Long-term nature of depression.
Symposium "Issues in the Long-Term Management of Depression". Toronto, CAN, 1998/05/31.
Many, if not most, people with depression are at high risk to develop a recurrent and potentially chronic disorder, characterized by deleterious effects on vocational, social, and family functioning.
Recent evidence also suggests that recurrent episodes of severe depression are associated with changes in brain function that further heighten vulnerability and functional impairment.
The best way to deal with these sobering problems is prevention via vigorous treatment of the index episode (to produce complete remission) and more routine use of longer term models of prophylactic therapy.
After briefly reviewing the relevant data on epidemiology and natural history, this article focuses on the 4 « arms » of preventative treatment : psychoeducation, pharmacotherapy, adherence, and psychotherapy.
Like the modern approach to treatment of hypertension, a conscientious and integrated approach to preventative therapy saves lives and has profoundly beneficial effects for our patients, their loved ones, and society.
Mots-clés Pascal : Etat dépressif, Evolution, Long terme, Facteur risque, Chronique, Physiopathologie, Traitement, Prévention, Education santé, Chimiothérapie, Observance thérapeutique, Psychothérapie, Santé mentale, Environnement social, Etats Unis, Amérique du Nord, Amérique, Article synthèse, Homme, Trouble humeur
Mots-clés Pascal anglais : Depression, Evolution, Long term, Risk factor, Chronic, Pathophysiology, Treatment, Prevention, Health education, Chemotherapy, Treatment compliance, Psychotherapy, Mental health, Social environment, United States, North America, America, Review, Human, Mood disorder
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Cote : 99-0399837
Code Inist : 002B18C07A. Création : 22/03/2000.