Cutler N R, Heiser J F
JAMA. 1978 Nov 17;240(21):2264-6.
Because only 9.4% of depressions are recognized at initial evaluation by primary physicians, the diagnosis of depression is important. Forty percent of a group of mixed depressions will resolve in a month without treatment, and 70% will resolve with the use of tricyclic antidepressants. Research on plasma levels of tricyclic antidepressants suggest new clinical strategies for adjusting dosages; neurochemical studies may provide an appropriate selection process for choosing a tricyclic antidepressant.
由于在初次评估时,初级医生仅能识别出9.4%的抑郁症病例,因此抑郁症的诊断至关重要。一组混合性抑郁症患者中有40%在未经治疗的情况下会在一个月内康复,而使用三环类抗抑郁药后,70%的患者会康复。对三环类抗抑郁药血浆水平的研究为调整剂量提供了新的临床策略;神经化学研究可能为选择三环类抗抑郁药提供合适的筛选方法。