Fava G A
Prog Neuropsychopharmacol Biol Psychiatry. 1986;10(1):1-9. doi: 10.1016/0278-5846(86)90038-2.
The evaluation of depression in the medically ill is a complex task that requires considerable clinical skills. Physical illness is a common cause of psychopathology and this should alert the physician to search for possible organic explanations of depressive symptoms, especially in the elderly. Major depressive disorders need to be differentiated from physiological demoralizations secondary to the strains of somatic disturbances. Clinical guidelines for the use of antidepressant medications in the medically ill are provided.
评估患有躯体疾病患者的抑郁情况是一项复杂的任务，需要相当的临床技能。躯体疾病是精神病理学的常见原因，这应提醒医生寻找抑郁症状可能的器质性解释，尤其是在老年人中。重度抑郁症需要与躯体障碍所致的生理士气低落相鉴别。本文提供了针对患有躯体疾病患者使用抗抑郁药物的临床指南。
