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Titolo:
Improved ability to identify symptoms of major depressive disorder (MDD) in general practice
Autore:
Lecrubier, Y;
Indirizzi:
Hop La Pitie Salpetriere, F-75011 Paris, France Hop La Pitie Salpetriere Paris France F-75011 ere, F-75011 Paris, France
Titolo Testata:
INTERNATIONAL JOURNAL OF PSYCHIATRY IN CLINICAL PRACTICE
, volume: 5, anno: 2001, supplemento:, 1
pagine: S3 - S10
SICI:
1365-1501(200106)5:<S3:IATISO>2.0.ZU;2-E
Fonte:
ISI
Lingua:
ENG
Soggetto:
NEUROPSYCHIATRIC INTERVIEW MINI; PRIMARY-CARE; MENTAL-DISORDERS; MEDICAL OUTCOMES; CONTROLLED TRIAL; HEALTH-CARE; PATIENT; RECOGNITION; DISABILITY; MANAGEMENT;
Keywords:
primary care; recognition rates; fatigue; major depression; low energy;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Citazioni:
53
Recensione:
Indirizzi per estratti:
Indirizzo: Lecrubier, Y Hop La Pitie Salpetriere, Pavil Clerambault U 302,47 Bd Hop, F-75011 Paris, France Hop La Pitie Salpetriere Pavil Clerambault U 302,47 Bd Hop Paris France F-75011
Citazione:
Y. Lecrubier, "Improved ability to identify symptoms of major depressive disorder (MDD) in general practice", INT J PSYC, 5, 2001, pp. S3-S10

Abstract

The diagnosis and treatment of major depressive disorder (MDD) is a primary care responsibility in most countries, yet although most people with MDD present to their primary care team at some time during the course of their illness, the majority remain unrecognized and fewer still are effectively treated. Large-scale epidemiological studies have helped to identify severalfactors that influence recognition rates of MDD in primary care. Patients who present with psychological symptoms and clearly communicate their disability are more likely to be recognized than those who present with somatic symptoms or concurrent physical illnesses. Fatigue, loss of energy and poormotivation are core symptoms Of depression in most patients, but are rarely interpreted as psychological symptoms and frequently mislead the primary care physician into searching for a somatic cause. If primary care recognition rates for MDD are to improve substantially, patients must be encouragedto seek help if they are suffering from these three core symptoms, and primary care physicians must increase their index of suspicion for MDD if a patient presents with them. Simple screening tools such as the Mini-International Neuropsychiatric Interview (MINI) can help to improve recognition rates significantly and should be applied routinely in primary care.

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Documento generato il 19/01/20 alle ore 12:04:42