Department of Psychiatry and Mood Disorders Research Program and Clinic, University of Texas Southwestern Medical Center, Dallas, USA.
J Clin Psychiatry. 2013 Jul;74(7):e14. doi: 10.4088/JCP.12075tx2c.
Even with many treatment options available for major depressive disorder, many patients fail to achieve remission and return to their presymptomatic levels of functioning at work, in leisure activities, and in relationships. Throughout treatment, clinicians should implement measurement-based care by systematically monitoring patients' response using self-rated scales, such as the PHQ-9, QIDS-SR, or BDI. By tracking depressive symptoms, as well as suicidality, treatment adherence, and side effects, clinicians can adjust treatment to help patients achieve the best outcomes. Measurement-based care enables clinicians to make informed decisions at critical points throughout the treatment process and to involve patients in making those decisions.
即使有许多治疗选择可用于治疗重度抑郁症，但许多患者仍无法达到缓解，无法恢复到出现症状前在工作、休闲活动和人际关系中的功能水平。在整个治疗过程中，临床医生应通过系统地使用自评量表（如 PHQ-9、QIDS-SR 或 BDI）监测患者的反应，实施基于测量的护理。通过跟踪抑郁症状、自杀意念、治疗依从性和副作用，临床医生可以调整治疗以帮助患者获得最佳结果。基于测量的护理使临床医生能够在治疗过程中的关键节点做出明智的决策，并让患者参与这些决策。
