Rucker L, Dietch J T
South Med J. 1986 Feb;79(2):215-22. doi: 10.1097/00007611-198602000-00018.
Depression is one of the most commonly encountered maladies in clinical practice. Most depressed patients are seen first by nonpsychiatrist physicians who frequently overlook or ignore the depression. Many depressed patients can and should be treated by primary care physicians if those physicians are aware of diagnostic and management principles. These principles include knowledge of the clinically useful classifications, the wide variety of typical and atypical manifestations, the medical illnesses associated with depression, the neuroendocrinologic manifestations of major depression, and the use of aggressive, effective therapy. With those tools, the physician can effectively intervene in the course of an illness that affects a large portion of the population and causes considerable psychologic and physical anguish.
抑郁症是临床实践中最常见的病症之一。大多数抑郁症患者首先就诊于非精神科医生，而这些医生常常忽视或无视抑郁症。如果初级保健医生了解诊断和管理原则，许多抑郁症患者能够且应该由他们来治疗。这些原则包括了解临床上有用的分类、各种各样的典型和非典型表现、与抑郁症相关的内科疾病、重度抑郁症的神经内分泌表现，以及采用积极有效的治疗方法。有了这些工具，医生就能有效地干预这种影响很大一部分人群并造成相当大心理和身体痛苦的疾病进程。
