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优化基层医疗中抑郁症的诊断与治疗:伏硫西汀治疗的新作用

Optimizing the diagnosis and treatment of depression in primary care: the emerging role of vortioxetine treatment.

作者信息

Alcalá José Ángel, Olmo Dorado Verónica, Arilla Herrera Guadalupe Del Pilar, López Chamón Silvia, Gasull Molinera Vicente

机构信息

Psychiatry Department, Hospital Universitario Reina Sofía, Córdoba, Spain.

Family and Community Medicine, Centro de Salud Torreblanca, Seville, Spain.

出版信息

Front Psychiatry. 2025 Jul 1;16:1568777. doi: 10.3389/fpsyt.2025.1568777. eCollection 2025.

Abstract

The management of patients with major depressive disorder (MDD) in primary care (PC) represents a significant challenge and a great opportunity for early and effective intervention. Primary care physicians, as first-line physicians, play a key role in the identification, diagnosis and initial treatment of depression, often being the first and sometimes the only point of contact for these patients with the healthcare system. In this context, the search for effective and well-tolerated therapeutic strategies is constant, and vortioxetine represents a good pharmacological option within the therapeutic armamentarium available to the PC physician. This article explores best practices in the management of MDD from the PC perspective, addressing the specific challenges faced by these professionals and examining the potential role of vortioxetine in the treatment of different patient profiles.

摘要

基层医疗中重度抑郁症(MDD)患者的管理是一项重大挑战,也是早期有效干预的绝佳机遇。基层医疗医生作为一线医生,在抑郁症的识别、诊断和初始治疗中发挥着关键作用,他们往往是这些患者与医疗系统的首个,有时也是唯一的接触点。在此背景下,人们一直在寻求有效且耐受性良好的治疗策略,而伏硫西汀是基层医疗医生可用治疗手段中的一个不错的药物选择。本文从基层医疗的角度探讨了MDD管理的最佳实践,阐述了这些专业人员面临的具体挑战,并考察了伏硫西汀在治疗不同患者群体中的潜在作用。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dcfe/12259655/fbcbccbfa605/fpsyt-16-1568777-g001.jpg

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