van Marwijk H, de Bock G H, de Jong J M, Kaptein A A, Mulder J D
Department of General Practice, Leiden University, The Netherlands.
Scand J Prim Health Care. 1994 Sep;12(3):162-8. doi: 10.3109/02813439409003693.
To describe general practitioners' (GP) management (i.e., recognition and treatment) of depression in elderly patients.
Two separate studies were performed: (a) to study recognition of depression, a postal survey was sent to GPs; (b) to evaluate the consistency of treatment, patients considered depressed by GPs were described.
general practices in the West of The Netherlands.
65 GPs, and 44 patients of 7 GPs.
(a) degree of recognition of depression as described in major depression case-vignettes (b) consistency of treatment.
(a) On average 65% of the GPs recognized every depressive symptom in case-vignette one, while 52% of GPs recognized each symptom in case two. Most (39) doctors used a time criterion of less than 5 weeks for depressive disorder. (b) Depressed patients with at least three depressive symptoms all received treatment. Chronically depressed patients appeared to be treated somewhat inadequately.
The results suggest some inadequate knowledge of criteria for major depression and some inconsistency in treatment. The management of depression in elderly GP patients appears to need improvement.
描述全科医生（GP）对老年患者抑郁症的管理（即识别和治疗）情况。
进行了两项独立研究：（a）为研究抑郁症的识别情况，向全科医生发送了一份邮政调查问卷；（b）为评估治疗的一致性，对被全科医生认定为抑郁的患者进行了描述。
荷兰西部的全科医疗诊所。
65名全科医生，以及7名全科医生的44名患者。
（a）重度抑郁症病例 vignette 中所描述的抑郁症识别程度；（b）治疗的一致性。
（a）平均而言，65% 的全科医生识别出 vignette 一中的每一种抑郁症状，而52% 的全科医生识别出 vignette 二中的每一种症状。大多数（39名）医生对抑郁症采用了少于5周的时间标准。（b）至少有三种抑郁症状的抑郁患者均接受了治疗。慢性抑郁症患者的治疗似乎有些不足。
结果表明对重度抑郁症标准的了解存在一些不足，治疗方面也存在一些不一致性。老年全科医生患者的抑郁症管理似乎需要改进。
