1 / 15

RECOGNITION AND TREATMEN OF DEPRESSION IN PRIMARY CARE: RUSSIAN EXPERIENCE

RECOGNITION AND TREATMEN OF DEPRESSION IN PRIMARY CARE: RUSSIAN EXPERIENCE. V.N.Krasnov,T.V.Dovjenko, N.V.Yaltseva at al. Moscow Research Institute of Psychiatry. Table 1. Table 2. Table 3. Table 4. Table 5. Table 6.

zane-gates
Télécharger la présentation

RECOGNITION AND TREATMEN OF DEPRESSION IN PRIMARY CARE: RUSSIAN EXPERIENCE

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. RECOGNITION AND TREATMEN OF DEPRESSION IN PRIMARY CARE: RUSSIAN EXPERIENCE V.N.Krasnov,T.V.Dovjenko, N.V.Yaltseva at al. Moscow Research Institute of Psychiatry

  2. Table 1

  3. Table 2

  4. Table 3

  5. Table 4

  6. Table 5

  7. Table 6 RECOMMENDATIONS ON QUESTIONNAIRESASSESSMENTPatients are selected for further clinical examination whose answers include the following: • Positive responses to not less then three items, • Positive responses to items 4 and 5 simultaneously, • Positive responses to item 6 (alone or in any combination), • Positive responses to item 7 (alone or in any combination).

  8. Depressed mood (irrespective from the situation) Lack of interest or pleasure Lack of energy and fatigue Poor concetration Loss of confidence or self-esteem Guilt or self-reproach Bleak and pessimistic views of the future Recurrent suicidal thoughts or thoughts about self-destruction Sleep disturbances of any type Disturbed appetite (along with weight changes) Table 7 ICD-10 CRITERIA OF DEPRESSIVE EPISODE Diagnostic features Associated symptoms 2 or 3 symptoms should be presented obligatory 2-4 symptoms should be associated with obligatory symptoms Symptoms should be last for at least two weeks

  9. Fig. 1 PATIENTS OF PRIMARY CARE SETTINGSn=6785

  10. Fig. 2 AFFECTIVE SPECTRUM DISORDERSACCORDING TO THE SCREENING RESULTS AGE DISTRIBUTION 56  n=2537  55years n=4248

  11. Fig. 3 AFFECTIVE SPECTRUM DISORDERSIN PATIENTS UNDER 55 ACCORDING TO THE SCREENING RESULTS GENDER DISTRIBUTION Male n=1222 Female n=3026

  12. Fig. 4 CLINICAL DEPRESSION IN PATIENTS UNDER 55ACCORDING TO THE ICD-10 CRITERIAGENDER DISTRIBUTION Male n=1222 Female n=3026

  13. Fig. 5 DIAGNOSTICS AND THERAPY OF DEPRESSION IN OUT-PATIENTS (aged 18-55 years old) 4248 out-patients of PC settings were screened (special screening questionnaire was used) Nurse/General practitioner Affective spectrum disorders have been recognized in 2286 ( 53,8%) of patients General practitioner 1629 ( 38,3% ) of the patients were observed by psychiatrist Psychiatrist Psychiatrist in 1380 ( 32,5%) of the patients depression has been recognized Psychiatrist/ General practitioner 1145 ( 26,9%) were advised to have treatment with antidepressants (HAM-D score  15) Psychiatrist/ General practitioner/ Nurse 976 (22,9%) have completed the 4-weeks course of treatment

  14. Fig. 6 RESULTS OF FLUOXETINE THERAPY OF DEPRESSION IN OUTPATIENTSn=204 19.4±2.7 * - p<0.001 * 7.9±1.3 * 4.0±0.8

  15. Fig. 7 RESULTS OF TIANEPTINE THERAPY OF DEPRESSION IN OUTPATIENTSn=269 19.6±2.5 * - p<0.001 * 8.1±1.4 * 4.1±0.9

More Related