抑郁症指南

中文标题：

抑郁症指南

英文标题：

Depression Guideline

发布机构：

密西根大学卫生系统

发布日期：

2011-08-01

简要介绍：

Depression is a common disease with substantial morbidity and mortality. Approximately 5% of the population has major depression at any given time, with men experiencing a lifetime risk of 7-12%; and women 20-25%. The direct and indirect costs associated with major depressive disorder are significant, with an estimated cost of $59 billion in 2006, including direct patient care, time lost from work and potential income loss due to suicide. Mortality rates by suicide are estimated to be as high as 15% among patients hospitalized for severe depression.Most patients receive much or all of their care for major depression from their primary care physician.However, depression is under-diagnosed and under treated because of competing priorities in primary care with the care of other chronic medical conditions, patient stigma, and variability in physician skills and interest.Diagnosing and treating depression in the primary care setting has many obstacles. The physician-patient encounter time is brief, making it difficult for the physician to fully assess the patient for depressive signs and symptoms. Depressed primary care patients typically present with physical complaints, often not admitting to a depressed mood and are reluctant to discuss depression. In one study, about two-thirds of patients with depression presented only with somatic