MSc, Department of Child and Adolescent Psychiatry, NYU School of Medicine, 1 Park Ave, New York, NY 10016.
Pediatrics. 2013 Oct;132(4):e996-e1009. doi: 10.1542/peds.2013-0600. Epub 2013 Sep 16.
Adolescent depression is a prevalent and disabling condition resulting in emotional suffering and social and educational dysfunction. Care for adolescent depression is suboptimal and could be improved through the development and use of quality indicators (QIs). This article reports on the development of a care pathway and QIs for the primary and specialty care management of adolescent depression from case identification through symptom remission. It presents evidence from a review of adolescent clinical practice guidelines and research literature to support QIs at critical nodes in the pathway, and describes implications for practice based on existing evidence. Barriers to measure development are identified, including gaps in empirical evidence, and a research agenda is suggested.
青少年抑郁症是一种普遍且致残的疾病，会导致情绪痛苦和社会及教育功能障碍。青少年抑郁症的治疗效果不佳，可以通过制定和使用质量指标（QIs）来加以改善。本文报告了从识别病例到症状缓解，为青少年抑郁症的初级保健和专科治疗管理制定护理路径和 QIs 的情况。通过对青少年临床实践指南和研究文献的回顾，为路径中关键节点的 QIs 提供了证据，并根据现有证据说明了对实践的影响。确定了在制定衡量标准方面存在的障碍，包括实证证据方面的差距，并提出了一个研究议程。
