Neuropsychopharmacology Unit, Division of Experimental Medicine, Imperial College, London, United Kingdom.
J Clin Psychiatry. 2011 Jun;72(6):e21. doi: 10.4088/JCP.9058tx2c.
The International Consensus Group on Depression gathered to outline a universal treatment algorithm for depression with the purpose of merging the evidence base and standards of clinical practice from various countries, including the United States, Europe, the Middle East, China, and Japan. This brief summary includes the following recommendations made by the consensus group: periodically screen all patients for depression, use measurement-based tools and full psychiatric assessments to complete differential diagnoses, refer patients to psychiatric specialists when appropriate, establish a therapeutic alliance with patients and their families, begin treatment with an antidepressant for moderate or severe depression, treat patients to remission, and continually monitor patients' symptomatic improvement.
国际抑郁症共识小组聚在一起,制定了一个通用的抑郁症治疗算法,旨在融合来自美国、欧洲、中东、中国和日本等国家的循证基础和临床实践标准。这份简要总结包括共识小组提出的以下建议:定期对所有患者进行抑郁症筛查,使用基于测量的工具和全面的精神科评估来完成鉴别诊断,在适当情况下将患者转介给精神科专家,与患者及其家属建立治疗联盟,对中重度抑郁症患者开始使用抗抑郁药治疗,治疗患者至缓解,并持续监测患者的症状改善。