Suggestions for a Physiological Classification of Depression

Suggestions for a Physiological Classification of Depression
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对抑郁症进行生理分类的建议

DOI:
10.1192/bjp.111.475.489
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发表时间:
1965
影响因子:
10.5
通讯作者:
J. Pollitt
J. Pollitt
中科院分区:
医学1区
文献类型:
--
作者:
J. Pollitt

文献摘要

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抑郁症是最常见的精神疾病,幸运的是,它的治疗效果比任何其他精神疾病都要好。它以各种各样的形式表现出来,由于没有处理不同类型的通用公式,分类是必不可少的。在过去的十年里,镇静剂,特别是抗抑郁药的出现彻底改变了我们对抑郁症的看法,但我们仍然在使用纯粹描述性的术语,这些术语是由早已被遗忘的管理需求决定的,或者与我们仍然知之甚少的病因学松散相关。现在是将抑郁症的分类与合理治疗联系起来的时候了,但在提供一个这样做的方案之前,简要考虑一下现有术语的不足之处可能有助于解释新方案的必要性。
Depression is the commonest of mental illnesses and fortunately it has a better outcome with treatment than any other psychiatric condition. It shows itself in a variety of guises, and as there is no universal formula for treating the different types, a classification is essential. During the past ten years the arrival of the tranquillizers and particularly antidepressants has revolutionized our view of depressive illness, yet we are still using terms which are purely descriptive, determined by administrative needs long forgotten, or loosely related to aetiology about which we still know little. The time has come to link the classification of depression with rational treatment, but before offering a scheme to do this, a brief consideration of the inadequacies of existing terminology may help to explain the need for a new scheme.