专题：应对抑郁症，让医患“零”压力的神器竟然是这个！！！

2017-03-10 MedSci MedSci原创

社会飞速发展，人们不可避免遭遇种种压力，长期的压力得不到缓释，导致人出现了种种躯体、精神方面的症状，抑郁症应运而生。抑郁症是有生理易感性基础，与外界环境发生相互作用，反馈到自身从而表现出一系列我们称之为“抑郁状态”的表现。临床可见心境低落与其处境不相称，情绪的消沉可以从闷闷不乐到悲痛欲绝，自卑抑郁，甚至悲观厌世，可有自杀企图或行为；部分患者有明显的焦虑和运动性激越；严重者可出现幻觉、妄想等精神病性

社会飞速发展，人们不可避免遭遇种种压力，长期的压力得不到缓释，导致人出现了种种躯体、精神方面的症状，抑郁症应运而生。抑郁症是有生理易感性基础，与外界环境发生相互作用，反馈到自身从而表现出一系列我们称之为“抑郁状态”的表现。临床可见心境低落与其处境不相称，情绪的消沉可以从闷闷不乐到悲痛欲绝，自卑抑郁，甚至悲观厌世，可有自杀企图或行为；部分患者有明显的焦虑和运动性激越；严重者可出现幻觉、妄想等精神病性症状。目前这类患者逐渐增加，个体化差异比较大，精神科医生迫切需要一些指南规范来指导它们的临床诊疗。梅斯小编整理了最新的抑郁症相关指南，供大家参考。
一、筛查
2016 USPSTF建议声明：儿童和青少年抑郁症筛查
2016年2月，美国预防医学工作组(USPSTF)发布了儿童和青少年抑郁症筛查建议声明。

2016 USPSTF建议声明：儿童和青少年抑郁症筛查

2016 USPSTF建议声明：成人抑郁症筛查
2016年1月，美国预防医学工作组(USPSTF)更新了2009版成人抑郁症筛查建议。

2016 USPSTF建议声明：成人抑郁症筛查

二、管理
2016 CANMAT临床指南：成人抑郁症的管理
2016年8月，加拿大情绪和焦虑治疗网络(CANMAT)发布了成人抑郁症的管理指南，该指南主要包括疾病负担和护理原则、心理治疗、药物治疗、神经刺激疗法，补充和替代疗法及特殊人群（儿童/青少年，女性，老年人）。

2016 CANMAT临床指南：成人抑郁症的管理

2016 CCO临床实践指南：癌症患者抑郁的管理
本文主要更新了癌症护理安大略计划的成人癌症患者抑郁管理指南，指南覆盖内容涉及药理学，心理学以及协同护理干预，以协助临床医生为癌症患者提供适当的抗抑郁治疗，该更新指南支持了前一版指南的一般性建议，指出有抑郁症的癌症患者可能会受益于心理或药物干预，并提出了协同护理模式的新建议。

2016 CCO临床实践指南：癌症患者抑郁的管理

ICSI：2016成人抑郁初级护理保健
2016年1月，美国预防医学工作组(USPSTF)更新了2009版成人抑郁症筛查建议。

ICSI：2016成人抑郁初级护理保健

三、治疗
2016 EPA指南：慢性抑郁症的心理治疗
2016年3月，欧洲精神病学协会(EPA)发布了慢性抑郁症的心理治疗指南，该指南提出5条建议以帮助临床医生选择合适的心理治疗方案，针对慢性抑郁的心理治疗提供最全面和最新概述。

2016 EPA指南：慢性抑郁症的心理治疗

2016 ACP临床实践指南：药物治疗与非药物治疗治疗成人重度抑郁症
2016年2月，美国医师协会(ACP)发布了药物治疗与非药物治疗治疗成人重度抑郁症指南。

2016 ACP临床实践指南：药物治疗与非药物治疗治疗成人重度抑郁症

2016 临床TMS学会共识建议：经颅磁刺激治疗重度抑郁症
2016年3月，美国临床经颅刺激学会(Clinical TMS Society)发布了经颅磁刺激治疗重度抑郁症共识建议，建议指出每日左前额经颅刺激治疗急性期抑郁症患者安全有效，该建议针对经颅刺激治疗抑郁症共提出5条意见。

2016 临床TMS学会共识建议：经颅磁刺激治疗重度抑郁症

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2018-02-18 108807375_62823137

#专题#

108 0
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2017-03-17 tofsw

谢谢分享，学习了

91 0
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time=2017-03-10, status=1, ipAttribution=)]
2017-03-16 1ddf0692m34(暂无匿称)

值得学习，谢谢分享

88 0
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time=2017-03-10, status=1, ipAttribution=)]
2017-03-16 simayunhe

学习了

86 0
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time=2017-03-10, status=1, ipAttribution=)]
2017-03-16 tofsw

学习了谢谢分享

188 0
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time=2017-03-10, status=1, ipAttribution=)]
2017-03-12 millore

#医患#

49 0
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time=2017-03-10, status=1, ipAttribution=)]
2017-03-11 11bb77eam47(暂无昵称)

神器...

103 0
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time=2017-03-10, status=1, ipAttribution=)]
2017-03-11 明月清辉

谢谢分享，学习了

70 0
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time=2017-03-10, status=1, ipAttribution=)]
2017-03-11 刘煜

学习了谢谢分享

74 0
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time=2017-03-10, status=1, ipAttribution=)]
2017-03-10 laymankey

感谢分享一下！

107 0