Comorbidity of Depression and Diabetes: A Literature Review on Systemic Flaws in Healthcare and the Benefits of Collaborative Diagnosis and Treatment in Primary Care Settings.

IF 2.4 Q3 ENDOCRINOLOGY & METABOLISM
Pranay Wal, Pankaj Kumar, Harsh Bhardwaj, Komal Sharma, Arpan Kumar Tripathi, Arpit Gupta, Ankita Wal, Mukesh Chandra Sharma
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引用次数: 0

Abstract

Background: The increasing specialization and dispersion of healthcare systems have led to a shortage of resources to address comorbidities. Patients with coexisting mental and physical conditions are disadvantaged, as medical providers often only focus on the patient's mental illness while neglecting their physical needs, resulting in poorer health outcomes.

Objective: This study aimed to shed light on the systemic flaws in healthcare systems that contribute to suboptimal health outcomes in individuals with comorbid diseases, including depression and diabetes. This paper also discusses the clinical and economic benefits of collaborative methods for diagnosing and treating depressive disorders in primary care settings.

Methods: A comprehensive literature review of the relationship between depression and diabetes was conducted. The outcomes of the literature review were carefully analyzed. Several databases were searched using keywords such as "diabetes," "depression," "comorbidity," "prevalence," "epidemiology," and "risk factors" using Google Scholar and PubMed as search engines. The review and research papers written between 1961 and 2023 were our main focus.

Results: This study revealed improved depressive symptoms and better blood sugar and blood pressure control. Additionally, individuals with comorbid depression and diabetes have higher direct and secondary medical costs. Antidepressants and psychological interventions are equally effective in treating depressive symptoms in patients with diabetes, although they have conflicting effects on glycemic control. For individuals with comorbid diabetes and depression, clear care pathways, including a multidisciplinary team, are essential for achieving the best medical and mental health outcomes.

Conclusion: Coordinated healthcare solutions are necessary to reduce the burden of illness and improve therapeutic outcomes. Numerous pathophysiological mechanisms interact with one another and may support the comorbidities of T2DM, and depressive disorders could exacerbate the course of both diseases.

抑郁症与糖尿病并发症:关于医疗保健系统缺陷的文献综述以及初级医疗机构合作诊断和治疗的益处》(A Literature Review on Systemic Flaws in Healthcare and the Benefits of Collaborative Diagnosis and Treatment in Primary Care Settings)。
背景:医疗保健系统日益专业化和分散化,导致用于治疗合并症的资源短缺。同时患有精神疾病和身体疾病的患者处于不利地位,因为医疗服务提供者往往只关注患者的精神疾病,而忽视了他们的身体需求,从而导致了较差的健康结果:本研究旨在揭示医疗系统中的系统性缺陷,这些缺陷导致抑郁症和糖尿病等并发症患者的健康状况不尽如人意。本文还讨论了在初级医疗机构中采用合作方法诊断和治疗抑郁障碍的临床和经济效益:方法:对抑郁症与糖尿病之间的关系进行了全面的文献综述。对文献综述的结果进行了仔细分析。以 Google Scholar 和 PubMed 为搜索引擎,使用 "糖尿病"、"抑郁"、"合并症"、"患病率"、"流行病学 "和 "风险因素 "等关键词对多个数据库进行了检索。我们主要关注 1961 年至 2023 年间撰写的综述和研究论文:这项研究显示,抑郁症状得到了改善,血糖和血压得到了更好的控制。此外,合并抑郁症和糖尿病的患者的直接和继发性医疗费用更高。抗抑郁药和心理干预对治疗糖尿病患者的抑郁症状同样有效,但它们对血糖控制的效果却不尽相同。对于合并糖尿病和抑郁症的患者,明确的护理路径(包括多学科团队)对于实现最佳医疗和心理健康效果至关重要:结论:协调的医疗保健解决方案对于减轻疾病负担和改善治疗效果十分必要。许多病理生理机制相互影响,可能会支持 T2DM 的合并症,而抑郁障碍可能会加重这两种疾病的病程。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Current diabetes reviews
Current diabetes reviews ENDOCRINOLOGY & METABOLISM-
CiteScore
6.30
自引率
0.00%
发文量
158
期刊介绍: Current Diabetes Reviews publishes frontier reviews on all the latest advances on diabetes and its related areas e.g. pharmacology, pathogenesis, complications, epidemiology, clinical care, and therapy. The journal"s aim is to publish the highest quality review articles dedicated to clinical research in the field. The journal is essential reading for all researchers and clinicians who are involved in the field of diabetes.
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