Schulberg H C, Katon W J, Simon G E, Rush A J
Department of Psychiatry, University of Pittsburgh School of Medicine, PA, USA.
J Clin Psychiatry. 1999;60 Suppl 7:19-26; discussion 27-8.
Practice guidelines such as those of the United States Public Health Service Agency for Health Care Policy and Research have been instrumental in addressing the significant problem of how best to manage major depression in primary medical care settings. Since this set of guidelines was published in 1993, new findings from randomized clinical trials and extensive clinical experience permit us to reevaluate trends in treatment of major depression in primary medical care. This review suggests guidelines for achieving best clinical practice given current knowledge.
诸如美国公共卫生服务机构医疗保健政策与研究处发布的实践指南，在解决如何在初级医疗保健环境中最佳管理重度抑郁症这一重大问题上发挥了重要作用。自1993年这套指南发布以来，随机临床试验的新发现以及丰富的临床经验使我们能够重新评估初级医疗保健中重度抑郁症的治疗趋势。本综述根据当前知识提出了实现最佳临床实践的指南。
