지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
초록· 키워드
오류제보하기
Objectives : Depression is widely managed by pharmacological treatments. However, due to the continuous introduction of newer agents, pharmacological treatment strategies are also changing. Methods : A survey was emailed to 144 psychiatrists having vast clinical experiences in depressive disorders. Of these, 79 surveys were repeated. Results : Electroconvulsive therapy (ECT) was recommended as the initial strategy for major depressive disorder, and for severe cases showing suicidal risk but without any accompanying psychotic features. It was considered as a second strategy for non-responders on antidepressant monotherapy or combination therapy, associated with other physical illness. In cases with major depressive disorders and those with severe psychotic features, ECT was preferred as a treatment of choice for patients showing urgent suicidal risk ; however, it was the second strategy for nonresponders on antipsychotics and antidepressants combination therapy, and combined with physical illness. Conclusion : ECT was the preferred initial strategy in severe episode with/without psychotic features having urgent suicidal risk, and was the second choice in case of non-responders, associated with physical illness and pregnancy. Combination with complementary therapy was a second strategy for treating refractory patients
목차
등록된 정보가 없습니다.
참고문헌 (21)
참고문헌 신청
Waraich P / 2004 / Prevalence and incidence studies of mood disorders: a systematic review of the literature / Can J Psychiatry 49:124~138
Seoul National University College of Medicine / 2012 / The epide-miological survey of mental disorders in Korea 2011
Alexopoulos GS / 2001 / The expert consensus guidelines series: pharmacotherapy of depressive disorders in older patients. Postgraduate Medicine. A special Report / The McGraw-Hill Companies
Royal Australian and New Zealand College of Psychiatrists Clinical Practice Guidelines Team for Depression / 2004 / Australian and New Zealand clinical practice guidelines for the treatment of depression / Aust NZ J Psychiatry 38:389~407
Fochtmann LJ / 2005 / Practice Guideline for the Treatment of Patients with Major Depressive Disorder / American Psychiatric Association
Seoul National University College of Medicine / 2012 / The epide-miological survey of mental disorders in Korea 2011
Alexopoulos GS / 2001 / The expert consensus guidelines series: pharmacotherapy of depressive disorders in older patients. Postgraduate Medicine. A special Report / The McGraw-Hill Companies
Royal Australian and New Zealand College of Psychiatrists Clinical Practice Guidelines Team for Depression / 2004 / Australian and New Zealand clinical practice guidelines for the treatment of depression / Aust NZ J Psychiatry 38:389~407
Fochtmann LJ / 2005 / Practice Guideline for the Treatment of Patients with Major Depressive Disorder / American Psychiatric Association
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