Checcucci Marco, Brunner Eleonora
1 Allgemeine Innere Medizin, Sanacare Gruppenpraxis, Zürich.
2 FMH Allgemeine Innere Medizin, Psychosoziale und psychomatische Medizin SAPPM, Psychosomatische Sprechstunde, Zürich.
Praxis (Bern 1994). 2019 Jan;108(2):145-151. doi: 10.1024/1661-8157/a003168.
Depression in Primary Care Abstract. Depressions belong to the most common illnesses at all and to the five most common illnesses in the primary care. The primary care is the first point of contact for depressive patients and therefore has a key role in the early detection and initial treatment of depressive patients. A depressive disorder presents frequently with diffuse, unspecific and mostly somatic complaints. In the primary care only about half of the depressive disorders are detected. An undetected and untreated depression can have fatal consequences for the patients. Once detected, a depressive disorder is treatable. A very important screening test for the early detection of a depression is the two-question-test (sensitivity 96 %, specificity 57 %).
基层医疗中的抑郁症摘要。抑郁症是最常见的疾病之一，也是基层医疗中最常见的五种疾病之一。基层医疗是抑郁症患者的首个接触点，因此在抑郁症患者的早期发现和初始治疗中起着关键作用。抑郁症常常表现为弥漫性、非特异性且大多为躯体症状。在基层医疗中，只有约一半的抑郁症能被检测出来。未被发现和未得到治疗的抑郁症可能会给患者带来致命后果。一旦被发现，抑郁症是可治疗的。一种用于早期检测抑郁症的非常重要的筛查测试是双项检测（灵敏度96%，特异度57%）。
