摘要
Depression is not only a major global public health concern,but also a common comorbidity among patients who experience chronic diseases,such as cancer,stroke,heart disease,diabetes,and chronic obstructive pulmonary disease.Yet the recognition and treatment varies widely around the world.This study(1)provides an integrated review of the literature on the prevalence of depression among patients with chronic diseases in China and the United States and its relationship to poorer health outcomes and(2)compares the differences in the percentages of patients receiving treatments for depression between the United States and China.Given the current situation,we recommended that primary care and specialty providers should be knowledgeable and alert regarding the signs of depression.Efforts should be directed to further implement integrated care based interventions to manage depression and improve quality of life among patients suffering chronic diseases in both China and the United States.
抑郁症不仅仅是一个重要的全球公共健康问题,还是一个易与慢性病共存的疾病。慢性病患者,例如癌症、脑卒中、心血管疾病、糖尿病和慢性阻塞性肺疾病患者,更容易同时患有抑郁。世界各国对抑郁的认知和治疗方案差异很大。这篇文章对中、美两国慢性病患者抑郁发生情况进行了比较,总结了抑郁对健康的负面影响,并比较中、美两国患有慢性病且抑郁的患者接受治疗的情况。建议基层医疗机构的医生和疾病专科医生具备针对患者抑郁征兆相应的知识和警觉。中美均应进一步努力贯彻并实施综合施治的方针,以加强慢性病患者抑郁状况管理,改善其生活质量。
基金
This research received no specific grant from any funding agency in the public,commercial or not-for-profit sectors
作者简介
Corresponding author:Hongjin Li,University of Pittsburgh,School of Nursing,312F Victoria Building,3500 Victoria Street,Pittsburgh,PA,15261,USA.E-mail addresses:hol48@pitt.edu,hl5db@yahoo.com
