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首页> 外文期刊>The journal of clinical psychiatry >Met and unmet needs in the management of depressive disorder in the community and primary care: the size and breadth of the problem.
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Met and unmet needs in the management of depressive disorder in the community and primary care: the size and breadth of the problem.

机译：社区抑郁症管理和初级保健中满足和未满足的需求：问题的规模和广度。

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摘要

Numerous epidemiologic studies have revealed the high prevalence of depressive disorders despite the availability of several treatment options that have been proved to be efficacious and safe. The persistence of depression, at a time when treatment options have increased, suggests that there are unmet needs in the clinical management of depression. Aside from improving treatment guidelines, the role of primary care physicians should be redefined to ensure that lifetime depressive disorders are more frequently recognized, diagnosed, and appropriately treated and managed, either by these clinical "gatekeepers" or through referrals to mental health specialists. With this management strategy, access to care can be broadened to include not only the severely ill, but also patients in earlier stages of their depressive illness process who might profit most from modern treatment methods.
机译：尽管已有多种治疗方法被证明是有效和安全的，但许多流行病学研究表明抑郁症的患病率很高。在治疗选择增加的时候，抑郁症的持续存在表明抑郁症的临床治疗需求尚未得到满足。除了改善治疗指南外，还应重新定义初级保健医生的角色，以确保通过这些临床“门卫”或通过转介精神卫生专家来更频繁地识别，诊断和适当治疗和管理终生抑郁症。通过这种管理策略，可以扩大就医机会，不仅包括重症患者，还包括抑郁症疾病早期阶段可能从现代治疗方法中获益最多的患者。

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