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基于测量的医疗照护如何帮助改善初级保健中的重度抑郁症治疗效果?

How Can Measurement-Based Care Help Improve Treatment Outcomes for Major Depressive Disorder in Primary Care?

机构信息

University of Texas Southwestern Medical Center, Dallas, Texas, USA.

出版信息

J Clin Psychiatry. 2020 Mar 17;81(2):UT17042BR2C. doi: 10.4088/JCP.UT17042BR2C.

Abstract

Antidepressant medications and psychotherapies can help many patients with major depressive disorder (MDD), yet millions of primary care patients do not receive effective treatment. Patients with MDD often experience side effects, inadequate response, and residual symptoms that interfere with functioning, all of which can lead to discontinuation. To improve patient outcomes, clinicians can implement strategies of measurement-based care to regularly assess depressive symptoms, treatment adherence, and adverse effects to make informed treatment decisions. Patient education and involvement in managing their illness can also improve outcomes.

摘要

抗抑郁药物和心理疗法可以帮助许多患有重度抑郁症(MDD)的患者,但数以百万计的初级保健患者并未接受有效治疗。MDD 患者常出现副作用、反应不足和残留症状,这些症状会干扰其功能,所有这些都会导致停药。为了改善患者的预后,临床医生可以实施基于测量的护理策略,定期评估抑郁症状、治疗依从性和不良反应,以做出明智的治疗决策。对患者进行教育并让其参与管理其疾病也可以改善预后。

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