David Alan K
Department of Family and Community Medicine, Medical College of Wisconsin, Milwaukee, WI 53226, USA.
Postgrad Med. 2003 Nov;114(5 Suppl Treating):19-25. doi: 10.3810/pgm.11.2003.suppl29.159.
In the fast-paced setting of primary care, it is difficult to detect psychiatric disorders, especially the more subtle disorders, such as minor depression and dysthymia. In cases of dysthymia, in particular, the patients themselves may not even have a sense that anything medically treatable is wrong; they feel as though their life has little to offer. A rapid screening method that could be used routinely in primary care, along with a straightforward characterization method and treatment regimen, has the potential to help many patients.
在快节奏的初级保健环境中，很难检测出精神疾病，尤其是那些更为隐匿的疾病，如轻度抑郁症和心境恶劣障碍。特别是在心境恶劣障碍的病例中，患者自身甚至可能都没有意识到有任何可通过医学治疗的问题；他们觉得自己的生活毫无意义。一种能够在初级保健中常规使用的快速筛查方法，连同一种直接明了的诊断方法和治疗方案，有可能帮助许多患者。
