DEPRESSIVE DISORDER Depressive ...

DEPRESSIVE DISORDER depressive psychosis with or without anxiety - the most common disorder observed in patients with diabetes caharnym. Some studies suggest that depression and / or anxiety can affect up to 50% of young people with difficult to treat type I diabetes caharnym (Orr et all, 1983; Tattersal & Walford, 1985). Prevalence of depression was significantly higher than in the general population, and at the extreme end of the continuum prevalence of depression in medically ill (Fris & Nunjandapper, 1986; Mayou et al, 1991; Lustman et al, 1992). But it is assumed that at least part of this increased risk is due to psychosocial difficulties that accompany caharny diabetes, although organic factors undoubtedly also play a role (Geringer, 1990). Table 1. Increased prevalence of mental disorders in diabetes research

Approaches to treatment of depression in general practice

Academic Medical Sciences, Professor AB Smulevich Mental Health Research Center RAMS, Moscow In modern medicine, the problem of depression nominated in the category of paramount importance. Depression affects millions of people on the planet - the prevalence of the disease to 90-th years of the twentieth century the population of Europe and the U.S. amounted to 10.5%. Although the "depressive illness" and does not constitute a pathology incompatible with life, and its course is often remittent character, which suggests the presence of "light" periods with the possibility of practical recovery rates of disability, mortality, and the negative impact on quality of life with this disease do not yield relevant data on heavy, progressive somatic diseases. The urgency of the problem of depression in general medicine, where their frequency is 22-33% and greater than a common disease, such as hypertension (W. Katon, M. Sulliven, 1990; SL Dubovsky, 2003), increases substantially. Depression is not by chance compared with an iceberg, whose vertices form a pronounced form, the recognition that not only for the psychiatrist, but also for any other physician specialty did not present any difficulties. Problems associated with these forms of therapy, are competent to a psychiatric clinic. Most of the depressions, however, be placed in deeper zones "iceberg." It erased the form in which the clinical picture is dominated by neurotic, somatization, autonomic dysfunction. About such depression patients seek help in the establishment of primary care network. That is why in modern conditions the problem of depression is regarded as one of the key, not only in psychiatry but also in general medicine. The decisive condition for successful medical treatment for depression is a timely diagnosis, but the problem is not solved. Especially the studies revealed that the proportion of patients who had established the correct diagnosis does not exceed 10-55% (J.