Snaith R P
University of Leeds.
Br J Psychiatry. 1987 Mar;150:387-93. doi: 10.1192/bjp.150.3.387.
The term 'depression' is now used to cover a wider range of emotional disturbances than was the case when psychiatrists confined their attention to patients referred to psychiatric hospitals. There is considerable confusion about the variety of meanings and the loose terminology leads to claims and counter-claims about aetiology and treatment. The current classificatory systems and the variety of rating scales do not clarify issues concerning appropriate management. The guidelines for a clearer definition of a biogenic form of the concept of depression, which is likely to respond to antidepressant drug therapy, would be of considerable value to psychiatrists, non-psychiatric physicians and others who try to treat or help people in states of disordered emotion. Such guidelines are proposed.
“抑郁症”一词现在用于涵盖比精神科医生将注意力局限于转介到精神病医院的患者时更为广泛的情绪障碍。对于其各种含义存在相当大的混淆，而且宽松的术语导致了关于病因和治疗的主张与反驳。当前的分类系统和各种评定量表并未澄清有关适当管理的问题。对于抑郁症概念的生物源性形式给出更清晰定义的指导方针，可能会对抗抑郁药物治疗有反应，这对于精神科医生、非精神科医生以及其他试图治疗或帮助处于情绪紊乱状态的人的人具有相当大的价值。本文提出了这样的指导方针。
