Fleck Marcelo Pio de Almeida, Lafer Beny, Sougey Everton Botelho, Del Porto José Alberto, Brasil Marco Antônio, Juruena Mário Francisco
Programa de Transtornos de Humor do Hospital de Clínicas de Porto Alegre. Universidade Federal do Rio Grande do Sul. Porto Alegre, RS, Brasil.
Braz J Psychiatry. 2003 Jun;25(2):114-22. doi: 10.1590/s1516-44462003000200013.
Depression is a frequent and chronic condition with high levels of functional disability. Brazilian Medical Association Guidelines project proposed guidelines for diagnosis and treatment of the most common medical disorders. The objective of this paper is to present the original document that originated the abbreviated version available at the electronic address of Brazilian Medical Association.
This paper was based on guidelines developed in other countries and systematic reviews, randomized clinical trials and when absent, observational studies and recommendations from experts. Brazilian Medical Association proposed this methodology for the whole project.
The following aspects are presented: prevalence, demographics, disability, diagnostics and sub-diagnosis, efficacy of pharmacological and psychotherapeutic treatment, costs and side-effects of different classes of available drugs in Brazil. Planning of different phases of treatment is22 also discussed.
Guidelines are a good tool helping clinical decisions and are a reference for an attitude based on levels of evidence.
抑郁症是一种常见的慢性疾病，功能残疾程度较高。巴西医学协会指南项目提出了最常见医学疾病的诊断和治疗指南。本文的目的是呈现产生巴西医学协会电子地址上可用缩写版本的原始文件。
本文基于其他国家制定的指南以及系统评价、随机临床试验，在缺乏这些时则基于观察性研究和专家建议。巴西医学协会为整个项目提出了这种方法。
呈现了以下方面：患病率、人口统计学、残疾情况、诊断及亚诊断、药物和心理治疗的疗效、巴西不同类别可用药物的成本和副作用。还讨论了治疗不同阶段的规划。
指南是帮助临床决策的良好工具，也是基于证据水平的态度的参考。
