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Physical health in affective disorders: a narrative review of the literature
Brazilian Journal of Psychiatry ( IF 5.5 ) Pub Date : 2020-10-30 , DOI: 10.1590/1516-4446-2020-1246
Lluc Colomer 1 , Gerard Anmella 1 , Eduard Vieta 1 , Iria Grande 1
Affiliation  

This article reviews the most common non-psychiatric comorbidities associated with affective disorders, examining the implications of their possible bidirectional link. A narrative review was conducted on the association among the three most common non-psychiatric diseases in major depressive disorder and bipolar disorder (obesity, metabolic syndrome, and cardiovascular diseases) in articles published from January 1994 to April 2020. The evidence suggests that obesity, metabolic syndrome, and cardiovascular diseases are highly prevalent in patients diagnosed with affective disorders. The presence of non-psychiatric comorbidities significantly worsens the therapeutic management and prognosis of affective disorders and vice versa. In many cases, these comorbidities may precede the onset of affective disorders, although in most cases they appear after it. The presence of these concurrent non-psychiatric diseases in an individual diagnosed with an affective disorder is associated with a more complex disease presentation and management. For professionals, the evidence unequivocally supports routine surveillance of comorbidities from a multidisciplinary approach.

中文翻译:

情感障碍中的身体健康:文献综述

本文回顾了与情感障碍相关的最常见的非精神疾病,并研究了它们可能的双向联系的含义。在 1994 年 1 月至 2020 年 4 月发表的文章中,对重度抑郁症和双相情感障碍(肥胖、代谢综合征和心血管疾病)中三种最常见的非精神疾病之间的关联进行了叙述性审查。证据表明,肥胖、代谢综合征和心血管疾病在诊断为情感障碍的患者中非常普遍。非精神共病的存在显着恶化了情感障碍的治疗管理和预后,反之亦然。在许多情况下,这些合并症可能先于情感障碍的发作,尽管在大多数情况下它们出现在它之后。在被诊断患有情感障碍的个体中存在这些并发的非精神疾病与更复杂的疾病表现和管理有关。对于专业人士而言,证据明确支持通过多学科方法对合并症进行常规监测。
更新日期:2020-10-30
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