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Depression in medical practice.

S C Dilsaver1, N Votolato, J Coffman

  • 1Ohio State University College of Medicine, Columbus.

American Family Physician
|December 1, 1988
PubMed
Summary
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Many drugs and diseases can cause depressive symptoms. Evaluating patients with depressive symptoms requires a physical exam, systems review, and medical history. Tricyclic agents may treat depression linked to medical conditions.

Area of Science:

  • Medical research
  • Psychiatry
  • Pharmacology

Background:

  • Depressive symptoms can arise from various medical conditions and drug side effects.
  • A comprehensive evaluation is crucial for patients presenting with depressive symptoms.

Purpose of the Study:

  • To outline the evaluation process for patients with depressive symptoms.
  • To discuss the application of major depression criteria across different settings.
  • To highlight potential treatments for medically associated depression.

Main Methods:

  • Physical examination
  • Systems review
  • Medical history assessment
  • Application of standardized major depression criteria

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Main Results:

  • Depressive symptoms can be iatrogenic or disease-related.
  • Standardized diagnostic criteria for major depression are applicable in both psychiatric and nonpsychiatric environments.
  • Tricyclic agents show potential efficacy in managing depressive symptoms co-occurring with medical illnesses.

Conclusions:

  • A thorough medical evaluation is essential for all patients with depressive symptoms.
  • Consistent diagnostic criteria ensure accurate identification of major depression.
  • Pharmacological interventions, such as tricyclic agents, may offer therapeutic benefits for depression secondary to medical conditions.