全科医生会“漏诊”老年患者的抑郁症吗？
Do general practitioners "miss" depression in elderly patients?
作者信息
MacDonald A J
出版信息
Br Med J (Clin Res Ed). 1986 May 24;292(6532):1365-7. doi: 10.1136/bmj.292.6532.1365.
Abstract
In a study of the prevalence of depression in 235 elderly patients who attended general practice surgeries less than 12% of the disagreement between the research assessment of depression and the general practitioner's assessment was due to "missed" depression. There were, however, low rates of referral and of treatment with antidepressant drugs. If these findings are confirmed the study of the management and outcome of depression in such patients may be more rewarding than attempts to improve the recognition of depression.
摘要
在一项针对235名老年患者抑郁症患病率的研究中，这些患者就诊于普通门诊，抑郁症的研究评估与全科医生评估之间的分歧中，不到12%是由于“漏诊”抑郁症。然而，转诊率和使用抗抑郁药物治疗的比例较低。如果这些发现得到证实，那么研究此类患者抑郁症的管理和转归可能比试图提高抑郁症的识别率更有意义。
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