Depression in Medically Ill Patients

作者：Rackley Sandra; Bostwick J Michael^*

来源：Psychiatric Clinics of North America, 2012, 35(1): 231-+.

DOI：10.1016/j.psc.2011.11.001

• Depression
• Adjustment disorder
• Differential diagnosis
• Medical illness
• Antidepressant medication
• Psychotherapy

"Depression" in medically ill patients is first and foremost a phenotype. Many underlying etiologies may take a final common pathway of producing such a phenotype, but have divergent implications for prognosis and management. Thus appropriate management requires first establishing the most likely diagnosis that has caused depression to be considered. This article reviews common etiologies for a "depressed" appearance in medically ill patients and proposes management strategies in each sphere of the bio-psycho-social-spiritual model.

• 出版日期2012-3