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[抑郁症。对初级保健来说也是一项诊断和治疗挑战]

[Depressive disorders. A diagnostic and therapeutic challenge also for primary care].

作者信息

Kapfhammer H-P

机构信息

Klinik für Psychiatrie, Medizinische Universität Graz, Auenbruggerplatz 31, 8036 Graz, Osterreich.

出版信息

Internist (Berl). 2007 Feb;48(2):173-186; quiz 187-8. doi: 10.1007/s00108-006-1704-x.

DOI:10.1007/s00108-006-1704-x
PMID:17111158
Abstract

Diagnosis and treatment of depressive disorders play a major role in primary care. Due to their high prevalence in the general population with a pronounced psychiatric and somatic morbidity and a significant subsequent psychosocial disability, such disorders constitute a serious disease entity. This review provides basic knowledge on epidemiology, diagnosis, pharmacotherapy and psychotherapy to enable successful primary care of this important group of patients.

摘要

抑郁症的诊断与治疗在初级保健中发挥着重要作用。由于其在普通人群中患病率高,伴有明显的精神和躯体疾病以及严重的后续心理社会功能障碍,这些疾病构成了一个严重的疾病实体。本综述提供了关于流行病学、诊断、药物治疗和心理治疗的基础知识,以便对这一重要患者群体进行成功的初级保健。

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本文引用的文献

1
Somatic symptoms in depression.抑郁症中的躯体症状。
Dialogues Clin Neurosci. 2006;8(2):227-39. doi: 10.31887/DCNS.2006.8.2/hpkapfhammer.
2
The medical management of depression.抑郁症的医学治疗
N Engl J Med. 2005 Oct 27;353(17):1819-34. doi: 10.1056/NEJMra050730.
3
Suicide prevention strategies: a systematic review.自杀预防策略:一项系统评价
[心理肿瘤学:心理与癌症]
Internist (Berl). 2012 Nov;53(11):1296, 1298, 1300-1, 1303. doi: 10.1007/s00108-012-3068-8.
JAMA. 2005 Oct 26;294(16):2064-74. doi: 10.1001/jama.294.16.2064.
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Case management for the treatment of patients with major depression in general practices--rationale, design and conduct of a cluster randomized controlled trial--PRoMPT (PRimary care Monitoring for depressive Patient's Trial) [ISRCTN66386086]--study protocol.基层医疗中重度抑郁症患者治疗的病例管理——一项整群随机对照试验的原理、设计与实施——PRoMPT(抑郁症患者初级保健监测试验)[国际标准随机对照试验编号66386086]——研究方案
BMC Public Health. 2005 Oct 5;5:101. doi: 10.1186/1471-2458-5-101.
5
Somatic symptoms of depression in elderly patients with medical comorbidities.患有合并症的老年患者抑郁症的躯体症状。
Int J Geriatr Psychiatry. 2005 Oct;20(10):973-82. doi: 10.1002/gps.1389.
6
The importance of somatic symptoms in depression in primary care.基层医疗中躯体症状在抑郁症中的重要性。
Prim Care Companion J Clin Psychiatry. 2005;7(4):167-76. doi: 10.4088/pcc.v07n0405.
7
Accuracy of diagnosing depression in primary care: the impact of chronic somatic and psychiatric co-morbidity.基层医疗中抑郁症诊断的准确性:慢性躯体疾病与精神疾病共病的影响。
Psychol Med. 2005 Aug;35(8):1185-95. doi: 10.1017/s0033291705004812.
8
Is your depressed patient bipolar?你的抑郁症患者是双相情感障碍患者吗?
J Am Board Fam Pract. 2005 Jul-Aug;18(4):271-81. doi: 10.3122/jabfm.18.4.271.
9
Size and burden of depressive disorders in Europe.欧洲抑郁症的规模与负担。
Eur Neuropsychopharmacol. 2005 Aug;15(4):411-23. doi: 10.1016/j.euroneuro.2005.04.008.
10
The management of bipolar disorder in primary care: a review of existing and emerging therapies.基层医疗中双相情感障碍的管理:现有及新兴疗法综述
Psychiatry Clin Neurosci. 2005 Jun;59(3):229-39. doi: 10.1111/j.1440-1819.2005.01365.x.