Definitions and distinctions among depressive syndromes and symptoms: Implications for a better understanding of the depression-cardiovascular disease association
Definitions and distinctions among depressive syndromes and symptoms: Implications for a better understanding of the depression-cardiovascular disease association
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DOI：
10.1097/01.psy.0000162257.19266.fc
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发表时间：
2005-05-01
影响因子：
3.3
通讯作者：
Rapp, MA
中科院分区：
文献类型：
--
作者：
Davidson, KW;Rieckmann, N;Rapp, MA
目的：抑郁症存在和/或抑郁症状加重在心血管疾病的发作和复发中的预后作用已得到广泛支持。抑郁症是一种多方面的疾病，涵盖广泛的躯体、认知和情绪症状；它的强度、持续时间、频率、病程和家族史各不相同；可以连续或明确评估；可以通过面谈或自我报告的方式获得；重要的是，这些区别对心脏预后的影响可能会有所不同。我们概述了抑郁症的定义和可能的评估，并讨论了关键的评估区别。结论：检查抑郁症的这些关键特征对急性冠状动脉综合征复发的预测能力将有益于该领域的未来研究。
Objective: A prognostic role for depressive disorder presence and/or elevated depressive symptoms in the onset and recurrence of cardiovascular disease has been largely supported. Depression is a multifaceted disorder, encompassing a wide range of somatic, cognitive, and mood symptoms; it varies in intensity, duration, frequency, course, and family history;, it can be assessed continuously or categorically; it can be obtained by interview or by self-report; and importantly, the cardiac prognostic impact of these distinctions may vary. We provide an overview of definitions and possible assessment of depression, and we discuss key assessment distinctions. Conclusion: Examining the predictive ability of these key distinctions of depression for acute coronary syndrome recurrence would be of benefit to future research in this field.