Depression in patients with coronary artery disease
Michael B. Gonzalez B.S., Ted B. Snyderman B.A., Jeffrey T. Colket B.S., Rebekka M. Arias B.S., Jan W. Jiang M.D., Christopher M. O'Connor M.D., K. Ranga Krishnan M.D.
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Abstract
Depression is more prevalent in patients with coronary artery disease (CAD) than in the general elderly population. Although CAD patients with depression have higher mortality rates, depression is often not recognized and treated in these patients. We administered structured psychiatric diagnostic interviews to 99 inpatients with CAD and diagnosed 23% with a major depressive episode (MDE) by DSM-IV criteria. Severity of medical illness and family history of psychopathology were indicators for increased risk for MDE. These findings may facilitate the recognition of CAD patients at greater risk for MDE. Depression 4:57–62 (1996). © 1997 Wiley-Liss, Inc.
冠状动脉疾病患者的抑郁
抑郁症在冠状动脉疾病(CAD)患者中比在一般老年人群中更为普遍。虽然冠心病患者合并抑郁症的死亡率较高，但这些患者的抑郁症往往不被认识和治疗。我们对99名CAD住院患者进行了结构化的精神病学诊断访谈，并根据DSM-IV标准诊断出23%的患者患有重度抑郁发作(MDE)。医学疾病的严重程度和精神病理家族史是MDE风险增加的指标。这些发现可能有助于识别CAD患者发生MDE的风险。大萧条:57 - 62(1996)。©1997 Wiley-Liss, Inc
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