The road to recovery from depression - Don't drive today with yesterday's map
The road to recovery from depression - Don't drive today with yesterday's map
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DOI：
10.1159/000104701
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发表时间：
2007-01-01
影响因子：
22.8
通讯作者：
Grandi, Silvana
中科院分区：
文献类型：
--
作者：
Fava, Giovanni A.;Tomba, Elena;Grandi, Silvana
康复问题在抑郁症研究中越来越受到关注，特别是在 STAR*D 结果发布之后。本文分析了一些可能阻碍重度抑郁症有效治疗的问题：横向 DSM 评估的不足之处，没有对障碍的程度、发展和严重性进行临床区分（分期）；过分强调和延长药物治疗，而不重视耐受性问题；通过将心理治疗策略整合到序贯模型中，忽视了患者在实现康复过程中的积极作用。如果我们能够消除阻碍我们看待抑郁症的概念障碍并消除宣传的声音，我们就可能会意识到情绪障碍的不同情况，并能够制定持久的治疗策略。版权所有 (c) 2007 S. Karger AG，巴塞尔。
The issue of recovery is getting increasing attention in depression research, particularly after the publication of the STAR*D results. The paper analyzes some issues which may hinder effective treatment of major depressive disorders: the inadequacies of a cross-sectional DSM assessment without clinical differentiation of the extent, development and seriousness of the disturbances ( staging); over-emphasis on and prolongation of drug treatment, without paying attention to problems related to tolerance; neglect of the active role of the patient in achieving recovery, with the integration of psychotherapeutic strategies in a sequential model. If we are able to remove the conceptual obstacles which obstruct our view of depression and silence the sound of propaganda, we may then become aware of a different scenario in mood disorders and be able to develop therapeutic strategies of enduring quality. Copyright (c) 2007 S. Karger AG, Basel.