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抑郁症的临床实践建议。

Clinical practice recommendations for depression.

作者信息

Malhi G S, Adams D, Porter R, Wignall A, Lampe L, O'Connor N, Paton M, Newton L A, Walter G, Taylor A, Berk M, Mulder R T

机构信息

CADE Clinic, Department of Psychiatry, Royal North Shore Hospital, University of Sydney, NSW, Australia.

出版信息

Acta Psychiatr Scand Suppl. 2009(439):8-26. doi: 10.1111/j.1600-0447.2009.01382.x.

Abstract

OBJECTIVE

To provide clinically relevant evidence-based recommendations for the management of depression in adults that are informative, easy to assimilate and facilitate clinical decision making.

METHOD

A comprehensive literature review of over 500 articles was undertaken using electronic database search engines (e.g. MEDLINE, PsychINFO and Cochrane reviews). In addition articles, book chapters and other literature known to the authors were reviewed. The findings were then formulated into a set of recommendations that were developed by a multidisciplinary team of clinicians who routinely deal with mood disorders. The recommendations then underwent consultative review by a broader advisory panel that included experts in the field, clinical staff and patient representatives.

RESULTS

The clinical practice recommendations for depression (Depression CPR) summarize evidence-based treatments and provide a synopsis of recommendations relating to each phase of the illness. They are designed for clinical use and have therefore been presented succinctly in an innovative and engaging manner that is clear and informative.

CONCLUSION

These up-to-date recommendations provide an evidence-based framework that incorporates clinical wisdom and consideration of individual factors in the management of depression. Further, the novel style and practical approach should promote uptake and implementation.

摘要

目的

为成人抑郁症的管理提供基于临床相关证据的建议,这些建议应信息丰富、易于理解并有助于临床决策。

方法

使用电子数据库搜索引擎(如MEDLINE、PsychINFO和Cochrane综述)对500多篇文章进行了全面的文献综述。此外,还对作者所知的文章、书籍章节和其他文献进行了回顾。然后,研究结果被整理成一组建议,由一组经常处理情绪障碍的临床医生多学科团队制定。这些建议随后由一个更广泛的咨询小组进行协商审查,该小组包括该领域的专家、临床工作人员和患者代表。

结果

抑郁症临床实践建议(Depression CPR)总结了基于证据的治疗方法,并提供了与疾病各阶段相关的建议概要。它们是为临床使用而设计的,因此以一种创新且引人入胜的方式简洁呈现,清晰且信息丰富。

结论

这些最新建议提供了一个基于证据的框架,在抑郁症管理中纳入了临床智慧和对个体因素的考虑。此外,新颖的风格和实用的方法应能促进其采用和实施。

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