Recognition and treatment of depression in patients with chronic physical diseases in family practice
| Autor: | Kermc, Ino, Relić, Danko, Lujo, Tea, Cerovečki, Venija |
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| Jazyk: | chorvatština |
| Rok vydání: | 2019 |
| Předmět: | |
| Zdroj: | Medica Jadertina Volume 49 Issue 2 |
| ISSN: | 1848-817X 0351-0093 |
| Popis: | U svakodnevnom radu obiteljskog liječnika, depresija je česta i još uvijek nedovoljno prepoznata bolest. Cilj ovoga rada je pregledom literature istražiti značajke prepoznavanja (dijagnosticiranja) i liječenja depresije u bolesnika s kroničnom tjelesnom bolešću (KTB) u ordinaciji obiteljskoga liječnika. Pretraživana je baza podataka PubMed, a kriterijima uključivanja udovoljavali su radovi pisani na hrvatskom ili engleskom jeziku, objavljeni između 2000. i 2018. godine. Postupnim sužavanjem pretraživane tematike definirane su 93 publikacije. Uočeno je da simptomi depresije mogu biti maskirani simptomima KTB. Povećan broj posjeta bolesnika s KTB obiteljskom liječniku prepoznaje se kao čimbenik koji je unaprijedio prepoznavanje simptoma depresije. Publikacije koje su sadržajem analizirale liječenje depresije ukazuju na potrebu da se, uz farmakološko liječenje antidepresivima, trebaju provoditi i učinkovite psihoterapijske tehnike. Prepoznavanje i liječenje depresije veliki je izazov za zdravstveni sustav današnjice, ali i veliki izazov u svakodnevnom radu obiteljskih liječnika. Depression is a common disease in a family physician's daily work but is still not sufficiently recognized. The aim of this paper is to examine the characteristics of diagnosis and treatment of depressed patients without chronic physical disease (CPD) compared to those with depression and one or more CPDs. The PubMed database was searched. The inclusion criteria met the articles written in Croatian or English, published between 2000 and 2018. By gradual filtration of the searched topics, 93 publications were selected. It was found that symptoms of depression can be masked by the symptoms of CPD. An increased number of visits to family physician was recognized as a factor that improved the recognition of depression. Publications that analyzed the treatment of depression indicate the need for effective psychotherapy techniques along the pharmacological treatment with antidepressants. Recognizing and treating depression is a major burden to today's healthcare system and a major challenge in the family physician's daily work. |
| Databáze: | OpenAIRE |
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