[Depression and physical illness].
Depression associated to a physical illness may be under-recognized or under-treated because of its diagnosis related difficulties and the trivialization of its presence in such a context. Now, this association contributes to physical illness' worsening, increased impairment, and may be responsible of care withdrawal, and even of suicide. The association between depression and physical illness may be a simple coincidence, or a psychological reaction to physical illness or else is the direct consequence of the somatic disease through biological disturbances or the iatrogenic effects of the disease treatment. It is also known, that depressive mood constitutes a significant risk factor for the development of various somatic disorders. Finally, a depression should be evoked when facing unexplained physical complaints. The entanglement between depression and physical illness needs to be particularly careful with prescriptions and especially an increased vigilance about drugs interactions.
Hazen
Constance
C
Service de psychologie clinique et psychiatrie de liaison, Hôpital européen Georges-Pompidou, 75908 Paris Cedex 15. cohazen@voila.fr
Soudry
Yaël
Y
Consoli
Silla M
SM
D000368:Aged; D001327:Autoimmune Diseases / Q000523:psychology*; D003327:Coronary Disease / Q000523:psychology*; D003863:Depression / Q000139:chemically induced / Q000150:complications / Q000175:diagnosis / Q000209:etiology; D003937:Diagnosis, Differential; D004347:Drug Interactions; D064420:Drug-Related Side Effects and Adverse Reactions; D004700:Endocrine System Diseases / Q000523:psychology*; D005260:Female; D015658:HIV Infections / Q000523:psychology*; D006801:Humans; D007049:Iatrogenic Disease; D008297:Male; D009422:Nervous System Diseases / Q000150:complications* / Q000523:psychology; D011602:Psychophysiologic Disorders / Q000175:diagnosis*; D012307:Risk Factors; D013405:Suicide / Q000523:psychology; D011795:Surveys and Questionnaires