Mood Disorder in Medically III(Symposium/Depression-Its Diagnostic Issues and the Knack of Treatment)

DOI Web Site 1 Citations 31 References
  • Muramatsu Yoshiyuki
    School of Health Science, Faculty of Medicine, Niigata University
  • Muramatsu Kumiko
    Clinical Psychology Course, Graduate School of Niigata Seiryo University
  • Yoshimine Fumitoshi
    Niigata Prefectual Tsugawa Hospital
  • Fuse Katsuya
    Niigata Prefectual Koide Hospital
  • Fujimura Takeo
    Faculty of Second, Department of Internal Medicine, Graduate School of Medical and Dental Science, Niigata University
  • Shimizu Natue
    Faculty of Second, Department of Internal Medicine, Graduate School of Medical and Dental Science, Niigata University
  • Murakami Shuuichi
    Faculty of Second, Department of Internal Medicine, Graduate School of Medical and Dental Science, Niigata University
  • Suzuki Eiichi
    Faculty of Second, Department of Internal Medicine, Graduate School of Medical and Dental Science, Niigata University
  • Gejyo Fumitake
    Niigata University
  • Katagiri Atsuko
    Medical Corporation Katagiri Clinic
  • Mashima Ichiro
    Health Administration Center, Niigata University
  • Tanaka Yutaka
    Department of Dental Anesthesia, Faculty of Dentistry, Niigata University
  • Saito Isao
    Sanjou General Hospital
  • Sakurai Koji
    Niigata University
  • Arakawa Masaaki
    Niigata University:Niigata Health Promotion Center, Niigata Institute of Sports Medicine and Science
  • Miyaoka Hitoshi
    Department of Psychiatry, Kitasato University School of Medicine

Bibliographic Information

Other Title
  • 身体疾患と気分障害(シンポジウム:うつ病の診断・治療上の問題点とコツ,2008年,第49回日本心身医学会総会(札幌))
  • 身体疾患と気分障害
  • シンタイ シッカン ト キブン ショウガイ

Search this article

Abstract

Patients with medical illness have a markedly higher rate of comorbid mood disorder than healthy people. However, diagnosis can be difficult as patients with mood disorders will report physical symptoms when examined at regular medical institutions, but rarely mention psychological symptoms. In many cases, the symptoms of the primary illness and those of depression are similar, and thorough medical interviews and careful observation are required. Furthermore, in cases of comorbid mood disorder, many symptoms aside from those of the primary illness are present. If physical symptoms unrelated to the primary illness are observed, it is necessary to be sufficiently aware of the possibility of depression and to make a careful evaluation while also considering and searching for other comorbidities. There may be a relationship between laboratory findings indicating the primary illness and the degree of depression; therefore, for physical management, attention must be paid to depression as well as changes in examination findings. If improvement is poor, patients experience difficulty in treatment. Furthermore, if QOL decreases more than expected despite appropriate medical physical therapy, it is necessary to consider comorbid mood disorder, and depending on the situation, coordinate with medical specialists and perform comprehensive diagnosis and treatment.

Journal

Citations (1)*help

See more

References(31)*help

See more

Keywords

Details 詳細情報について

Report a problem

Back to top