Older adults with severe, treatment-resistant depression.
Older adults with severe, treatment-resistant depression.
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DOI：
10.1001/2012.jama.10690
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发表时间：
2012-09-05
影响因子：
120.7
通讯作者：
Park, Mijung
中科院分区：
文献类型：
--
作者：
Unuetzer, Juergen;Park, Mijung
抑郁症是老年初级保健患者遇到的最常见，致残和昂贵的条件之一。使用的情况下，一个69岁的妇女谁与长期抑郁症和共病的医疗疾病的斗争，本文总结了有效的策略，检测和治疗晚年抑郁症。临床医生应使用标准评定量表筛选老年患者的抑郁症，开始有效的治疗，如抗抑郁药物或循证心理治疗，并仔细随访抑郁症状的改善。没有改善的患者应考虑进行精神科咨询和其他治疗，如电休克治疗（ECT）。在患者达到缓解之前，通常需要改变治疗方法，维持治疗和复发预防计划可以降低复发的风险。循证合作计划，其中初级保健提供者与特殊的精神卫生提供者密切合作，遵循基于测量的治疗目标的方法已被证明是显着比普通的初级保健更有效。
Depression is one of the most common, disabling, and costly conditions encountered in older primary care patients. Using the case of a 69-year-old woman who struggled with prolonged depression and comorbid medical illnesses, this article summarizes effective strategies for detection and treatment of late-life depression. Clinicians should screen older patients for depression using a standard rating scale, initiate effective treatment such as antidepressant medications or evidence-based psychotherapies, and carefully follow for improvement of depression symptoms. Patients who are not improving should be considered for psychiatric consultation and additional treatments such as electroconvulsive therapy (ECT). Several changes in treatment are often needed before patients achieve remission, and maintenance treatment and relapse prevention planning can reduce the risk of relapse. Evidence-based collaborative programs, in which primary care providers work closely with special mental health providers, following a measurement-based treatment-to-target approach have been shown to be significantly more effective than usual primary care.
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影响因子：
12.8
作者：
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通讯作者：
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影响因子：
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DOI：
10.1111/j.1532-5415.1997.tb03089.x
发表时间：
1997-05-01
影响因子：
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作者：
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通讯作者：
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