Armstrong M S, Andrews G
Br J Psychiatry. 1986 Dec;149:742-50. doi: 10.1192/bjp.149.6.742.
The views of practising psychiatrists on treatment of the depressions were investigated as part of a Quality Assurance Project. A one in six random sample of all Australian psychiatrists was mailed a questionnaire. This asked for treatment recommendations for each of five case descriptions of patients with depression. Respondents were asked to code their treatment plans from a glossary listing possible treatments for depression: 85% of the sample responded. Tricyclic antidepressants were the treatment of choice for two cases of endogenous depression, electroconvulsive therapy (ECT) being recommended when psychotic features were present or when drug therapy had failed. Psychotherapies were the treatment of choice for cases with neurotic features, drugs being recommended when improvement with psychotherapy did not occur.
作为一项质量保证项目的一部分,对执业精神科医生关于抑郁症治疗的观点进行了调查。向所有澳大利亚精神科医生中六分之一的随机样本邮寄了一份问卷。问卷针对五例抑郁症患者的病例描述分别询问了治疗建议。要求受访者从一份列出抑郁症可能治疗方法的术语表中对他们的治疗计划进行编码:85%的样本进行了回复。三环类抗抑郁药是两例内源性抑郁症的首选治疗方法,当出现精神病性特征或药物治疗失败时推荐使用电休克疗法(ECT)。心理治疗是有神经症特征病例的首选治疗方法,当心理治疗没有改善时推荐使用药物治疗。