Portuguese and Brazilian guidelines for the treatment of depression: exercise as medicine
Portuguese and Brazilian guidelines for the treatment of depression: exercise as medicine
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葡萄牙和巴西抑郁症治疗指南：运动作为药物
DOI：
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发表时间：
2017
影响因子：
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通讯作者：
J. Vasconcelos
中科院分区：
文献类型：
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作者：
L. Carneiro;M. Mota;F. Schuch;A. Deslandes;J. Vasconcelos
抑郁症是一种精神障碍，是世界范围内疾病负担的主要原因。在过去的30年里，运动作为对抑郁症患者的治疗干预的益处的证据越来越多。事实上，现有证据表明，锻炼不仅有助于控制抑郁症状，还能显著改善其他健康状况。英国国家健康与临床卓越研究所(NICE)、美国精神病学协会(APA)和澳大利亚和新西兰皇家精神病学学院(RANZCP)等不同机构发布了包括此类建议在内的临床指南。随着人们越来越多地认识到锻炼的好处和医疗体系的缺陷，其他国家，如瑞典和加拿大，已经将锻炼纳入了治疗抑郁症的国家指南。不幸的是，将运动指南纳入临床实践的进展缓慢，葡萄牙和巴西反映了这一现实。在这次更新中，我们再次强调了弥合这一差距的重要性，并将运动作为抑郁症治疗的一个重要组成部分纳入临床实践指南。
Depression is a psychiatric disorder and major contributor to the burden of disease worldwide. The strength of evidence of the benefits of exercise as a therapeutic intervention for patients with depression has expanded in the last 30 years. In fact, the available evidence indicates exercise can not only help manage depressive symptoms, but also effect significant improvements in other health outcomes. Clinical guidelines including such recommendations have been issued by different agencies, namely the UK National Institute for Health and Clinical Excellence (NICE), the American Psychiatric Association (APA), and the Royal Australian and New Zealand College of Psychiatrists (RANZCP). With increasing recognition of the benefits of exercise and shortcomings of healthcare systems, other countries, such as Sweden and Canada, have included exercise in their national guidelines for treating depression. Unfortunately, progress in incorporating exercise guidelines into clinical practice has been slow, and Portugal and Brazil reflect this reality. In this update, we reemphasize the importance of bridging this gap and integrating exercise into clinical practice guidelines as an essential component of depression treatment.