大型抑郁症:新的临床,神经生物学和治疗观点
David J Kupfer1, Ellen Frank, Mary L Phillips
1University of Pittsburgh Medical Center, Western Psychiatric Institute and Clinic, PA, USA. Kupferdj@upmc.edu
Lancet (London, England)
|December 23, 2011
概括
大型抑郁症 (MDD) 诊断和神经生物学方面的最新进展为评估和治疗选择提供了改进. 然而,目前还没有完全令人满意的治疗方法,这凸显了继续研究的必要性.
科学领域:
- 精神病学是一个精神病学.
- 神经科学是一个神经科学.
- 药理学 药理学是指药理学的学科.
背景情况:
- 大型抑郁症 (MDD) 的诊断和治疗在过去五年中取得了重大进展.
- 伴随性疾病,神经生物学因素和治疗疗效是重点关注的关键领域.
研究的目的:
- 审查MDD的诊断,神经生物学和治疗方面的最新进展.
- 突出基因,分子和神经成像研究对评估和治疗选择有意义.
- 讨论MDD当前和新兴的治疗策略.
主要方法:
- 关于过去五年发表的研究的文献综述.
- 对MDD的精神病和医学并发症研究的分析.
- 对遗传,分子和神经成像发现的检查.
- 对心理治疗,抗抑郁药和体质治疗的评估.
主要成果:
- 强调并发症,以改善MDD的评估和管理.
- 识别神经生物学标志物用于治疗选择.
- 讨论抑郁症特异性心理治疗和现有/新型抗抑郁药物化合物.
- 在怀孕期间考虑SSRI和抗抑郁药安全性的自杀风险.
结论:
- 在了解和治疗MDD方面取得了重大进展.
- 目前的治疗方法仍然不理想,需要进一步的研究和开发.
- 考虑并发症和神经生物学的综合方法对于有效的MDD管理至关重要.
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