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[全科医疗中抑郁障碍的诊断与治疗]

[Diagnosis and therapy of depressive disorders in general practice].

作者信息

Schüren A, Kleinschmidt S, Müssigbrodt H, Schürmann A

机构信息

Klinik für Psychiatrie und Psychotherapie Medizinische Universität zu Lübeck.

出版信息

Psychiatr Prax. 1999 Jul;26(4):163-6.

Abstract

93 general practitioners participating in a WHO field trial testing the ICD-10-primary health care classification system in German-speaking countries completed a questionnaire dealing with their practice of diagnosis and treatment of patients with depressive disorders. There was a great variety of diagnoses that were often vague. Counselling tended to be "good advice" instead of specific intervention. Antidepressant medication mostly consisted of tricyclic antidepressants in rather low dosages. Only few of the general practitioners informed patients thoroughly about side-effects and risks of antidepressant medication.

摘要

93名参与世界卫生组织在德语国家测试ICD - 10初级卫生保健分类系统的现场试验的全科医生完成了一份关于他们对抑郁症患者诊断和治疗实践的调查问卷。诊断种类繁多,且往往含糊不清。咨询往往是“好的建议”,而非具体干预措施。抗抑郁药物大多是低剂量的三环类抗抑郁药。只有少数全科医生会向患者详细告知抗抑郁药物的副作用和风险。

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