Singh Nimi
Division of General Pediatrics and Adolescent Health, University of Minnesota, USA.
Minn Med. 2002 Aug;85(8):33-5, 37-8.
Increasing rates of depression in adolescents coupled with a decrease in the availability of psychiatric care has created the need for primary care physicians to become proficient in the screening and first-line treatment of mental and emotional disorders in their adolescent patients. This paper reviews the epidemiology and natural course of depression in adolescents, the health care climate changes leading to a decrease in the availability of psychiatric care in the community, and the role of the primary care practitioner in screening for and treating depression in the adolescent patient. In addition, screening tools and specific pharmacotherapeutic approaches are discussed.
青少年抑郁症发病率不断上升，同时精神科护理服务可及性下降，这使得初级保健医生有必要熟练掌握对青少年患者心理和情绪障碍的筛查及一线治疗。本文综述了青少年抑郁症的流行病学和自然病程、导致社区精神科护理服务可及性下降的医疗保健环境变化，以及初级保健从业者在筛查和治疗青少年患者抑郁症方面的作用。此外，还讨论了筛查工具和具体的药物治疗方法。
