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专题浏览
Early discontinuation of antidepressants in general practice: association with patient and prescriber characteristics(综合性医疗中早期停用抗抑郁药:病人和处方医师的特点与关系)
背景:多数抗抑郁治疗从综合性医疗开始并得以持续,尽管有通用的指导方针,但通常治疗疗程较短。停药问题或许由很多因素促成,但是到目前为止相关研究多集中在药物效应、不良反应和服药方法上...

社交焦虑和失眠:抑郁症状的调节作用(Social anxiety and insomnia: the mediating role of depressive symptoms)
焦虑通常会伴发失眠。社交焦虑障碍是最常见的焦虑障碍之一,而且社交焦虑的患者可能特别容易受失眠的影响。然而,对于这种相关性方面的实验工作目前进行的还很少。 本研究使用双变量的关系,在大学生样本人群(n=176)中来验证社交焦虑是否与失眠有关...

神经衰弱和抑郁症的谱性研究:过程,稳定性和转变(The spectra of neurasthenia and depression: course, stability and transitions)
背景:神经衰弱的历史可谓盛衰无常,曾被冠以不同的标签如慢性疲劳或海湾战争综合症。神经衰弱为ICD-10所认可,却被DSM-IV拒之门外。它的发展过程、纵向稳定性和与抑郁症的关系至今难明。 方法:从能代表瑞士苏黎世邦的2600人中,分层抽出社区样本数为591人...

Somatic depressive symptoms predict early atherosclerosis development(躯体性抑郁症状可预测早期动脉粥样硬化的发生)
研究人员提示,抑郁症状,例如疲劳,睡眠和饮食节律紊乱,会促成冠状动脉疾病(CAD)的发生。然而,Jesse Stewart(印第安纳大学,美国印第安纳州)和同事们注意到焦虑,敌意和愤怒与亚临床性动脉粥样硬化的发生无关...

Insomnia has distinct relationships with anxiety disorders and depression(失眠和焦虑症与抑郁症的关系密切)
研究人员已经阐明了失眠症、焦虑症和抑郁症发展的自然模式,发现与抑郁症相比较,失眠症和焦虑症之间存在着相互独立,又有可能有明显的指向性关联。 “对青少年人群而言,失眠症和焦虑症之间指向关联的优势模式是由焦虑而引发失眠,而在失眠症和抑郁症之间则是由失眠而抑郁...

Using the Internet to enhance the treatment of depression(利用因特网提高抑郁症治疗)
目的:虽然历经十数年的革新,澳大利亚的精神卫生系统仍然存在诸多不足。电子健康的新近发展为促进卫生革新和改善服务提供了机遇。本文展现了已实施的综合性电子健康系统的初步调查结果,也就是被称作“康复之路”,原意是增进抑郁症的常规临床治疗...

Depression and the risk for cardiovascular diseases: systematic review and meta analysis(抑郁症和心血管疾病风险:系统综述和荟萃分析)
背景:在老年人群抑郁症和心血管疾病均较常见。抑郁症被怀疑是促使冠心病发作的独立风险因子,然而其影响程度,是否还会促发其他的循环系统疾病仍未可知。 目的:评估抑郁症作为独立风险因子对促发各种心血管疾病(CVD)的风险,并揭示多相性和方法学质量的影响...

Epidemiology of subtypes of depression(抑郁症亚型的流行病学研究)
目的:一般的临床印象是抑郁症和无抑郁症状态之间存在着本质的区别,可被看作是一个分类实体。相反,流行病学研究却支持抑郁症具有动态可变性,并且其发展是连续性的观点,本文却经过筛选对关于抑郁症亚型的流行病学研究进行了综述回顾...

The effect of psychological interventions on anxiety and depression in cancer patients: results of two meta analyses(心理干预对癌症病人焦虑和抑郁的疗效:2项荟萃分析)
The findings of two meta-analyses of trials of psychological interventions in patients with cancer are presented: the first using anxiety and the second depression, as a main outcome measure. The majority of the trials were preventative...

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文献服务
Brief cognitive-behavioural therapies versus other brief psychological therapies for depression
This is the protocol for a review and there is no abstract. The objectives are as follows: 1. To conduct a systematic review, and where possible, a meta-analysis of all intervention studies in which brief psychological treatments are being compared with one another.2. T...

Prevalence and symptomatology of depression in older people living in institutions in England and Wales
Background Epidemiological studies have shown that depression is common in institutional settings. However, the symptomatology of depression in this group has not been compared to those living in the community. Aims To estimate the prevalence of depression and depressiv...

What do general medical guidelines say about depression care? Depression treatment recommendations in general medical practice guidelines
Purpose of review Depression is one of the most costly and prevalent mental disorders, and it often co-occurs in patients with general medical conditions. This review identifies the extent to which depression treatment is being addressed in guidelines for general medica...

Depression and anxiety in obstructive sleep apnea syndrome: a review
Objective - To provide an update on recent research on depression and anxiety in obstructive sleep apnea syndrome (OSAS).Methods - A review was carried out on reports drawn from MEDLINE and PSYCHLIT (January 1995-June 2006) and identified from their list of references. ...

Co-occurrence patterns of anxiety, depression and alcohol use disorders
Co-occurrence of anxiety and depressive symptoms with alcohol consumption/abuse was analyzed in a sample of 2,302 adults in Bahia, Brazil. A cross-sectional household survey collected self-reported information on social and personal health, as well as individual psychol...

The case for cothymia: mixed anxiety and depression as a single diagnosis PETER TYRER
Every psychiatrist and general practitioner diagnoses mixed anxiety and depression readily. The combination of typical depressive symptoms, such as low mood, lassitude and pessimism about the future, and anxious ones, such as tension, insomnia and irritability, is so co...

The Comorbidity of Major Depression and Anxiety Disorders: Recognition and Management in Primary Care
BACKGROUND: Depressive and anxiety disorders commonly occur together in patients presenting in the primary care setting. Although recognition of individual depressive and anxiety disorders has increased substantially in the past decade, recognition of comorbidity still ...

The DSM-IV field trial for mixed anxiety-depression
OBJECTIVE: This field trial was designed to answer four questions. First, are patients presenting with anxious or depressed symptoms that are associated with significant impairment but do not meet DSM-III-R definitional thresholds for axis I anxiety or mood disorders? S...

Common and Specific Dimensions of Self-Reported Anxiety and Depression in Adolescent Outpatients
To investigate the common and specific dimensions of anxiety and depression in adolescents, the Beck Anxiety Inventory (BAI; Beck, A. T., & Steer, R. A. Manual for the Beck Anxiety Inventory. San Antonio, TX: Psychological Corporation 1993a) and Beck Depression Inve...

Is depression a risk factor for heart complaints? : Longitudinal aspects in the Zurich study
Background The objective of this longitudinal study was to assess the association between major depression and heart complaints in a population of young and healthy adults. Methods Starting at the age 20/21, participants of the Zurich Study underwent 6 structured, psych...

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