在纤维肌痛中识别和治疗严重抑郁症:非精神病学家的叙述入门书
Bala Munipalli1, Mohit Chauhan1, Anjali M Morris2
1Mayo Clinic Florida, Jacksonville, FL, USA.
Journal of primary care & community health
|September 16, 2024
概括
纤维肌痛患者经常患有严重抑郁症,这会使症状恶化. 有效的治疗结合了药物,运动和治疗,以改善这两种疾病的生活质量.
科学领域:
- 类风湿病学 类风湿病学
- 精神病学是一个精神病学.
- 遗传学 是一个遗传学.
背景情况:
- 纤维肌痛 (FM) 影响2-8%的人口,导致疼痛,疲劳和认知问题.
- FM患者经常经历自我耻辱,孤立和抑郁症状.
- 大型抑郁症 (MDD) 是一种常见的并发症 (32%的 FM 患者).
研究的目的:
- 审查当前关于在 FM 患者中识别和管理 MDD 的文献.
- 为临床医生提供基于证据的策略,用于治疗FM的并发性MDD.
- 突出未经治疗的MDD对FM结果的影响.
主要方法:
- 在PubMed (1995-2023) 的文献搜索中使用关键词:纤维肌痛,主要抑郁症,治疗纤维肌痛中的抑郁症.
- 对药物和非药物管理方法的审查.
- 对临床应用的当前信息的综合.
主要成果:
- 重叠的症状和诊断挑战往往会导致 FM 患者未被诊断的 MDD.
- 未经治疗的MDD会加剧FM症状,降低身体功能,增加并发病风险.
- 结合药理学,有氧运动和认知行为疗法在治疗这两种疾病方面都显示出有前途.
结论:
- 综合治疗方法对于在 FM 患者中有效管理并发性 MDD 是至关重要的.
- 解决MDD显著改善了纤维肌痛患者的整体症状严重程度和生活质量.
- 临床医生需要更新的指导方针,以全面照顾患有抑郁症的FM患者.
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