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首页> 外文期刊>Journal of psychosomatic research >Depression, migraine, and cardiovascular disease: Sadness really can break your heart
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Depression, migraine, and cardiovascular disease: Sadness really can break your heart

机译：抑郁症，偏头痛和心血管疾病：悲伤真的会伤您的心

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Depression, migraine, and CVD are common disorders with a major impact on personal and social function and a major financial cost to society. These illnesses are highly comorbid, and there are multiple proposed pathways to account for these associations, none of which have been proven as causative factors in the associations between these conditions. Nonetheless, patients with CVD should be screened for depression, and the articles described in this issue extend the range of tools that are available for that purpose. Similarly, patients with depression need to be assessed for the presence of migraine, which can exert an independent and negative effect on function, as indicated by Hung et al. in this issue. Patients with depression and/ormigraine also need monitoring for the emergence of CVD as either of these conditions elevate for risk of CVD, and the combination may elevate risk further than either condition alone.The articles reviewed for this issue, while very different in their foci, all highlightthe need for further integration between psychiatric and medical specialists. Comprehensive care of patients with any of these conditions cannot be provided without attending to the psychiatric and somatic needs of the patients, and in the hospital setting, this requires clinical teams that are multidisciplinary and comfortable across traditional boundaries of care. In primary care, it requires clinicians to be vigilant for the emergence of symptoms that signal that patients' distress may be best understood under a different label, with the different treatment strategies implied by this. Investigators such as Thombs, Wang, Shipley, and their colleagues are providing tools that are reasonable for routine clinical use. Communicating the information that studies such as theirs provide so that there is uptake of such tools in real world settings remains a challenge for all involved in educating the next generation of clinicians in both primary and specialty care.
机译：抑郁症，偏头痛和CVD是常见疾病，会对个人和社会功能产生重大影响，并给社会造成重大财务损失。这些疾病是高度合并症，并且提出了多种途径来解释这些关联，但没有一种途径被证明是这些疾病之间关联的致病因素。但是，应该对患有CVD的患者进行筛查以寻找抑郁症，本期中所述的文章扩大了可用于该目的的工具的范围。同样，抑郁症患者需要评估偏头痛的存在，偏头痛的存在会对功能产生独立的负面影响，如Hung等人所述。在这个问题上。患有抑郁症和/或偏头痛的患者还需要监测CVD的出现，因为这两种情况中的任何一种都会增加CVD的风险，并且联合使用可能比单独使用任何一种情况都进一步增加风险。所有这些都强调了精神病学专家和医学专家之间进一步整合的必要性。如果不考虑患者的精神病和躯体需求，就无法为患有上述任何一种情况的患者提供全面护理，并且在医院环境中，这需要跨传统护理领域的多学科且舒适的临床团队。在初级保健中，它要求临床医生对出现的症状保持警惕，这些症状表明在不同的标签下可以最好地理解患者的痛苦，并以此暗示不同的治疗策略。 Thombs，Wang，Shipley及其同事等研究人员正在提供适合常规临床使用的工具。交流研究等提供的信息，以便在现实环境中使用此类工具，对于所有在基础和专科护理领域教育下一代临床医生的人来说，仍然是一个挑战。

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