Robert Philippe Henri
Centre Mémoire de ressources & de recherche, CHU, Université de Nice-Sophia Antipolis--Pavilion M, hôpital Pasteur, 06002 Nice.
Rev Prat. 2004 Apr 15;54(7):734-8.
Depression is the most common mental health problem of later life. There is effective treatments for depression in primary care. Recommendation based on current evidence are: in primary care treatment there is no evidence that one class of antidepressant is anymore effective than others; although newer antidepressants are not more effective than older ones, they are better tolerated in healthy older people and in patients with medical co-morbidity and are safer especially in overdose. Lower dose antidepressant treatment is not recommended for older depressed patients.
抑郁症是晚年最常见的心理健康问题。在初级保健中存在治疗抑郁症的有效方法。基于当前证据的建议如下:在初级保健治疗中,没有证据表明一类抗抑郁药比其他抗抑郁药更有效;虽然新型抗抑郁药并不比旧型抗抑郁药更有效,但它们在健康的老年人和患有合并症的患者中耐受性更好,并且更安全,尤其是在过量用药时。不建议对老年抑郁症患者采用低剂量抗抑郁药治疗。