Clinical epidemiology and promoters of depressive-anxiety disorder was investigated on 200 patients at the HuÕ Central Hospital between December 2000 and May 2001. Results: Overall, the incidence of depressive-anxiety disorder is 15.5%, more common in older patients. Most is mild and moderate depression. The frequency of symptoms, as sadness, emptiness, fatigue, difficulty in attention, decrease in sexual activities, dizziness and etc is varied. The relationship between symptoms of depressive-anxiety disorder and number of physical problems in the same patient is insignificant; however, this disorder is more common in patients with cardio-vascular and gastrointestinal conditions. Unfavorable psychosocial and family factors can promote the development of depressive-anxiety disorder.
depression ; Patients ; Internal Medicine ; diagnosis

The symptom group of dementia is now called as behavioral and psychological symptom of dementia (BPSD). Depression is a highly prevalent concomitant of dementia. At the same time, differential diagnosis between dementia and geriatric depression is clinically important. Depressive symptoms are elevated preclinically in AD, and this elevation is not merely a byproduct of self-perceived cognitive difficulties. Thus, depressive symptoms appeared to be early manifestations, rather than predictors in case of AD. The depressive symptoms can be separated into two categories, reflecting either mood or motivation related disturbance. Mood related symptoms dominate in mild to moderate stages, and motivation related symptoms dominate in severe stages. We can find out the clinical characteristics of depressive symptoms in dementia. And, depression in dementia responds to specific psychopharmacologic or psychosocial treatments. So, we should consider use of multiple therapeutic measures in a systematic way.
Dementia ; Depression* ; Diagnosis, Differential ; Motivation

The prospective study concerning some factors related between depression and anxiety with AIDS severity was performed on 36 AIDS patients with the manifestation of depression and anxiety associated to other mental disturbances in a total of 76 AIDS patients. The epidemiological and clinical characteristics of AIDS, the clinical disorders of depression and anxiety, and paraclinical date were investigated. Results showed the depression on 8.56% of cases, depression disorders were not difference between various age group. There was a positive proportional relation between AIDS severity and depression and anxiety.
Diagnosis ; Depression ; Acquired Immunodeficiency Syndrome

Depression is the leading cause of disease-related disability among women. Postpartal depression (PPD) can produce substantial clinical, economic, and psychosocial impairment, not only for the women experiencing it but also for the women's children and family. Therefore, a comprehensive understanding the accurate detection and appropriate treatment of depression is mandatory in women of childbearing age. This review focused on the current knowledge of PPD.
Child ; Depression ; Depression, Postpartum* ; Diagnosis* ; Female ; Humans ; Postpartum Period*

Depression ; classification ; diagnosis ; Diagnosis, Differential ; Humans ; Medicine, Chinese Traditional

Depression is one of the most common psychiatric complications of Alzheimer disease (AD), affecting from 30% to 50% of prevalence, with most estimates in the 20-30% range. Because of having a presentation in the context of AD that differs from typical early-onset depression, it is not easy one to detect and quantify reliably, and can be difficulty to differentiate depression from the other neuropsychiatric symptoms of AD. Due to the lack of large randomized trials, optimal treatment and the true degree of efficacy remains undetermined. However, these treatments can reduce adverse impact of depression on patients and caregivers. This article provides a practical discussion of the diagnosis, evaluation, differential diagnosis and treatment of depression in AD for the clinician.
Alzheimer Disease* ; Caregivers ; Depression* ; Diagnosis ; Diagnosis, Differential ; Humans ; Prevalence

Assessment of psychosocial and psychiatric needs is an increasingly important component of cancer care. Clinical experience with patients indicate that distress, anxiety and depression are prevalent from early stages of the illness. Strategies to enhance psychosocial care are presented and these include early identification through screening, training for healthcare staff working with cancer patients and support not only for patients but their caregivers as well.
Anxiety ; diagnosis ; Anxiety Disorders ; Caregivers ; Depression ; diagnosis ; Humans ; Neoplasms ; psychology

PURPOSE: To evaluate the relationship between the lesions of the MEWDS, retinal dysfunction and the cause of decreased visual acuity. METHODS: A patient with a medical history, retinal finding, and the fluorescein angiographic findings consistent with the diagnosis of MEWDS is described. Full field ERG and mfERG were performed and the results was analyzed to find the relationship the visual acuity and the fluorescein angiographic findings. RESULTS: mfERG of the involved eye shows diffuse depression of the amplitude accentuated by focal areas of steep depression thought to correspond to white spot and full field ERG shows generalized depressed signal. The mfERG abnormalities seen at the presentation resolved with the resolution of visual symptoms after 1 month. CONCLUSIONS: The major symptoms of the patient is due to the decreased retinal function and the mfERG is seem to be the useful and safe tool for evaluation of the retinal function and the relationship between the symptoms and the white dots.
Dental Caries ; Depression ; Diagnosis ; Fluorescein ; Humans ; Retinaldehyde ; Visual Acuity

The gastric carcinoma displays various macroscopic appearances ranging from well defined protuberant to diffuse infiltrating tumors but its histological diagnosis is usually simple when performing an endoscopic biopsy. A few gastric cancinomas resemble submucosal tumors (SMT). A gastric carcinoma with a SMT-like appearance is extremely rare, and reportedly accounts for 0.1% to 0.63% of all resected gastric carcinomas in Japan. A histological diagnosis of a SMT-like gastric carcinoma by repeated endoscopic biopsies is often difficult as the tumors are almost entirely covered with normal mucosa. When one sees the lesions in an upper gastrointestinal endoscopy, one should be careful about the location of depression, redness and coating that deviates from the top of the tumor. Here we report two cases of SMT-like gastric carcinomas, diagnosed by the usual endoscopic biopsy method and treated with surgery, with an accompanying review of the recent literature.
Adenocarcinoma* ; Biopsy ; Depression ; Diagnosis ; Endoscopy, Gastrointestinal ; Japan ; Mucous Membrane

BACKGROUND: Depressive symptoms are common in the medically ill patients although depressive disorders are considerably underdiagnosed and undertreated. Therefore, we examined the characteristics of depressive tendency in medical inpatients. METHODS: The patient group-144 subj.cts(90 males, 54 females) were selected from medical inpatients of Kae Jung hospital. 158 subjects(106 male, 52 females) with no prior history of diseases were selected for the control group. The Beck Depression Inventory(BDI) and Hamilton Rating Scale for Depression(HRSD) was used for both groups from June to December 1997. RESULTS: The patient group had a significant higher BDI and HRSD score than controls(p<0.01). In the patients, 31.3% had scores on the BDI greater than the cutting score of 21, and 26.4% had scores on the HRSD greater than the cutting score of 22. In the patients, demographic and medical variables were evaluated with respect to depression. those in their 60's, with education level of elementary school and below. the divorced, bereaved and separated, and having duration of illness more than one year were statistically more depressed, but depression was not associated with sex, religion and medical diagnosis. CONCLUSIONS: This study indicates that depressive tendency may be a common phenomena in medically ill patients. Therefore, we should suspect depression in the management of these patients.
Depression ; Depressive Disorder ; Diagnosis ; Divorce ; Education ; Humans ; Inpatients* ; Male