el-Mallakh R S, Wright J C, Breen K J, Lippmann S B
Department of Psychiatry and Behavioral Sciences, University of Louisville School of Medicine, KY 40292, USA.
Postgrad Med. 1996 Jul;100(1):85-8, 93-6. doi: 10.3810/pgm.1996.07.9.
Depression is a common but highly treatable mood disorder. Unfortunately, two thirds of depressed patients may never receive appropriate intervention. Because of individual and societal barriers to the diagnosis, depressive symptoms often go unrecognized. However, primary care physicians are in a unique position to surmount these obstacles by being alert to manifestations of the disorder. Treatment with antidepressant drugs, psychotherapy, electroconvulsive therapy, or a combination of these is very efficacious. The choice of method is based on such factors as history of previous response, severity of disease, concomitant medical illness, and patient preference.
抑郁症是一种常见但极易治疗的情绪障碍。不幸的是，三分之二的抑郁症患者可能从未得到过适当的干预。由于个体和社会层面存在的诊断障碍，抑郁症状常常未被识别。然而，初级保健医生处于一个独特的位置，能够通过警惕该疾病的表现来克服这些障碍。使用抗抑郁药物、心理治疗、电休克治疗或这些方法的联合治疗非常有效。治疗方法的选择基于既往反应史、疾病严重程度、合并的内科疾病以及患者偏好等因素。
