Cited by 820Treatment of Major DepressionMental Health Treatment and AccessAnxiety, Depression, Psychometrics, Treatment, Cognitive Processes

The DOI matches its Crossref record; 147 of the 147 references it cites were found in a registry or an index.

Epidemiology and treatment of depression in patients with chronic medical illness

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J. Katon, Wayne.·2011·Dialogues in Clinical Neuroscience

Abstract

There is a bidirectional relationship between depression and chronic medical disorders. The adverse health risk behaviors and psychobiological changes associated with depression increase the risk for chronic medical disorders, and biological changes and complications associated with chronic medical disorders may precipitate depressive episodes. Comorbid depression is associated with increased medical symptom burden, functional impairment, medical costs, poor adherence to self-care regimens, and increased risk of morbidity and mortality in patients with chronic medical disorders. Depression may worsen the course of medical disorders because of its effect on proinflammatory factors, hypothalamic-pituitary axis, autonomic nervous system, and metabolic factors, in addition to being associated with a higher risk of obesity, sedentary lifestyle, smoking, and poor adherence to medical regimens. Both evidence-based psychotherapies and antidepressant medication are efficacious treatments for depression. Collaborative depression care has been shown to be an effective way to deliver these treatments to large primary care populations with depression and chronic medical illness.

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Crossref · 10.31887/dcns.2011.13.1/wkaton

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Figure 1. Bidirectional interaction between depression and chronic medical disorders. Reproduced from ref 14: Katon WJ. Clinical and health services relationships between major depression, depressive symptoms, and general medical illness Biol Psychiatry. 2003;54:216-226. Copyright © Elsevier, 2003
Figure 1. Bidirectional interaction between depression and chronic medical disorders. Reproduced from ref 14: Katon WJ. Clinical and health services relationships between major depression, depressive symptoms, and general medical illness Biol Psychiatry. 2003;54:216-226. Copyright © Elsevier, 2003CC BY-NC-ND · PubMed Central
Figure 2. Relationship of depression and diabetes complications to 10 diabetes symptoms. Reproduced from ref 60: Ludman EJ, Katon W, Russo J, et al. Depression and diabetes symptom burden. Gen Hosp Psychiatry. 2004;26:430-436. Copyright © Elsevier 2004
Figure 2. Relationship of depression and diabetes complications to 10 diabetes symptoms. Reproduced from ref 60: Ludman EJ, Katon W, Russo J, et al. Depression and diabetes symptom burden. Gen Hosp Psychiatry. 2004;26:430-436. Copyright © Elsevier 2004CC BY-NC-ND · PubMed Central
Figure 3. Psychophysiologic effects of depression. HPA, hypothalamicpituitary-adrena Adapted from ref 102: Champaneri S, Wand GS, Malhotra SS, Casagrande SS, Golden SH. Biological basis of depression in adults with diabetes. Curr Diab Rep. 2010;10:396-405. Copyright © Current Science 2010
Figure 3. Psychophysiologic effects of depression. HPA, hypothalamicpituitary-adrena Adapted from ref 102: Champaneri S, Wand GS, Malhotra SS, Casagrande SS, Golden SH. Biological basis of depression in adults with diabetes. Curr Diab Rep. 2010;10:396-405. Copyright © Current Science 2010CC BY-NC-ND · PubMed Central

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Research works printed but not linked: 2

  1. BurgM.Depression prior to CABG predicts 6-month and 2-year morbidity and mortality [abstract]. Psychosom Med. 200163103
  2. ConnerneyI.In-hospital depression after CABG surgery predicts 12-month outcome [abstract]. Psychosom Med. 200062106

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Metadata

Authors
J. Katon, W.
Affiliations
Professor and Vice-Chair, Department of Psychiatry & Behavioral Sciences, University of Washington School of Medicine, Seattle, Washington, USA
Venue
Dialogues in Clinical Neuroscience
Published
2011-03-31
Volume
13
Issue
1
Pages
7-23
ISSN
  • 1294-8322 (ISSN-L)
  • 1958-5969
OpenAlex
W2121530613
Cited by
820
References
146
Citations by year
2026: 38 · 2025: 60 · 2024: 58 · 2023: 63 · 2022: 72 · 2021: 75 · 2020: 57 · 2019: 62 · 2018: 55 · 2017: 64 · 2016: 56 · 2015: 43 · 2014: 46 · 2013: 35 · 2012: 26
FWCI
26.71
Type
journal article
Language
en
Open access
Locations
  • Dialogues in Clinical Neuroscience (publishedVersion, cc-by-nc-nd)
  • Europe PMC (PubMed Central) (publishedVersion, cc-by-nc-nd)
  • PubMed Central (publishedVersion, cc-by-nc-nd)
  • PubMed (publishedVersion)
Funders
National Institute of Mental Health (K08MH069741, K-24 MH069741)
Topics
  • Health Sciences › Medicine › Pharmacology (medical) › Treatment of Major Depression
  • Health Sciences › Medicine › Psychiatry and Mental health › Mental Health Treatment and Access
  • Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
Keywords
depression, chronic disease, comorbidities, bidirectional relationship, inflammation, hypothalamic-pituitary axis, autonomic nervous system, obesity, smoking, medication adherence, psychotherapy, antidepressants, collaborative care, primary care, functional disability, health care costs
MeSH terms
Chronic Disease, Depression, Diabetes Mellitus, Heart Diseases, Humans, Models, Biological, Physician-Patient Relations, Risk Factors, Self Care, Comorbidity

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