Karrouri Rabie, Hammani Zakaria, Benjelloun Roukaya, Otheman Yassine
Department of Psychiatry, Moulay Ismaïl Military Hospital, Faculty of Medicine and Pharmacy, Sidi Mohamed Ben Abdellah University, Fez 30070, Morocco.
Department of Psychiatry, Faculty of Medicine, Mohammed VI University of Health Sciences, Casablanca 20000, Morocco.
World J Clin Cases. 2021 Nov 6;9(31):9350-9367. doi: 10.12998/wjcc.v9.i31.9350.
Depression is a prevalent psychiatric disorder that often leads to poor quality of life and impaired functioning. Treatment during the acute phase of a major depressive episode aims to help the patient reach a remission state and eventually return to their baseline level of functioning. Pharmacotherapy, especially selective serotonin reuptake inhibitors antidepressants, remains the most frequent option for treating depression during the acute phase, while other promising pharmacological options are still competing for the attention of practitioners. Depression-focused psychotherapy is the second most common option for helping patients overcome the acute phase, maintain remission, and prevent relapses. Electroconvulsive therapy is the most effective somatic therapy for depression in some specific situations; meanwhile, other methods have limits, and their specific indications are still being studied. Combining medications, psychotherapy, and somatic therapies remains the most effective way to manage resistant forms of depression.
抑郁症是一种常见的精神障碍,常常导致生活质量下降和功能受损。重度抑郁发作急性期的治疗旨在帮助患者达到缓解状态,并最终恢复到基线功能水平。药物治疗,特别是选择性5-羟色胺再摄取抑制剂类抗抑郁药,仍然是急性期治疗抑郁症最常用的选择,而其他有前景的药物选择仍在竞争从业者的关注。以抑郁症为重点的心理治疗是帮助患者度过急性期、维持缓解状态和预防复发的第二常见选择。在某些特定情况下,电休克疗法是治疗抑郁症最有效的躯体治疗方法;与此同时,其他方法存在局限性,其具体适应症仍在研究中。联合药物治疗、心理治疗和躯体治疗仍然是管理难治性抑郁症最有效的方法。