Moore R G
Department of Psychiatry, University of Cambridge.
Br J Gen Pract. 1997 Sep;47(422):587-90.
Previous work has succeeded in improving the recognition of depression by general practitioners. This is likely to be of most benefit when it results in effective treatment. Factors compromising the effectiveness of pharmacological treatments include non-compliance, non-response, and relapse of depression. Psychological therapies, such as cognitive therapy, are effective and may prevent relapse, but are not available to the majority of depressed patients seen in primary care. Existing evidence demonstrates that primary care staff can be trained in effective psychological interventions for depression, but interventions need to be developed which are sufficiently brief to be incorporated into routine treatment. Consistent provision of information about depression, coping strategies, and sources of support may improve compliance with treatment and subsequent outcome.
先前的工作已成功提高了全科医生对抑郁症的识别能力。当这导致有效治疗时，可能会带来最大益处。影响药物治疗效果的因素包括不依从、无反应和抑郁症复发。心理疗法，如认知疗法，是有效的且可能预防复发，但大多数在初级保健机构就诊的抑郁症患者无法获得此类疗法。现有证据表明，初级保健人员可以接受针对抑郁症的有效心理干预培训，但需要开发足够简短以便纳入常规治疗的干预措施。持续提供有关抑郁症、应对策略和支持来源的信息可能会提高治疗依从性及后续治疗效果。
