Frank J B, Weihs K, Minerva E, Lieberman D Z
Department of Psychiatry and Behavioral Sciences, George Washington University School of Medicine, Washington, DC, USA.
Med Clin North Am. 1998 Mar;82(2):359-89. doi: 10.1016/s0025-7125(05)70611-8.
Primary care physicians can improve the care of women patients by applying new concepts of women's physiology and psychosocial development. New developmental models that emphasize the importance of relationships in women's self-concept and well-being have led to effective psychotherapies for depression, eating disorders, anxiety and substance abuse. Many of these therapies can be offered in brief formats suitable to primary care settings. New biological treatments including the use of estrogen, thyroid hormone and bright light for depression and refeeding to increase metabolic rate in eating disorders also promise to expand the range of mental health problems that generalist physicians can treat successfully.
初级保健医生可以通过应用女性生理和心理社会发展的新概念来改善对女性患者的护理。强调人际关系在女性自我概念和幸福感中的重要性的新发展模式，已催生出针对抑郁症、饮食失调、焦虑症和药物滥用的有效心理疗法。其中许多疗法可以采用适合初级保健环境的简短形式提供。包括使用雌激素、甲状腺激素和强光治疗抑郁症以及在饮食失调中重新进食以提高代谢率在内的新生物疗法，也有望扩大全科医生能够成功治疗的心理健康问题范围。
