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Depression in physical illnesses.

F Mai

    Psychiatric Journal of the University of Ottawa : Revue De Psychiatrie De L'Universite D'Ottawa
    |June 1, 1989
    PubMed
    Summary
    This summary is machine-generated.

    Depression frequently occurs in general hospitals due to underlying medical conditions. Diagnosis relies on psychological symptoms, as physical signs can be misleading. Treatment mirrors that for primary depression.

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    Area of Science:

    • Medical and psychiatric comorbidities
    • Clinical psychology and psychiatry

    Background:

    • Depression is a frequent diagnosis in general hospital settings.
    • Medical illnesses like endocrine disorders, neurological conditions, and cancer can present with or complicate depression.
    • Traditional 'vegetative' signs of depression are unreliable in medically ill patients.

    Purpose of the Study:

    • To highlight the diagnostic challenges of depression in medically ill patients.
    • To emphasize the importance of psychological criteria for diagnosing depression in this population.
    • To outline treatment principles for depression secondary to physical illness.

    Main Methods:

    • Review of diagnostic criteria for depression in nonpsychiatric hospital settings.
    • Comparison of diagnostic reliability of 'vegetative' versus 'psychological' symptoms.

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  • Analysis of treatment approaches for secondary depression.

    • Main Results:

    • 'Vegetative' signs of depression are unreliable in patients with coexisting medical diseases.
    • 'Psychological' criteria are essential for accurate depression diagnosis in these cases.
    • Treatment strategies for depression secondary to physical illness align with those for primary depressive disorders.

    Conclusions:

    • Accurate diagnosis of depression in general hospitals requires focusing on psychological symptoms.
    • Effective management of secondary depression involves established clinical and pharmacological treatments.