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El espectro amplio de la depresión comórbida: implicaciones para el tratamiento

Published online by Cambridge University Press:  12 May 2020

J. Mendlewicz
J. Mendlewicz*
Affiliation:
Cliniques University de Bruxelles, Service de Psychiatrie, Hôpital Erasme, Route de Lennick 808, 1070Brussels, Bélgica
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Resumen

Existe una alta tasa de depresión en los pacientes con trastornos médicos u otros trastornos psiquiátricos. Esta depresión comórbida se asocia con un aumento de la morbilidad y la mortalidad por enfermedad médica, un cumplimiento terapéutico malo, un empeoramiento de los síntomas somáticos y a menudo una disminución en el estado funcional. Varios estudios recientes han demostrado que la depresión comórbida es muy tratable y que el tratamiento efectivo a menudo aumenta el afrontamiento adaptativo de la enfermedad médica de los pacientes. Sin embargo, al escoger una terapia antidepresiva, se debe tener cuidado de hacer una valoración completa de la enfermedad del paciente y evitar potenciales interacciones entre fármacos y enfermedades relacionadas con fármacos. Esta revisión investiga el uso de los antidepresivos en pacientes deprimidos con trastornos médicos y psiquiátricos y su efecto sobre el pronóstico y la morbilidad, e indica que existe un lugar para el uso de las medicaciones antidepresivas en el tratamiento de las condiciones comórbidas. Por lo general, la mayor seguridad y tolerabilidad de los inhibidores selectivos de la recaptación de serotonina proporciona mejores opciones para el tratamiento de la depresión en el enfermo médico y psiquiátrico.

Keywords

comórbidodepresiónSSRIs
Type
Revisión
Information
European Psychiatry (Ed. Española) , Volume 5 , Issue 6 , September 1998 , pp. 352 - 363
Copyright
Copyright © European Psychiatric Association 1998

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Footnotes

Mendlewicz J. The Broad spectrum of comorbid depression: implications for treatment. Eur Psychiatry 1998; 13: 1-8.

References

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