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首页> 外文期刊>Archives of general psychiatry. >Major depression and coronary artery disease.
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Major depression and coronary artery disease.

机译：抑郁症和冠状动脉疾病。

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Kendler et al report a bidirectional relationship between major depression (MD) and coronary artery disease (CAD), albeit a modest one with an odds ratio of 1.3. We use the publication of Kendler et al to observe that, in our opinion, significant limitations compromise all or most studies of such comorbid-ity, namely the imprecise and subjective nature of tools used to assess MD contrasted with the more precise and objective methods used to identify CAD. In the case of CAD, information was obtained from 2 reliable national registers and included diagnoses, cardiac surgical procedures, and cause of death, as applicable. In striking contrast, MD was assessed by telephone interviews using the World Health Organization Composite International Diagnostic Interview Short Form. In this method, no information was obtained about treatment(s) for depression, hospitalization, absenteeism from work or other role performance, nor complications such as suicide attempt or alcohol or other substance abuse. We do not even know if patients suspected of having MD and seeking treatment are the same patients identified with MD in surveys such as those conducted by Kendler and associates.
机译：肯德勒等报告一个双向的关系抑郁症(MD)和冠状动脉之间疾病(CAD),尽管一个适度的几率比率为1.3。等观察,在我们看来,很大的局限性全部或大部分妥协研究此类comorbid-ity,即不精确的和主观的性质的工具评估医学与更精确和形成对比客观的方法用于识别CAD。CAD中,信息从2可靠的国家注册和包括在内诊断,心脏外科手术,并导致死亡,如适用。是通过电话面试评估使用世界卫生组织国际复合诊断访谈形式。得到任何信息关于治疗(s)抑郁、住院,旷工工作或其他角色表演,也没有并发症如企图自杀或酒精或其他物质滥用。疑似MD和寻求治疗同样的患者识别MD调查如由肯德勒和同事。

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