. However, the mental health problems of internal migrants with TB in China have been ignored. The present study aimed to determine the prevalence of depressive symptoms and its associated risk factors among internal migrants with TB in China. A cross-sectional survey was conducted between June 2018 and March 2019 in Shenzhen, southern China. Data were collected from 1,057 internal migrants with TB using a structured questionnaire. Depressive symptoms were measured using the Center for Epidemiologic Studies Depression Scale. Multinomial logistic regression analysis was used to identify risk factors for depressive symptoms. Of the 1,057 participants included in this study, 53.8% had depressive symptoms. Of these, 38.9% had mild, whereas 14.9% had moderate-to-severe depressive symptoms. Multinomial logistic regression analysis suggested that higher likelihoods of depressive symptoms were associated with female gender, lower education, family dysfunction, poor doctor-patient communication, and TB-related stigma. This study shows that the prevalence of depressive symptoms among internal migrants with TB is high in China. Targeting interventions and treatment of depressive symptoms among internal migrants with TB are needed.

show abstract

CME: Depression in der Hausarztpraxis

Cited by 2 publications

References 3 publications

From accurate diagnosis to targeted therapy: depression in general medical practice

From accurate diagnosis to targeted therapy: depression in general medical practice

Prevalence of Depressive Symptoms and Associated Factors among Internal Migrants with Tuberculosis: A Cross-Sectional Study in China

Contact Info

Product

Resources

About