Brody D S, Thompson T L, Larson D B, Ford D E, Katon W J, Magruder K M
Mercy Catholic Medical Center, Department of Medicine, Darby, Pennsylvania 19023, USA.
Gen Hosp Psychiatry. 1995 Mar;17(2):93-107. doi: 10.1016/0163-8343(94)00093-s.
Depression is a common disorder in the primary care setting; it is associated with considerable distress and dysfunction. The management of depressed primary care patients can be complicated by the fact that these patients may lack insight into the cause of their symptoms and report only the somatic manifestations of their disorder to their physicians. Primary care patients may also be reluctant to accept a diagnosis of depression or referral to a mental health specialist. Primary care physicians may feel they lack the time or the training to adequately address their patients' depressive disorders. This paper presents a model for identifying, evaluating, and treating depression which has been specifically developed to help primary care physicians overcome these barriers.
抑郁症是基层医疗环境中常见的疾病；它会导致相当大的痛苦和功能障碍。基层医疗中抑郁症患者的管理可能会变得复杂，因为这些患者可能对其症状的原因缺乏洞察力，仅向医生报告其疾病的躯体表现。基层医疗患者也可能不愿接受抑郁症诊断或转诊至心理健康专家处。基层医疗医生可能觉得他们缺乏足够的时间或培训来充分处理患者的抑郁症。本文提出了一个用于识别、评估和治疗抑郁症的模型，该模型是专门为帮助基层医疗医生克服这些障碍而开发的。
