"医学是可怕的":对影响抑郁症思维和治疗的因素的批判性研究
Allen F Shaughnessy1, Joshua Passarelli2, Sophie Pollack-Milgate2
1From the Tufts University Family Medicine Residency at Cambridge Health Alliance, Department of Family Medicine, Tufts University School of Medicine (AFS); Tufts University School of Medicine (JP); Department of Counseling and School Psychology, University of Massachusetts-Boston (SPM); Department of Counseling and School Psychology, University of Massachusetts-Boston (LC). allen.shaughnessy@tufts.edu.
抑郁症越来越多地被视为由化学失衡引起的疾病,导致过度依赖药物. 更广泛的观点承认环境因素,并支持与潜在药物治疗一起探索非药物治疗方法.
科学领域:
- 精神病学
- 神经科学
- 医学人文
背景情况:
- 现在人们对抑郁症的看法已经从对生活事件的反应转变为神经化学失衡.
- 这种神经化学解释使人们更喜欢药物治疗抑郁症.
- 抗抑郁药的有效性是有争议的,许多研究显示相对于安慰剂的效果有限.
研究的目的:
- 批判性地研究目前的抑郁症医疗模式.
- 探索神经化学失衡理论对治疗方法的影响.
- 倡导对抑郁症有更广泛的理解,
主要方法:
- 关于抑郁症神经化学理论的文献审查和批判性分析.
- 对临床试验的药物疗效数据的检查.
- 抑郁症作为多因素状况的概念分析.
主要成果:
- 许多研究表明,治疗抑郁症的药物效应往往是推测性的.
- 与安慰剂相比,积极治疗抑郁症经常没有显著的益处.
- 大多数患者在目前的药物治疗中没有完全缓解症状.
结论:
- 过度依赖药物治疗抑郁症可能源于对医疗干预的偏见.
- 对于抑郁症的更全面的理解包括心理,政治,经济和生理环境因素.
- 重新定义抑郁症可以让患者以非药物治疗为中心,
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