Department of Family Medicine, Boston University School of Medicine, Boston Medical Center, Boston, Massachusetts, USA.
J Clin Psychiatry. 2013 Apr;74(4):e07. doi: 10.4088/JCP.12075tx1c.
Because patients often seek treatment for depression in primary care, primary care physicians need the tools and knowledge to properly assess and manage major depressive disorder. Effective management includes using guideline-based treatment, measurement-based assessment, collaboration, and comorbid disease treatment. Treatment guidelines enable clinicians to create an effective, evidence-based management plan, and measurement tools allow for objective assessment and tracking of patients' symptoms and side effects over the course of treatment. Collaboration among primary care clinicians, case managers, and mental health specialists can improve adherence and outcomes for patients with major depressive disorder, including those with comorbid medical or psychiatric conditions. These approaches to patient care provide individualized treatment to help patients with depression.
由于患者经常在初级保健中寻求抑郁症的治疗,因此初级保健医生需要掌握适当评估和管理重度抑郁症的工具和知识。有效的管理包括使用基于指南的治疗、基于测量的评估、协作和合并症治疗。治疗指南使临床医生能够制定有效的、基于证据的管理计划,而测量工具则允许对患者在治疗过程中的症状和副作用进行客观评估和跟踪。初级保健临床医生、个案经理和心理健康专家之间的协作可以提高患有重度抑郁症患者的依从性和治疗效果,包括那些患有合并症的患者。这些患者护理方法为患者提供个性化的治疗,以帮助他们克服抑郁症。