Department of Psychiatry, Yong-In Mental Hospital, Yongin, Korea. ; Institute of Mental Health, Hanyang University, Seoul, Korea.
Department of Psychiatry, Yong-In Mental Hospital, Yongin, Korea.
J Korean Med Sci. 2014 Jan;29(1):12-22. doi: 10.3346/jkms.2014.29.1.12. Epub 2013 Dec 26.
Although pharmacological treatment constitutes the main therapeutic approach for depression, non-pharmacological treatments (self-care or psychotherapeutic approach) are usually regarded as more essential therapeutic approaches in clinical practice. However, there have been few clinical practice guidelines concerning self-care or psychotherapy in the management of depression. This study introduces the 'Evidence-Based, Non-Pharmacological Treatment Guideline for Depression in Korea.' For the first time, a guideline was developed for non-pharmacological treatments for Korean adults with mild-to-moderate depression. The guideline development process consisted of establishing several key questions related to non-pharmacologic treatments of depression, searching the literature for studies which answer these questions, assessing the evidence level of each selected study, drawing up draft recommendation, and peer review. The Scottish Intercollegiate Guidelines Network grading system was used to evaluate the quality of evidence. As a result of this process, the guideline recommends exercise therapy, bibliotherapy, cognitive behavior therapy, short-term psychodynamic supportive psychotherapy, and interpersonal psychotherapy as the non-pharmacological treatments for adult patients with mild-to-moderate depression in Korea. Hence, it is necessary to develop specific methodologies for several non-pharmacological treatment for Korean adults with depression.
虽然药物治疗是治疗抑郁症的主要方法，但非药物治疗（自我保健或心理治疗方法）在临床实践中通常被认为是更重要的治疗方法。然而，关于抑郁症管理中非药物治疗或心理治疗的临床实践指南却很少。本研究介绍了“韩国抑郁症的循证非药物治疗指南”。这是第一次为韩国轻度至中度抑郁症的成年患者制定非药物治疗指南。指南制定过程包括确定与非药物治疗抑郁症相关的几个关键问题，搜索回答这些问题的研究文献，评估每个选定研究的证据水平，制定草案建议，并进行同行评审。苏格兰校际指南网络分级系统用于评估证据质量。通过这一过程，该指南建议在韩国，对于轻度至中度抑郁症的成年患者，将运动疗法、阅读疗法、认知行为疗法、短期心理动力学支持性心理疗法和人际心理疗法作为非药物治疗方法。因此，有必要为韩国患有抑郁症的成年患者制定几种非药物治疗的具体方法。
