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基于测量的单相抑郁治疗。

Measurement-based care for unipolar depression.

机构信息

Department of Psychiatry, The University of Texas Southwestern Medical Center, 5323 Harry Hines Boulevard, Dallas, TX 75390-9119, USA.

出版信息

Curr Psychiatry Rep. 2011 Dec;13(6):446-58. doi: 10.1007/s11920-011-0237-8.

Abstract

This article outlines the role of measurement-based care in the management of antidepressant treatment for patients with unipolar depression. Using measurement-based care, clinicians and researchers have the opportunity to optimize individual treatment and obtain maximum antidepressant treatment response. Measurement-based care breaks down to several simple components: antidepressant dosage, depressive symptom severity, medication tolerability, adherence to treatment, and safety. Quick and easy-to-use, empirically validated assessments are available to monitor these areas of treatment. Utilizing measurement-based care has several steps-screening and antidepressant selection based upon treatment history, followed by assessment-based medication management and ongoing care. Electronic measurement-based care systems have been developed and implemented, further reducing the burden on patients and clinicians. As more treatment providers adopt electronic health care management systems, compatible measurement-based care antidepressant treatment delivery and monitoring systems may become increasingly utilized.

摘要

本文概述了基于测量的护理在单相抑郁症患者抗抑郁治疗管理中的作用。使用基于测量的护理,临床医生和研究人员有机会优化个体治疗并获得最大的抗抑郁治疗反应。基于测量的护理可分为几个简单的组成部分:抗抑郁药剂量、抑郁症状严重程度、药物耐受性、治疗依从性和安全性。有一些快速易用且经过实证验证的评估方法可用于监测这些治疗领域。基于测量的护理有几个步骤-根据治疗史进行筛查和抗抑郁药选择,然后进行基于评估的药物管理和持续护理。已经开发和实施了电子基于测量的护理系统,进一步减轻了患者和临床医生的负担。随着越来越多的治疗提供者采用电子医疗保健管理系统,兼容的基于测量的护理抗抑郁治疗交付和监测系统可能会越来越多地被使用。

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