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  Vol. 286 No. 14, October 10, 2001 TABLE OF CONTENTS
  JAMA
  •  Online Features
  Contempo Updates: Linking Evidence and Experience
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Relationship Between Depression and Other Medical Illnesses

Steven P. Roose, MD; Alexander H. Glassman, MD; Stuart N. Seidman, MD

JAMA. 2001;286:1687-1690.

Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

INTRODUCTION

Depression occurring in the setting of a nonpsychiatric medical illness is often considered to be a psychological reaction. Clinicians attribute the patient's feelings of vulnerability, fear, and diminished self-esteem to the onset of a severe illness. However, recent data have forced reconsideration of this belief and new models of the relationship between depression and other medical illnesses have emerged. Compelling evidence suggests that depression is an independent risk factor that contributes to the development of ischemic heart disease (IHD) and increases cardiac mortality. However, abandoning the concept of depression as a reaction to illness seems premature as the relationship between depression and other illnesses is complex and may vary. This article will discuss different models of interaction between depression and other illnesses using patients with IHD, cerebrovascular disease, and erectile dysfunction (ED) as illustrations.


Depression and IHD

Clinicians have long observed . . . [Full Text of this Article]

Depression and Cerebrovascular Disease

Depression and ED

Conclusion

Author Affiliations: Department of Psychiatry, Columbia University College of Physicians and Surgeons, and New York State Psychiatric Institute, New York, NY.


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