Bermejo Isaac, Kratz Sandra, Schneider Frank, Gaebel Wolfgang, Mulert Christoph, Hegerl Ulrich, Berger Mathias, Härter Martin
Abt. für Psychiatrie und Psychotherapie mit Poliklinik, Universitätsklinikum Freiburg.
Z Arztl Fortbild Qualitatssich. 2003 Nov;97 Suppl 4:44-9.
Depression is one of the most frequently encountered mental health disorders in primary care. The health and financial burden caused by this disorder emphasise the clinical importance of depressive disorders. Research shows that these conditions often remain unrecognised and untreated. The aim of this study is to analyse if and how primary care physicians identify this condition in comparison to the patients' self-evaluation. A total of 1,233 cases in 32 primary care physicians' offices were examined to see if symptoms of depression were recognised. The assessment procedures were evaluated, too. In this study, the prevalence of depressive disorders was 10%, and the recognition rate of primary care physicians 45%. These results underscore the importance of improving physicians' recognition of depression and use of ICD-10 criteria for differential diagnosis. Conclusions must be drawn for a specific training of primary care physicians that focuses on the improvement of diagnosis and treatment of depressed patients.
抑郁症是基层医疗中最常遇到的心理健康障碍之一。这种疾病所造成的健康和经济负担凸显了抑郁症的临床重要性。研究表明，这些病症往往未被识别和治疗。本研究的目的是分析基层医疗医生与患者自我评估相比，是否以及如何识别这种病症。对32个基层医疗医生办公室的1233个病例进行了检查，以确定是否识别出抑郁症症状。评估程序也进行了评估。在本研究中，抑郁症的患病率为10%，基层医疗医生的识别率为45%。这些结果强调了提高医生对抑郁症的识别能力以及使用ICD-10标准进行鉴别诊断的重要性。必须得出结论，针对基层医疗医生进行专门培训，重点是改善抑郁症患者的诊断和治疗。
