摘要
非典型特征是抑郁症常见的临床伴随特征之一,这类患者具有起病早、病程长、共病率高、预后差、转相风险大、自杀风险高等特点。然而,目前临床实践中对伴非典型特征的抑郁症缺乏认识,针对其临床评估、诊断及治疗等方面尚未形成基于循证证据的指南或共识。鉴于此,中华医学会精神医学分会抑郁障碍研究协作组专家们立足临床实践需求,遵循循证医学证据,参考国内外指南,提出针对伴非典型特征的抑郁症的临床评估与诊治建议,以期为精神卫生工作者提供参考。
Atypical features are among the most common subtype features of major depressive disorder(MDD),characterized by early-onset,longer illness duration,higher comorbidity,higher risk of switching to bipolar disorder and higher risk of suicide as well.However,there is a lack of awareness of depression with atypical features in clinical practice,and no evidence-based guidelines or consensus have been formed for its clinical evaluation,diagnosis,and treatment.Experts of the Academy of Depressive Disorders in Chinese Society of Psychiatry,based on the needs of clinical practice,following evidence-based medicine evidence and domestic and foreign guidelines,propose clinical evaluation,diagnosis and treatment recommendations for depression with atypical features,and provide reference for mental health proffessionals.
出处
《中华精神科杂志》
CAS
CSCD
北大核心
2021年第2期87-95,共9页
Chinese Journal of Psychiatry
基金
国家重点研发计划“重大慢病重点专项”项目(2016YFC1307100)
国家自然科学基金重点项目(81930033,81771465)
上海市精神卫生中心临床研究中心项目(CRC2018ZD05)。
关键词
抑郁症
诊断
治疗
非典型特征
Depressive disorder
Diagnosis
Therapy
Atypical feature
