忧郁症的诊断与治疗 - 振兴医院.ppt

* patients with moderate to severe depression at baseline had higher rates(HR:2.2-2.4) of death than did those with no depression. Despite advances in surgical and medical management of patients after CABG, depression is an important independent predictor of death after CABG and should be carefully monitored and treated if necessary. * 憂鬱症共病影響治療意願 有憂鬱症共病的患者不願意治療身體疾病的比率是無共病患者的3倍 * * 在治療焦慮症和憂鬱症上餵食麼SNRI比SSRI效果好 主要是因為Serotonin和NE對治療焦慮與憂慮症狀上有不一樣功能, Serotonin對焦慮症改善較相關 加強衝動食慾積極心 Ne ;動力 熱心風趣 活力 加強社會活動 焦慮憂鬱伴隨發生所以同時作用在ｓ和ｎ上的是最好的選擇 The rationale for using dual reuptake inhibitors in the treatment of GAD