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Depression in intensive care units.

L S Goldman1, C P Kimball

  • 1Department of Psychiatry, University of Illinois College of Medicine at Chicago.

International Journal of Psychiatry in Medicine
|January 1, 1987
PubMed
Summary
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Depression is common in intensive care units (ICUs) due to critical illness. This study proposes a classification strategy and reviews treatments for ICU-related depression and similar psychiatric conditions.

Area of Science:

  • Critical care medicine
  • Psychiatry
  • Clinical psychology

Background:

  • Intensive care units (ICUs) experience high rates of depression.
  • Depression stems from critical illness, life-threatening situations, and physiological disturbances.
  • Distinguishing depression from other psychiatric conditions in ICUs is crucial.

Purpose of the Study:

  • To propose a classification system for depression in the ICU setting.
  • To discuss psychiatric disturbances that mimic depression.
  • To review treatment strategies for ICU-related depression.

Main Methods:

  • Classification of ICU depression into major depressive illness, adjustment disorders, dysthymic disorder, or organic affective syndrome.
  • Discussion of psychiatric conditions simulating depression.

Related Experiment Videos

  • Review of environmental, behavioral, psychotherapeutic, and psychopharmacologic treatments.

    • Main Results:

    • A framework for classifying ICU depression is presented.
    • Differential diagnosis of depression and similar psychiatric disorders in ICUs is addressed.
    • Treatment modalities and their ICU-specific applications are summarized.

    Conclusions:

    • Effective management of ICU depression requires accurate classification.
    • A comprehensive approach integrating various treatments is necessary.
    • Careful consideration of limitations and precautions for psychopharmacologic agents in ICUs is essential.