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ADA 2014：关注糖尿病患者抑郁症的诊治

2014-06-15 王娣 医学论坛网

ADA糖尿病抑郁症
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美国糖尿病学会第74届年会(ADA2014)于当地时间6月13~17日在旧金山举行，会议第一天会场已人头攒动。今年设置的“专家面对面”(meet-the-expert)环节在会议首日下午两个时段多个并行会场安排了18个话题的讨论。其中“抑郁与糖尿病”由两位临床心理学家主持，这是一个“没有幻灯片、没有主题讲者、听众自由提问并参与讨论”的高度互动性论坛。 当被问及如何有效筛查糖尿病患者中的抑郁症、以

美国糖尿病学会第74届年会(ADA2014)于当地时间6月13~17日在旧金山举行，会议第一天会场已人头攒动。今年设置的“专家面对面”(meet-the-expert)环节在会议首日下午两个时段多个并行会场安排了18个话题的讨论。其中“抑郁与糖尿病”由两位临床心理学家主持，这是一个“没有幻灯片、没有主题讲者、听众自由提问并参与讨论”的高度互动性论坛。

当被问及如何有效筛查糖尿病患者中的抑郁症、以及去哪里寻求这种跨学科帮助时，主持人之一Jeffrey Gonzalez首先指出，如果筛查后不能保证有效转诊给心理专科医生治疗，筛查就是徒劳无功的，索性不做；同时，现有的筛查量表如PHQ9、Diabetes Distress Scales等，整体上并没有哪种优于另一种，经过专业医生的再评价发现，可能高达50%被筛出的患者是假阳性，这就是为什么经初筛后转诊接受再评价和后续干预如此重要的原因。

Jeffrey同时也承认，糖尿病医生和心理学医生的对话是非常不够的，并且糖尿病患者心理干预的医保覆盖率不及降糖治疗。即使在他工作过的麻省总医院，精神心理科实力雄厚，但这种对话和转诊仍然缺乏。关于此类资源，他推荐了abct.org网站。

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    2015-04-11 x35042875

    国真实妊娠糖尿病患病率应该在这两种方案得到的患病率之间

    0

  2. [GetPortalCommentsPageByObjectIdResponse(id=20783, encodeId=4ff220e8365, content=国真实妊娠糖尿病患病率应该在这两种方案得到的患病率之间, beContent=null, objectType=article, channel=null, level=null, likeNumber=137, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cacheapi.medsci.cn/resource/upload/20150920/IMG55FDE671A89482379.jpg, createdBy=cef3108336, createdName=x35042875, createdTime=Sat Apr 11 23:44:00 CST 2015, time=2015-04-11, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=10251, encodeId=cc5210251c9, content=“ 糖尿病治好就不抑郁了”？就如肿瘤治好了就不抑郁了一样！, beContent=null, objectType=article, channel=null, level=null, likeNumber=124, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=f0620, createdName=114.87.152.1, createdTime=Fri Jul 04 22:48:00 CST 2014, time=2014-07-04, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=9999, encodeId=77b3999942, content=糖尿病治好就不抑郁了, beContent=null, objectType=article, channel=null, level=null, likeNumber=147, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=fa9590666, createdName=pullo, createdTime=Thu Jun 19 08:57:00 CST 2014, time=2014-06-19, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1264500, encodeId=8f7a1264500af, content=<a href='/topic/show?id=150f19229c' target=_blank style='color:#2F92EE;'>#ADA#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=54, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=1922, encryptionId=150f19229c, topicName=ADA)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=ad9f79, createdName=般若傻瓜, createdTime=Tue Jun 17 11:21:00 CST 2014, time=2014-06-17, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1473809, encodeId=546214e3809c7, content=<a href='/topic/show?id=935fe6718e3' target=_blank style='color:#2F92EE;'>#糖尿病患者#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=106, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=76718, encryptionId=935fe6718e3, topicName=糖尿病患者)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=a38f7243741, createdName=xue8604, createdTime=Tue Jun 17 11:21:00 CST 2014, time=2014-06-17, status=1, ipAttribution=)]
    2014-07-04 114.87.152.1

    “ 糖尿病治好就不抑郁了”？就如肿瘤治好了就不抑郁了一样！

    0

  3. [GetPortalCommentsPageByObjectIdResponse(id=20783, encodeId=4ff220e8365, content=国真实妊娠糖尿病患病率应该在这两种方案得到的患病率之间, beContent=null, objectType=article, channel=null, level=null, likeNumber=137, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cacheapi.medsci.cn/resource/upload/20150920/IMG55FDE671A89482379.jpg, createdBy=cef3108336, createdName=x35042875, createdTime=Sat Apr 11 23:44:00 CST 2015, time=2015-04-11, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=10251, encodeId=cc5210251c9, content=“ 糖尿病治好就不抑郁了”？就如肿瘤治好了就不抑郁了一样！, beContent=null, objectType=article, channel=null, level=null, likeNumber=124, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=f0620, createdName=114.87.152.1, createdTime=Fri Jul 04 22:48:00 CST 2014, time=2014-07-04, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=9999, encodeId=77b3999942, content=糖尿病治好就不抑郁了, beContent=null, objectType=article, channel=null, level=null, likeNumber=147, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=fa9590666, createdName=pullo, createdTime=Thu Jun 19 08:57:00 CST 2014, time=2014-06-19, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1264500, encodeId=8f7a1264500af, content=<a href='/topic/show?id=150f19229c' target=_blank style='color:#2F92EE;'>#ADA#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=54, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=1922, encryptionId=150f19229c, topicName=ADA)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=ad9f79, createdName=般若傻瓜, createdTime=Tue Jun 17 11:21:00 CST 2014, time=2014-06-17, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1473809, encodeId=546214e3809c7, content=<a href='/topic/show?id=935fe6718e3' target=_blank style='color:#2F92EE;'>#糖尿病患者#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=106, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=76718, encryptionId=935fe6718e3, topicName=糖尿病患者)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=a38f7243741, createdName=xue8604, createdTime=Tue Jun 17 11:21:00 CST 2014, time=2014-06-17, status=1, ipAttribution=)]
    2014-06-19 pullo

    糖尿病治好就不抑郁了

    0

  4. [GetPortalCommentsPageByObjectIdResponse(id=20783, encodeId=4ff220e8365, content=国真实妊娠糖尿病患病率应该在这两种方案得到的患病率之间, beContent=null, objectType=article, channel=null, level=null, likeNumber=137, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cacheapi.medsci.cn/resource/upload/20150920/IMG55FDE671A89482379.jpg, createdBy=cef3108336, createdName=x35042875, createdTime=Sat Apr 11 23:44:00 CST 2015, time=2015-04-11, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=10251, encodeId=cc5210251c9, content=“ 糖尿病治好就不抑郁了”？就如肿瘤治好了就不抑郁了一样！, beContent=null, objectType=article, channel=null, level=null, likeNumber=124, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=f0620, createdName=114.87.152.1, createdTime=Fri Jul 04 22:48:00 CST 2014, time=2014-07-04, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=9999, encodeId=77b3999942, content=糖尿病治好就不抑郁了, beContent=null, objectType=article, channel=null, level=null, likeNumber=147, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=fa9590666, createdName=pullo, createdTime=Thu Jun 19 08:57:00 CST 2014, time=2014-06-19, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1264500, encodeId=8f7a1264500af, content=<a href='/topic/show?id=150f19229c' target=_blank style='color:#2F92EE;'>#ADA#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=54, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=1922, encryptionId=150f19229c, topicName=ADA)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=ad9f79, createdName=般若傻瓜, createdTime=Tue Jun 17 11:21:00 CST 2014, time=2014-06-17, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1473809, encodeId=546214e3809c7, content=<a href='/topic/show?id=935fe6718e3' target=_blank style='color:#2F92EE;'>#糖尿病患者#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=106, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=76718, encryptionId=935fe6718e3, topicName=糖尿病患者)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=a38f7243741, createdName=xue8604, createdTime=Tue Jun 17 11:21:00 CST 2014, time=2014-06-17, status=1, ipAttribution=)]
    2014-06-17 般若傻瓜

    #ADA#

    0

  5. [GetPortalCommentsPageByObjectIdResponse(id=20783, encodeId=4ff220e8365, content=国真实妊娠糖尿病患病率应该在这两种方案得到的患病率之间, beContent=null, objectType=article, channel=null, level=null, likeNumber=137, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cacheapi.medsci.cn/resource/upload/20150920/IMG55FDE671A89482379.jpg, createdBy=cef3108336, createdName=x35042875, createdTime=Sat Apr 11 23:44:00 CST 2015, time=2015-04-11, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=10251, encodeId=cc5210251c9, content=“ 糖尿病治好就不抑郁了”？就如肿瘤治好了就不抑郁了一样！, beContent=null, objectType=article, channel=null, level=null, likeNumber=124, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=f0620, createdName=114.87.152.1, createdTime=Fri Jul 04 22:48:00 CST 2014, time=2014-07-04, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=9999, encodeId=77b3999942, content=糖尿病治好就不抑郁了, beContent=null, objectType=article, channel=null, level=null, likeNumber=147, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=fa9590666, createdName=pullo, createdTime=Thu Jun 19 08:57:00 CST 2014, time=2014-06-19, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1264500, encodeId=8f7a1264500af, content=<a href='/topic/show?id=150f19229c' target=_blank style='color:#2F92EE;'>#ADA#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=54, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=1922, encryptionId=150f19229c, topicName=ADA)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=ad9f79, createdName=般若傻瓜, createdTime=Tue Jun 17 11:21:00 CST 2014, time=2014-06-17, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1473809, encodeId=546214e3809c7, content=<a href='/topic/show?id=935fe6718e3' target=_blank style='color:#2F92EE;'>#糖尿病患者#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=106, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=76718, encryptionId=935fe6718e3, topicName=糖尿病患者)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=a38f7243741, createdName=xue8604, createdTime=Tue Jun 17 11:21:00 CST 2014, time=2014-06-17, status=1, ipAttribution=)]
    2014-06-17 xue8604

    #糖尿病患者#

    0

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