The screening and treatment of undiagnosed depression in patients with chronic obstructive pulmonary disease (COPD) in a general practice.
The screening and treatment of undiagnosed depression in patients with chronic obstructive pulmonary disease (COPD) in a general practice.
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DOI：
10.3132/pcrj.2007.00048
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发表时间：
2007-08-01
期刊：
影响因子：
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通讯作者：
Jenner, Christopher
中科院分区：
文献类型：
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作者：
Ahmed, Kamran;Kelshiker, Ashok;Jenner, Christopher
目的和目标：筛选，并治疗，抑郁症的COPD患者在普通外科手术，并测试的可行性的筛选methods.METHODS：我们发送贝克抑郁量表（BDI）的简表问卷，所有患者的COPD登记册（n=69）通过邮寄，排除那些已经诊断为抑郁症（n=3）。我们发出的预约，所有响应者中度至重度抑郁症，并为他们提供治疗，包括抗抑郁药和肺康复，如果诊断confirmed.RESULTS：66例患者，我们向他们发送问卷调查，43人返回完成，其中13人有显着的抑郁症（30%）。其中10例患者可联系并参加审查。10例患者均确诊为抑郁症。讨论了治疗方案; 5人选择抗抑郁药物治疗，3人选择肺康复治疗，2人拒绝治疗。结论：我们使用这种筛选方法在全科医疗环境中识别并治疗了大量抑郁的COPD患者。这种方法可能有更广泛的筛选应用，但需要进一步的试验。
AIMS AND OBJECTIVES: To screen for, and to treat, depression in COPD patients in a general practice surgery, and to test the feasibility of the screening method.METHODS: We sent The Beck Depression Inventory (BDI) Short-Form Questionnaire to all patients on the COPD register (n=69) by post, excluding those already diagnosed with depression (n=3). We sent appointments to all responders with moderate to severe depression and offered them treatment including antidepressants and pulmonary rehabilitation if the diagnosis was confirmed.RESULTS: Of the 66 patients to whom we sent questionnaires, 43 were returned completed and 13 of these had significant depression (30%). 10 of these patients were contactable and attended for review. The diagnosis of depression was confirmed in all 10 cases. Treatment options were discussed; five chose antidepressant medication, three chose pulmonary rehabilitation and two declined treatment.CONCLUSION: We identified and treated a significant number of depressed COPD patients in a general practice setting using this screening method. This method could have wider applications for screening, although further trials are needed.