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全科医疗中的抑郁性疾病

Depressive illness in general practice.

作者信息

Barber J H

出版信息

Acta Psychiatr Scand Suppl. 1981;290:441-6. doi: 10.1111/j.1600-0447.1981.tb00750.x.

Abstract

A review of published literature concerning psychological illness in General Practice shows that the spectrum of illness seen differs considerably from that met with in hospital practice. The incidence of depressive illness in General Practice is described and the relationship of life events, physical disease and social factors to depression are noted. The difficulties experienced in the diagnosis of depression in the General Practice setting are described and evidence is given of the high use of drug therapy in the General Practice management of depression. The need for education in psychological illness that is more appropriate to the understanding and management of depression in General Practice is stressed.

摘要

一项关于全科医疗中心理疾病的已发表文献综述表明,全科医疗中所见到的疾病谱与医院医疗中遇到的有很大不同。文中描述了全科医疗中抑郁性疾病的发病率,并指出了生活事件、躯体疾病和社会因素与抑郁的关系。阐述了在全科医疗环境中诊断抑郁所遇到的困难,并给出证据表明在全科医疗对抑郁的管理中药物治疗的高使用率。强调了开展更适合理解和管理全科医疗中抑郁的心理疾病教育的必要性。

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