Universität zu Köln

Albus, C. and Geiser, F. (2019). Evidence-based recommendations for the treatment of depressive comorbidity in somatic illness. Internist, 60 (12). S. 1226 - 1235. HEIDELBERG: SPRINGER HEIDELBERG. ISSN 1432-1289

Full text not available from this repository.

Abstract

Background Comorbid depression is frequent in internal medicine (e.g. in coronary heart disease, congestive heart failure or diabetes mellitus) and impairs quality of life as well as the prognosis of the somatic illness. Aim To review evidence based recommendations for the treatment of depressive comorbidity in selected somatic disorders. Materials and methods Selective literature search based on national and international guidelines. Results In clinical routine, depressive symptoms are often overseen or misinterpreted. Therefore, a specific diagnostic is recommended. Depressive symptoms should obligatory be screened during the clinical interview or by validated questionnaires. When screened positive, further diagnostic steps are mandatory. The treatment of depressive disorders has three main components: basic psychosomatic care, psychotherapy and antidepressant medication. These interventions are safe and effective for reducing depressive symptoms and enhancing quality of life. However, results regarding the effects on morbidity and mortality of the comorbid somatic disorder are still inconclusive. The greatest effects on depression are obtained by a preference-based, stepped-care approach and an optimal cooperation of all professionals (collaborative care). Conclusions An effective treatment of depressive comorbidity is relevant for quality of life and possibly also for the prognosis of a somatic disease. Integrating a routine screening for depressive symptoms is the first step toward an effective, evidence-based therapy.

Item Type:	Journal Article
Creators:	Creators Email ORCID ORCID Put Code Albus, C. UNSPECIFIED UNSPECIFIED UNSPECIFIED Geiser, F. UNSPECIFIED UNSPECIFIED UNSPECIFIED
URN:	urn:nbn:de:hbz:38-130203
DOI:	10.1007/s00108-019-00694-y
Journal or Publication Title:	Internist
Volume:	60
Number:	12
Page Range:	S. 1226 - 1235
Date:	2019
Publisher:	SPRINGER HEIDELBERG
Place of Publication:	HEIDELBERG
ISSN:	1432-1289
Language:	German
Faculty:	Unspecified
Divisions:	Unspecified
Subjects:	no entry
Uncontrolled Keywords:	Keywords Language DISEASE; ANXIETY Multiple languages Medicine, General & Internal Multiple languages
Refereed:	Yes
URI:	http://kups.ub.uni-koeln.de/id/eprint/13020