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Individuelle Therapieziele bei Patienten mit Diabetes und Depression

Individual therapy targets for patients with diabetes and depression

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Nahezu 25% der an Diabetes Erkrankten haben zumindest eine beeinträchtigende subklinische Depression, 10% leiden an einer depressiven Störung. Diese beeinflusst die Lebensqualität, das Krankheitsverhalten und den Verlauf der Diabeteserkrankung. Die diabetesbezogenen Therapieziele sind bei depressiven Patienten anzupassen, da diese infolge der depressiven Symptomatik in der Alltagsbewältigung eingeschränkt sind. Überforderungssituationen können die depressive Symptomatik aufrechterhalten. Ein Depressionsscreening ist in die Therapie zu integrieren. Der Behandlung der Depression kommt bei Patienten mit Diabetes wegen der multiplen Interaktionen zwischen der Diabeteserkrankung und der Depression eine besondere Bedeutung zu.


Nearly 25% of patients with diabetes have at least an impairing subclinical depression and 10% suffer from a depressive disorder. This affects the quality of life, the disease symptoms and the course of the diabetic disease. The diabetes-oriented therapy targets must be adapted for depressive patients because they are limited in coping with the daily routine due to the depression. Situations of inadequate coping can perpetuate the depression. A screening for depression must be integrated into the therapy. The treatment of depression is particularly important for patients with diabetes because of the multiple interactions between the diabetic disease and the depression.

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Kruse, J., Kulzer, B. Individuelle Therapieziele bei Patienten mit Diabetes und Depression. Diabetologe 8, 139–142 (2012).

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