Wright A F
Br J Gen Pract. 1994 Mar;44(380):132-5.
While most patients with recognized depressive illness are treated by general practitioners without referral, there is evidence that many patients classifiable as depressed after psychiatric interview are not diagnosed as such. Missing depression is of great importance since it is now eminently treatable. This paper explores the use in primary care of questionnaire tests for depression and also their role in case finding in vulnerable groups of patients. The potential of existing validated questionnaires in clinical work and audit is largely unexploited. As yet, however, there is no gold standard for the diagnosis of depression seen in primary care. Clusters of symptoms do not yet accurately predict the course of the illness or response to treatment. More research is needed on the natural history of depression seen in the community, as well as on treatment and outcome.
虽然大多数已确诊的抑郁症患者由全科医生治疗而无需转诊，但有证据表明，许多经精神科访谈可归类为抑郁症的患者并未得到此类诊断。漏诊抑郁症非常重要，因为目前它完全可以治疗。本文探讨了问卷调查测试在初级保健中用于抑郁症的情况，以及它们在发现易患患者群体病例方面的作用。现有经过验证的问卷在临床工作和审计中的潜力在很大程度上尚未得到开发。然而，到目前为止，初级保健中抑郁症的诊断尚无金标准。症状群尚不能准确预测疾病进程或对治疗的反应。需要对社区中抑郁症的自然史以及治疗和结果进行更多研究。
