Рецепт. 2021; : 703-712
Пациент с депрессией на приеме у врача общей практики: в вопросах и ответах
https://doi.org/10.34883/PI.2021.24.5.008Аннотация
Депрессия характеризуется широким распространением в популяции, особенно среди пациентов с сопутствующей соматической патологией. В публикации изложены принципы диагностики депрессий, представлены шкалы для диагностики депрессий. На основе действующих документов определена тактика врача общей практики у пациентов с депрессиями, представлен алгоритм ведения пациента. Изложены общие основы лечения пациентов, освящены принципы назначения антидепрессантов.
Основные проблемные позиции по ведению пациентов с депрессиями врачами общей практики в статье изложены в вопросах и ответах.
Список литературы
1. Resolution of the Ministry of Health of the Republic of Belarus of 02.03.2020 № 13 Clinical protocol "Diagnostics and treatment of patients with mental and behavioral disorders by general practitioners."
2. Gilbody S, et al. Improving the recognition and management of depression in primary care. Effective Health Care, 2002, 7(5):1–12.
3. Lepine J, et al. Depression in the community: the first pan-European study DEPRES (Depression Research in European Society). International Clinical Psychopharmacology, 1997, 12(1):19–29.
4. Depression and Other Common Mental Disorders Global Health Estimates// WHO/MSD/MER/2017.2
5. Oganov R.G., Olbinskaya L.I., Smulevich A.B. et all. Depression and depressive spectrum disorders in general medical practice. Results of the COMPASS program. Kardiologiya, 2004;9:1–8.
6. Kostyuk G.P., Masyakin A.V., Burygina L.A., Reverchuk I.V.. The problem of diagnostics and treatment of depression by primary care physicians. (Zhurnal nevrologii i psihiatrii im. S.S. Korsakova. 2019;119(1–2):55–61.
7. Davidson K.W., Kupfer D.J., Bigger J.T., Califf R.M., Carney R.M., Coyne J.C., et al. Assessment and treatment of depression in patient with cardiovascular disease: National Heart, Lung, and Blood Institute Working Group Report. Psychosom Med, 2006,68(5):645–50.
8. Stepanova E.A. Depression in ischemic heart disease (PhD Thesis). М., 2010.
9. Williams LS, Shoma Ghose S, Swindle RW. Depression and other mental health diagnoses increase mortality risk after ischemic stroke. Am J Psychiatry, 2004,161:1090–5.
10. Gaete JM, Bogousslavsky J. Post-stroke depression. Exp Rev Neuroter, 2008,8:75–92.
11. Parfenov V.A. Post-stroke depression: prevalence, pathogenesis, diagnostics and treatment. Nevrologiya, nejropsihiatriya, psihosomatika, 2012,4:84–8.
12. Katon W, et al. A multifaceted intervention to improve treatment of depression in primary care. Archives of General Psychiatry, 1996,53(10): 924–932.
13. Vorobieva O.V., Akarachkova E.S. REPORT on the research work on the topic "Optimization of the algorithm for diagnostics and management of patients with psychovegetative syndrome." The first MSMU named after Sechenov. Moskva, 2011, 21 p. (in Russian)
14. Wang PS, Berglund P, Olfson M, Pincus HA, Wells KB, Kessler RC. Failure and delay in initial treatment contact after first onset of mental disorders in the National Comorbidity Survey Replication. Archives of General Psychiatry. 2005;62(6):603–613.
15. Barlou D. Clinical guidelines for mental disorders. 3rd ed. Translation from English. M., SPb., N. Novgorod: Piter; 2008. (in Russian)
16. American Psychiatric Association. Diagnostic and Statistical Manual of Mental Disorders. 5th ed. Washington, DC: American Psychiatric Association; 2013.
17. Diagnostics of depression, determination of treatment tactics in general medical practice. Available at: https://mentalhealth.by/obshchiesvedeniya/v-pomoshch-vrachu-obshchej-praktiki
18. Depression. Available at: https://www.who.int/ru/news-room/fact-sheets/detail/depression
19. Order of the Ministry of Health of the Republic of Belarus No. 1265 of 30.11.2020 "On the provision of psychiatric, psychotherapeutic and psychological assistance to patients who have had the COVID-19 infection."
20. Cipriani A., Furukawa T.A., Salanti G., Geddes J.R., Higgins J.P., Churchill R., Watanabe N., Nakagawa A., Omori I.M., McGuire H., Tansella M., Barbui C. Comparative efficacy and acceptability of 12 new-generation antidepressants: a multiple-treatments meta-analysis. Lancet (London, England), 2009;373(9665):746–758.
21. Barlow DH, Campbell LA. Mixed anxiety-depression and its implications for models of mood and anxiety disorders. Compr Psychiatry. 2000;41 (2 suppl 1):55–60.
Recipe. 2021; : 703-712
Depression in the Work of a General Practitioner in Questions and Answers
https://doi.org/10.34883/PI.2021.24.5.008Abstract
Depression is characterized by a wide spread in the population and especially in patients with concomitant somatic pathology. The publication describes the principles of diagnostics of depression, presents the scales for diagnostics of depression. Based on the current documents, the tactics of a general practitioner in patients with depression are determined, the algorithm of patient management is presented. The general principles of patient treatment are outlined, the principles of prescribing antidepressants are described.
The main problematic positions on the management of patients with depression by general practitioners are presented in questions and answers in the article.
References
1. Resolution of the Ministry of Health of the Republic of Belarus of 02.03.2020 № 13 Clinical protocol "Diagnostics and treatment of patients with mental and behavioral disorders by general practitioners."
2. Gilbody S, et al. Improving the recognition and management of depression in primary care. Effective Health Care, 2002, 7(5):1–12.
3. Lepine J, et al. Depression in the community: the first pan-European study DEPRES (Depression Research in European Society). International Clinical Psychopharmacology, 1997, 12(1):19–29.
4. Depression and Other Common Mental Disorders Global Health Estimates// WHO/MSD/MER/2017.2
5. Oganov R.G., Olbinskaya L.I., Smulevich A.B. et all. Depression and depressive spectrum disorders in general medical practice. Results of the COMPASS program. Kardiologiya, 2004;9:1–8.
6. Kostyuk G.P., Masyakin A.V., Burygina L.A., Reverchuk I.V.. The problem of diagnostics and treatment of depression by primary care physicians. (Zhurnal nevrologii i psihiatrii im. S.S. Korsakova. 2019;119(1–2):55–61.
7. Davidson K.W., Kupfer D.J., Bigger J.T., Califf R.M., Carney R.M., Coyne J.C., et al. Assessment and treatment of depression in patient with cardiovascular disease: National Heart, Lung, and Blood Institute Working Group Report. Psychosom Med, 2006,68(5):645–50.
8. Stepanova E.A. Depression in ischemic heart disease (PhD Thesis). M., 2010.
9. Williams LS, Shoma Ghose S, Swindle RW. Depression and other mental health diagnoses increase mortality risk after ischemic stroke. Am J Psychiatry, 2004,161:1090–5.
10. Gaete JM, Bogousslavsky J. Post-stroke depression. Exp Rev Neuroter, 2008,8:75–92.
11. Parfenov V.A. Post-stroke depression: prevalence, pathogenesis, diagnostics and treatment. Nevrologiya, nejropsihiatriya, psihosomatika, 2012,4:84–8.
12. Katon W, et al. A multifaceted intervention to improve treatment of depression in primary care. Archives of General Psychiatry, 1996,53(10): 924–932.
13. Vorobieva O.V., Akarachkova E.S. REPORT on the research work on the topic "Optimization of the algorithm for diagnostics and management of patients with psychovegetative syndrome." The first MSMU named after Sechenov. Moskva, 2011, 21 p. (in Russian)
14. Wang PS, Berglund P, Olfson M, Pincus HA, Wells KB, Kessler RC. Failure and delay in initial treatment contact after first onset of mental disorders in the National Comorbidity Survey Replication. Archives of General Psychiatry. 2005;62(6):603–613.
15. Barlou D. Clinical guidelines for mental disorders. 3rd ed. Translation from English. M., SPb., N. Novgorod: Piter; 2008. (in Russian)
16. American Psychiatric Association. Diagnostic and Statistical Manual of Mental Disorders. 5th ed. Washington, DC: American Psychiatric Association; 2013.
17. Diagnostics of depression, determination of treatment tactics in general medical practice. Available at: https://mentalhealth.by/obshchiesvedeniya/v-pomoshch-vrachu-obshchej-praktiki
18. Depression. Available at: https://www.who.int/ru/news-room/fact-sheets/detail/depression
19. Order of the Ministry of Health of the Republic of Belarus No. 1265 of 30.11.2020 "On the provision of psychiatric, psychotherapeutic and psychological assistance to patients who have had the COVID-19 infection."
20. Cipriani A., Furukawa T.A., Salanti G., Geddes J.R., Higgins J.P., Churchill R., Watanabe N., Nakagawa A., Omori I.M., McGuire H., Tansella M., Barbui C. Comparative efficacy and acceptability of 12 new-generation antidepressants: a multiple-treatments meta-analysis. Lancet (London, England), 2009;373(9665):746–758.
21. Barlow DH, Campbell LA. Mixed anxiety-depression and its implications for models of mood and anxiety disorders. Compr Psychiatry. 2000;41 (2 suppl 1):55–60.
