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基层医疗中的焦虑症

Anxiety Disorders in Primary Care.

作者信息

Metzler Danielle H, Mahoney David, Freedy John R

机构信息

Trident Family Medicine Residency, Department of Family Medicine, Medical University of South Carolina, 9228 Medical Plaza Drive, Charleston, SC 29406, USA.

Mount Pleasant Family Practice, Roper St. Francis Physicians, 1400 Hospital Dr., Mount Pleasant, South Carolina, 29464, USA.

出版信息

Prim Care. 2016 Jun;43(2):245-61. doi: 10.1016/j.pop.2016.02.002.

Abstract

Investigation for a possible anxiety disorder should be considered in patients with multiple or persistent anxiety symptoms or multiple somatic complaints without a clear somatic etiology. The ideal treatment for anxiety disorders is a combination of pharmacologic and behavioral strategies. As primary care health care evolves, it is expected that the management of mental health disorders (including anxiety disorders) will largely occur in the context of collaborative care models in which patients and primary care clinicians are assisted by trained case managers who help facilitate a more comprehensive, holistic treatment plan between primary care and mental health providers.

摘要

对于有多种或持续性焦虑症状,或有多种躯体主诉但无明确躯体病因的患者,应考虑对其进行可能的焦虑症调查。焦虑症的理想治疗方法是药物治疗和行为策略相结合。随着初级保健的发展,预计心理健康障碍(包括焦虑症)的管理将主要在协作护理模式的背景下进行,在这种模式中,患者和初级保健临床医生会得到经过培训的病例管理人员的协助,这些人员有助于在初级保健和心理健康提供者之间促成更全面、整体的治疗计划。

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