Stage Kurt Bjerregaard, Sørensen Claus Hauregaard
Odense Universitetshospital, Psykiatrisk Afdeling P, Odense C.
Ugeskr Laeger. 2007 Apr 16;169(16):1436-9.
Depression is one of the most economically burdensome diseases with serious consequences for patients as well as their families. Many depressed patients are not treated because they neither contact a doctor nor are diagnosed correctly. Today, it is generally accepted that depression is not just one disease but is composed of subgroups, each requiring its own specific treatment. In mild to moderate depression SSRIs or other newer antidepressants can be used but in cases of severe melancholic or psychotic depression TCAs or ECT are the treatments of choice.
抑郁症是经济负担最重的疾病之一,对患者及其家庭都会造成严重后果。许多抑郁症患者未得到治疗,因为他们既未就医,也未得到正确诊断。如今,人们普遍认为抑郁症并非单一疾病,而是由多个亚组构成,每个亚组都需要特定的治疗方法。对于轻度至中度抑郁症,可使用选择性5-羟色胺再摄取抑制剂(SSRI)或其他新型抗抑郁药,但对于重度抑郁性或精神病性抑郁症,三环类抗抑郁药(TCA)或电休克疗法(ECT)则是首选治疗方法。