2型糖尿病患者抑郁和治疗不依从:评估问题和综合治疗方法。

Epidemiologia e psichiatria sociale Pub Date : 2010-04-01
Jeffrey S Gonzalez, Sabrina A Esbitt
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引用次数: 0

摘要

研究发现,抑郁症在糖尿病患者中更为常见,并且与较差的糖尿病结果相关,包括治疗不依从性、较差的血糖控制、较高的糖尿病并发症风险、更大的功能损害和更高的死亡率风险。这些关联模式导致了对糖尿病和抑郁症之间关系的研究的增加。关于抑郁症和糖尿病之间的关系,以及对成功改善抑郁症和糖尿病预后的治疗方法的需求尚未得到满足,仍然存在重要的问题。当前的评论讨论了与糖尿病抑郁症测量相关的几个概念性问题,论证了健康行为和治疗依从性在解决糖尿病抑郁症问题中的重要性,并提供了一个治疗方法的例子,该方法将抑郁症治疗与旨在提高治疗依从性的策略结合起来,以最大限度地提高对糖尿病结果的影响。
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Depression and treatment nonadherence in type 2 diabetes: assessment issues and an integrative treatment approach.

Research has found that depression is more common among individuals with diabetes and is associated with worse diabetes outcomes including treatment nonadherence, worse glycemic control, higher risk of diabetes complications, greater functional impairment, and increased risk of mortality. These patterns of association have led to an increase in research investigating the relationship between diabetes and depression. There remain important questions about the relationship between depression and diabetes and an unmet need for treatment approaches that are successful in ameliorating depression and improving diabetes outcomes. The current commentary discusses several conceptual issues related to the measurement of depression in diabetes, argues for the importance of health behavior and treatment adherence in approaching the problem of depression in diabetes, and provides an example of a treatment approach that incorporates the treatment of depression with strategies aimed at improving treatment adherence in order to maximize effects on diabetes outcomes.

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