van der Feltz-Cornelis Christina M
Trimbos-instituut, programma Diagnostiek en Behandeling, Utrecht, The Netherlands.
Ned Tijdschr Geneeskd. 2009;153:A494.
There has been much discussion in the media about the question of the existence of a depression epidemic. This leads on to the questions of whether the social and economic approaches are adequate, and what the alternatives are. The concept of the disease 'depression' can be defined using a medical model, or from a patient's or a societal perspective. From a medical perspective, indeed a depression epidemic has ensued from the increased prosperity and the associated decompression of the mortality rate. Society responded with preventative measures and policies aimed at improving functioning in the workplace. However, patients with a major depressive disorder (MDD) who are eligible for treatment are often not motivated to take it up, or are undertreated. Research is necessary in order to explore what patients think about the identification and treatment of depression. The confusion regarding the concept of depression found in the media, needs to be cleared.
媒体上对抑郁症流行这一问题有诸多讨论。这进而引发了社会和经济方法是否足够以及有哪些替代方法的问题。“抑郁症”这一疾病概念可以用医学模型来定义,也可以从患者或社会角度来定义。从医学角度看,事实上抑郁症流行是繁荣程度提高以及相关死亡率降低所致。社会采取了旨在改善职场功能的预防措施和政策。然而,符合治疗条件的重度抑郁症(MDD)患者往往没有接受治疗的意愿,或者治疗不足。有必要开展研究以探究患者对抑郁症识别和治疗的看法。媒体中存在的关于抑郁症概念的混乱需要厘清。