Dominiak Monika, Antosik-Wójcińska Anna Zofia, Baron Marta, Mierzejewski Paweł
Department of Pharmacology, Institute of Psychiatry and Neurology, Warsaw, Poland.
Department of Psychiatry, Medical University of Warsaw, Warsaw, Poland.
Prz Menopauzalny. 2021 Apr;20(1):1-13. doi: 10.5114/pm.2021.104207. Epub 2021 Mar 8.
Epidemiological data clearly indicate that depression is becoming an increasingly important health and social problem today. Depressive disorders occur at all ages, in men and women, in different cultures, affecting individuals, their families, and, more broadly, the social and economic system of the country. The gap between the recorded number of treated patients and the prevalence of depression highlights the scale of unmet needs. With limited availability of specialists in psychiatric care, the most appropriate measures seem to be those aimed at increasing the competence of other health professionals in the diagnosis and treatment of depression.
An overview of the literature and available recommendations for the prevention, screening, and treatment of depression was performed. This work was commissioned by the Polish Ministry of Health under the Depression Prevention Program 2016-2020.
Based on the literature review, we compiled the recommendations for Polish health professionals. These recommendations focus on the management of depression in the primary care setting and provide guidelines for health professionals other than psychiatrists concerning the prevention, screening, and treatment of depression.
We developed a clear recommendation for non-psychiatrists concerning the screening, treatment, and further management of patients with depression. Early detection of depression and implementation of treatment improves the outcomes and prognosis and reduces the mortality rate.
流行病学数据清楚地表明，抑郁症如今正成为一个日益重要的健康和社会问题。抑郁症在所有年龄段、男性和女性、不同文化中都会发生，影响着个人、其家庭，更广泛地说，影响着国家的社会和经济体系。已治疗患者的记录数量与抑郁症患病率之间的差距凸显了未满足需求的规模。由于精神科护理专家数量有限，最适当的措施似乎是旨在提高其他卫生专业人员在抑郁症诊断和治疗方面能力的措施。
对抑郁症预防、筛查和治疗的文献及现有建议进行了综述。这项工作由波兰卫生部委托开展，属于2016 - 2020年抑郁症预防计划的一部分。
基于文献综述，我们为波兰卫生专业人员编写了建议。这些建议侧重于初级保健环境中抑郁症的管理，并为精神科医生以外的卫生专业人员提供有关抑郁症预防、筛查和治疗的指导方针。
我们为非精神科医生制定了关于抑郁症患者筛查、治疗及后续管理的明确建议。早期发现抑郁症并实施治疗可改善治疗效果和预后，并降低死亡率。
