躯体疾病和抑郁障碍共病的诊断、评估及治疗原则

Co-morbid Physical Disease and Major Depressive Disorder:Diagnostic,Assessment and Treatment Principles

躯体疾病和抑郁障碍共病已经成为一个越来越严重的临床和全球公共健康问题。共病的躯体疾病与抑郁障碍之间存在着双向的联系,即一种疾病对另一种疾病的发生、发展、预后以及治疗有消极的作用。本文就躯体疾病和抑郁障碍共病的流行病学、临床评估、诊断及治疗原则作一综述。

Co-morbid physical disease and major depressive disorder （MDD） has become an increasingly important clinical and global public health issue. Medical conditions co-morbid MDD has a bidirectional association, with each condition having a negative impact on the onset, course, prognosis, and treatment of the other. The paper of co-morbid physical disease and MDD describing epidemiology, diagnostic, assessment, and treatment principles were reviewed .