抑郁症的诊断与治疗。

Diagnosis and treatment of major depressive disorder.

机构信息

Department of Psychiatry, Mount Sinai School of Medicine, One Gustave L. Levy Place Box 1230, New York, NY 10029, USA.

出版信息

Neurol Clin. 2011 Feb;29(1):177-93, ix. doi: 10.1016/j.ncl.2010.10.010.

DOI:10.1016/j.ncl.2010.10.010

Abstract

Major depressive disorder is a common illness, particularly in patients with medical and neurologic conditions. This article summarizes current data on the epidemiology, diagnosis, and treatment of major depression, with special emphasis on the diagnosis and treatment of depression in medical and neurologic patients. We reviewed the role of pharmacotherapies, psychotherapies, somatic treatments, and alternative remedies and we included practical advice for clinician regarding the timing and sequence of these treatments, the role of standardized depression scales, and the criteria for referrals to specialty consultants.

摘要

重度抑郁症是一种常见疾病，尤其在患有内科和神经科疾病的患者中更为常见。本文总结了目前关于重度抑郁症的流行病学、诊断和治疗的资料，特别强调了内科和神经科患者中抑郁症的诊断和治疗。我们回顾了药物治疗、心理治疗、躯体治疗和替代疗法的作用，并就这些治疗的时机和顺序、标准化抑郁量表的作用以及向专科顾问转介的标准为临床医生提供了实用建议。