Rush A J
Department of Psychiatry, University of Texas Southwestern Medical Center at Dallas, 75235-9086, USA.
J Clin Psychiatry. 1999;60 Suppl 14:21-6; discussion 31-5.
This article focuses on the strategies and tactics in the clinical management of maintenance treatment for depressed patients. The phases of treatment, indications for maintenance treatment, steps necessary to prepare patients for maintenance treatment (e.g., attaining optimal symptomatic control, providing knowledge, and developing a constructive attitude toward chronic disease management), teaching patients to measure symptoms during treatment, and clinical tips for managing symptomatic "blips" and recurrences during maintenance treatment are discussed.
本文重点探讨抑郁症患者维持治疗临床管理中的策略和方法。文中讨论了治疗阶段、维持治疗的适应症、使患者为维持治疗做好准备所需的步骤（例如，实现最佳症状控制、提供知识以及培养对慢性病管理的建设性态度）、教导患者在治疗期间测量症状，以及维持治疗期间处理症状“波动”和复发的临床小贴士。
