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Integrating co-morbid depression and chronic physical disease management: identifying and resolving failures in self-regulation.
Clinical psychology review Pub Date : 2008-09-09 , DOI: 10.1016/j.cpr.2008.09.002
Jerusha B Detweiler-Bedell 1 , Michael A Friedman , Howard Leventhal , Ivan W Miller , Elaine A Leventhal
Affiliation  

Research suggests that treatments for depression among individuals with chronic physical disease do not improve disease outcomes significantly, and chronic disease management programs do not necessarily improve mood. For individuals experiencing co-morbid depression and chronic physical disease, demands on the self-regulation system are compounded, leading to a rapid depletion of self-regulatory resources. Because disease and depression management are not integrated, patients lack the understanding needed to prioritize self-regulatory goals in a way that makes disease and depression management synergistic. A framework in which the management of co-morbidity is considered alongside the management of either condition alone offers benefits to researchers and practitioners and may help improve clinical outcomes.

中文翻译:

整合共病抑郁症和慢性身体疾病管理:识别和解决自我调节失败。

研究表明,对患有慢性身体疾病的人进行抑郁症治疗并不能显着改善疾病结果,慢性病管理计划也不一定能改善情绪。对于患有抑郁症和慢性身体疾病的个体来说,对自我调节系统的要求更加复杂,导致自我调节资源迅速耗尽。由于疾病和抑郁症管理没有一体化,患者缺乏对自我调节目标进行优先排序所需的理解,从而使疾病和抑郁症管理具有协同作用。将合并症的管理与单独的任一病症的管理一起考虑的框架为研究人员和从业者带来好处,并可能有助于改善临床结果。
更新日期:2019-11-01
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