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Titolo:
TREATMENT CONSIDERATIONS FOR DEPRESSION IN PATIENTS WITH SIGNIFICANT MEDICAL COMORBIDITY
Autore:
MCCOY DM;
Indirizzi:
394 HARDING PT,SUITE 201 NASHVILLE TN 37211 BAPTIST HLTHCARE GRP NASHVILLE TN 00000
Titolo Testata:
Journal of family practice
fascicolo: 6, volume: 43, anno: 1996, supplemento:, S
pagine: 35 - 44
SICI:
0094-3509(1996)43:6<35:TCFDIP>2.0.ZU;2-I
Fonte:
ISI
Lingua:
ENG
Soggetto:
LATE-LIFE DEPRESSION; PARKINSONS-DISEASE; MYOCARDIAL-INFARCTION; HOSPITALIZED-PATIENTS; UNITED-STATES; HEART-DISEASE; ANTIDEPRESSANT; FLUOXETINE; DISORDERS; ILLNESS;
Keywords:
DEPRESSION; COMORBIDITY; DRUG THERAPY;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Science Citation Index Expanded
Citazioni:
73
Recensione:
Indirizzi per estratti:
Citazione:
D.M. Mccoy, "TREATMENT CONSIDERATIONS FOR DEPRESSION IN PATIENTS WITH SIGNIFICANT MEDICAL COMORBIDITY", Journal of family practice, 43(6), 1996, pp. 35-44

Abstract

In addition to being a strong psychological stressor in itself, medical illness is associated with risk factors that predispose patients todevelop coexisting depression. Patients with conditions such as cancer, cardiovascular disease, and neurologic disorders are particularly prone to depression because these illnesses are severe, chronic, and often fatal. Because an antidepressant may exacerbate an underlying illness, leading to more serious side effects, agents with a poor tolerability profile or that act at multiple receptor sites should be avoided. In many cases, this precludes the use of tricyclic antidepressants and monoamine oxidase inhibitors, and favors the use of selective serotonin reuptake inhibitors and other new antidepressants because they have fewer anticholinergic, cardiac, or cognitive adverse effects. Depressed medically ill patients clearly benefit from antidepressant therapy. Because mental health influences prognosis and treatment outcome, primary care physicians should maintain a high index of suspicion for depression in patients with significant medical illness and aggressivelytreat the condition when indicated.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 10/04/20 alle ore 15:24:39