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Depression with physical symptoms: treating to remission
1Depression Clinical and Research Program, Massachusetts General Hospital, Boston 02114, USA. mfava@partners.org
The Journal of Clinical Psychiatry
|May 21, 2003
Summary
Depression, a chronic illness with psychological and physical symptoms, often goes untreated. Addressing both symptom types may improve patient remission rates for this recurrent mood disorder.
Area of Science:
- Psychiatry
- Neuroscience
- Clinical Psychology
Background:
- Depression is a recurrent, chronic mood disorder.
- Characterized by both psychological and physical symptoms.
- Current treatments may inadequately address physical symptoms, hindering remission.
Purpose of the Study:
- To investigate the impact of treating both psychological and physical symptoms of depression.
- To determine if a comprehensive treatment approach improves patient outcomes.
- To enhance remission rates in patients with recurrent depression.
Main Methods:
- Review of current antidepressant efficacy for psychological symptoms.
- Analysis of treatment responsiveness for physical symptoms of depression.
- Comparative study of treatment strategies targeting single versus multiple symptom domains.
Main Results:
- Psychological symptoms of depression show response to existing antidepressants.
- Physical symptoms exhibit variable or limited responsiveness to standard treatments.
- Integrated treatment addressing both symptom clusters may increase remission rates.
Conclusions:
- A significant portion of depression patients experience inadequately treated physical symptoms.
- Comprehensive treatment targeting both psychological and physical aspects is crucial.
- Optimizing depression management requires addressing the full spectrum of patient symptoms for improved remission.