关于检测和管理患者的共识 抑郁症和疼痛作为相关的体征症状
Víctor Pérez-Solá1, José M Montes2, Eva Trillo-Calvo3
1Director of Healthcare and Medical Area, Hospital del Mar, Barcelona, Spain; Biomedical Research Network in Mental Health (CIBERSAM), Instituto de Salud Carlos III, Madrid, Spain; Director of the Institute of Mental Health, Hospital del Mar, Barcelona, Spain; Pompeu Fabra University, Barcelona, Spain.
Spanish journal of psychiatry and mental health
|November 12, 2023
概括
这项研究提供了19个基于共识的建议,用于诊断和管理主要抑郁症 (MDD),其中疼痛作为身体症状 (PPS). 这些指导方针旨在改善治疗,并减少患有同时存在抑郁症和疼痛的患者的实践变化.
科学领域:
- 精神病学是一个精神病学.
- 疼痛医学 医学 疼痛医学
- 临床实践指南 临床实践指南
背景情况:
- 重度抑郁症 (MDD) 是一种普遍的精神疾病,通常与体征性症状障碍同时发生,特别是疼痛作为身体症状 (PPS).
- 显著需要加强对患有抑郁症和疼痛的人的检测和管理策略.
- 临床实践的变化需要为这种患者群体提供标准化的建议.
研究的目的:
- 制定基于证据的建议,用于诊断和管理患有MDD和相关PPS的患者.
- 减少临床实践中关于治疗并发性抑郁症和疼痛的变异性.
- 为管理这些复杂病例的医疗保健专业人员提供实用指南.
主要方法:
- 该研究采用RAND/UCLA共识方法,涉及多学科专家委员会和Delphi小组.
- 一个系统的文献审查为12个临床相关问题的发展提供了信息.
- 15名小组成员通过单个Delphi轮验证了建议,随后举行了共识会议.
主要成果:
- 总共产生了19个共识建议,涵盖了诊断,检测,PPS对MDD的影响,治疗,医疗资源利用和护理协调.
- 在德尔菲回合期间,在所有建议上都达成了高水平的协议 (≥80%).
- 与诊断,PPS对MDD的影响,治疗和医疗资源使用相关的建议得到了最高的共识.
结论:
- 目前用于管理MDD与PPS的证据基础正在发展.
- 这份共识声明提供了切实可行的建议,以解决证据差距和标准化护理.
- 这些指南旨在改善患有抑郁症和疼痛并存的患者的临床实践.
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