Nierenberg Andrew A, Katz Judith, Fava Maurizio
Depression Clinical and Research Program, Massachusetts General Hospital, 50 Staniford Street, Boston, MA 02114, USA.
Psychiatr Clin North Am. 2007 Mar;30(1):13-29. doi: 10.1016/j.psc.2007.01.001.
Major depressive disorder is a frequent, serious disorder that usually responds partially to treatment and leaves many patients with treatment resistance. This article reviews and critically evaluates the evidence for the management of treatment-resistant depression and examines pharmacologic approaches to alleviate the suffering of patients who benefit insufficiently from initial treatment.
重度抑郁症是一种常见且严重的疾病,通常对治疗仅部分有效,导致许多患者出现治疗抵抗。本文回顾并批判性地评估了难治性抑郁症管理的证据,并探讨了药物治疗方法,以减轻那些从初始治疗中获益不足的患者的痛苦。