常见身心科疾病.pptVIP

(本张只对药局：) 病患经常抱怨的症状为以下几项：头痛、疲累、隐约腹痛或关节痛、 睡眠障碍、性功能异常、人际关系不良甚至、 整天疲倦,喃喃自语。 病患可能不一定会说出精神症状因为： 记忆力减退、难以集中注意力、 觉得耻辱而不愿承认或说明。 (本张只对药局：) 病患经常抱怨的症状为以下几项：头痛、疲累、隐约腹痛或关节痛、 睡眠障碍、性功能异常、人际关系不良甚至、 整天疲倦,喃喃自语。 病患可能不一定会说出精神症状因为： 记忆力减退、难以集中注意力、 觉得耻辱而不愿承认或说明。 Psychologic, biologic, and integrative models have been presented to explain the etiology of depression This slide illustrates the factors that may play a role in the etiology of depression1,2 Genetic factors, such as family history of depression Psychological and social factors, including psychosocial stressors Biochemical abnormalities, including an imbalance of neurotransmitters (norepinephrine, serotonin, and/or dopamine) Chronobiologic factors are not yet fully understood2 Psychiatric syndromes that are linked to disruption of circadian rhythms Seasonal affective disorder Premenstrual dysphoric disorder References: 1. Altemus M, Gold PW. Neurohormones in depression and anxiety. In: Schulkin J, ed. Hormonally Induced Changes in Mind and Brain. San Diego, Calif: Academic Press; 1993. 2. McEachron DL, Schull J. Hormones, rhythms, and the blues. In: Schulki??鼀 (本张只对药局：) 我们都知道，忧郁症的患者有可能都会想到自杀，甚至尝试自杀，其中严重的重郁症患者，大约有 15% 会尝试自杀，而他们自杀的成功危险因子，包括这几大项，其中男性的危险因子比较高，因为他们的手段会比较激烈，另外年龄层特别低或是年龄层特别高的，他们如果尝试自杀的话，也比较有可能会成功，因为他们的手段也是会比较激烈，另外本身是有慢性疾病，或是自己或家人有药物滥用的情形，包括酒瘾这些患者，也是属于高危险群，另外就是过去有自杀病史的病患，还有极度绝望的病人，也是属于高危险群，白种人比其它种族的人，也比较容易达到自杀成功的??? Most untreated episodes of depression last 6 to 24 months1 In two thirds of cases, symptoms remit completely1 In the remaining one third of cases1: 5% to 10% of untreated episodes last more than 2 years In 20% to 25% of cases, recovery is partial Studies of untreated depressed patients revealed that at 1-year follow-up2: Approximately 40% stay depressed 40% recover 20% either partly recover or develop the diagnosis of dysthymia, defined as a low-grade, chronic form of depression that lasts for more than 2 years References: 1. Depression Guideline Pan