Department of Neurosciences, Faculty of Medicine, University of Leuven, University Hospital Gasthuisberg, University Psychiatric Center KU Leuven, Leuven, Belgium.
Int Rev Psychiatry. 2022 Nov-Dec;34(7-8):693-698. doi: 10.1080/09540261.2022.2141103. Epub 2022 Nov 9.
The present paper discusses the 'time' dimension in depression, from the phenomenological experience to the diagnostic criteria, from delayed help seeking to the emergency room, from a (non) timely follow-up to (non) adherence to treatment. The temporal experience is fundamentally disturbed in depression and recent neurophenomenological findings help in better understanding this dimension. The duration of symptoms needed to fulfil diagnostic criteria are somewhat arbitrary. Depression dramatically decreases life expectancy mainly through increased non-suicidal mortality. The time from help seeking to getting treatment (between delayed help seeking and the emergency room) is contradictory and the length of treatment (from too short to too long) suggests that taking better account of these phenomena could improve depression treatment.
本文讨论了抑郁症中的“时间”维度，从现象学体验到诊断标准，从延迟寻求帮助到急诊室，从（不）及时随访到（不）坚持治疗。抑郁症患者的时间体验从根本上受到干扰，最近的神经现象学发现有助于更好地理解这一维度。满足诊断标准所需的症状持续时间有些任意。抑郁症通过增加非自杀性死亡率显著降低了预期寿命。从寻求帮助到接受治疗的时间（在延迟寻求帮助和急诊室之间）存在矛盾，治疗时间（从过短到过长）表明，更好地考虑这些现象可以改善抑郁症的治疗。
