糖尿病患者的抑郁发生率高于普通人群,并与长期高血糖、糖尿病并发症以及病死率相关。尽管抑郁和不良结局的关系还未完全阐明,然而还是有证据支持治疗抑郁能够改善糖尿病预后这一假说,因此有必要加强对糖尿病患者临床抑郁的诊断与治疗。可是,近期的研究结果却展现出更复杂的局面,并对上述假说产生质疑。 Depression in diabetic patients is higher than in the general population, and is associated with long-term hyperglycemia, diabetic complications, and mortality. Although the relationship between depression and adverse outcomes has not yet been fully elucidated, there is still evidence to support the hypothesis that treating depression can improve the prognosis of diabetes. Therefore, it is necessary to strengthen the diagnosis and treatment of clinical depression in diabetic patients. However, recent studies have shown more complex conditions and challenged the above hypothesis.