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改善双相情感障碍治疗的策略:测量与管理的整合

Strategies for improving treatment of bipolar disorder: integration of measurement and management.

作者信息

Sachs G S

机构信息

Bipolar Clinic and Research Program Massachusetts General Hospital, Boston, and Harvard Medical School, MA, USA.

出版信息

Acta Psychiatr Scand Suppl. 2004(422):7-17. doi: 10.1111/j.1600-0447.2004.00409.x.

DOI:10.1111/j.1600-0447.2004.00409.x
PMID:15330934
Abstract

OBJECTIVE

Bipolar disorder is a common and complex condition associated with high rates of disability and high health care costs. The aim of this article is to provide an overview of the Systematic Treatment Enhancement Program for Bipolar Disorder (STEP-BD).

METHOD

The Systematic Treatment Enhancement Program for Bipolar Disorder (STEP-BD) was conceived in response to an NIMH request for proposals to study the effectiveness of treatments for Bipolar Disorder. Aspects of this program have been adapted and enriched for presentation in this paper.

RESULT

Designed for implementation in routine practice across a variety of settings, STEP-BD offers a disease management program in which standardized assessments are linked to critical decision points in clinical management pathways.

CONCLUSION

This paper describes strategies used in STEP-BD to improve the treatment of Bipolar disorder: a simple conceptual model, which integrates assessments and management, and several specialized elements, used in the STEP-BD assessment package.

摘要

目的

双相情感障碍是一种常见且复杂的疾病,与高致残率和高昂的医疗费用相关。本文旨在概述双相情感障碍系统治疗强化项目(STEP - BD)。

方法

双相情感障碍系统治疗强化项目(STEP - BD)是应美国国立精神卫生研究所(NIMH)关于研究双相情感障碍治疗效果的提案请求而构思的。本项目的各个方面已进行调整和充实,以便在本文中呈现。

结果

STEP - BD旨在在各种环境的常规实践中实施,提供一种疾病管理项目,其中标准化评估与临床管理路径中的关键决策点相关联。

结论

本文描述了STEP - BD中用于改善双相情感障碍治疗的策略:一个简单的概念模型,它整合了评估和管理,以及STEP - BD评估包中使用的几个专门要素。

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