Weissman M M, Kasl S V
Br J Psychiatry. 1976 Sep;129:252-60. doi: 10.1192/bjp.129.3.252.
This paper reports on the clinical status, help-seeking and subsequent treatment experiences of 150 women one year after they had completed out-patient maintenance treatment by amitriptyline and/or psychotherapy for a depressive episode. While the majority of patients were asymptomatic at follow-up, a substantial minority had a return of acute symptoms and 2 per cent made minor suicide attempts during the year. Admission to hospital was rare. However, only 30 per cent of the patients did not seek any treatment during the year and the majority received some psychotropic medication. The findings support the long-term need for prompt access to treatment by patients who have recovered from an acute depression.
本文报告了150名女性在完成门诊维持治疗(使用阿米替林和/或心理治疗)以治疗抑郁发作一年后的临床状况、寻求帮助情况及后续治疗经历。虽然大多数患者在随访时无症状,但仍有相当少数患者出现急性症状复发,且在这一年中有2%的患者有轻微自杀企图。住院情况很少见。然而,只有30%的患者在这一年中未寻求任何治疗,大多数患者接受了某种精神药物治疗。这些发现支持了从急性抑郁症中康复的患者长期需要及时获得治疗这一观点。