盘点：抑郁症指南一览（上）

2016-09-18 MedSci MedSci原创

一、2016 NICE：成人抑郁症的识别和管理指南2016年6月12日，英国国家卫生与临床优化研究所 (NICE,National Institute for Health and Clinical Excellence)发布成人抑郁症的识别和管理指南。（文章详见-2016NICE：成人抑郁症的识别和管理指南更新）二、2016 CCO临床实践指南：癌症患者抑郁的

9月16日，明星乔任梁在上海意外死亡。乔任梁的经纪人证实：乔任梁先生死于抑郁症自杀。又是抑郁症！迄今，抑郁症的病因并不清楚，但可以肯定的是，生物、心理与社会环境诸多方面因素参与了抑郁症的发病过程。梅斯小编在此整理了国内外最新的抑郁症指南，与大家分享。

一、2016 NICE：成人抑郁症的识别和管理指南

2016年6月12日，英国国家卫生与临床优化研究所 (NICE,National Institute for Health and Clinical Excellence)发布成人抑郁症的识别和管理指南。（文章详见-2016NICE：成人抑郁症的识别和管理指南更新）

二、2016 CCO临床实践指南：癌症患者抑郁的管理

本文主要更新了癌症护理安大略计划的成人癌症患者抑郁管理指南，指南覆盖内容涉及药理学，心理学以及协同护理干预，以协助临床医生为癌症患者提供适当的抗抑郁治疗，该更新指南支持了前一版指南的一般性建议，指出有抑郁症的癌症患者可能会受益于心理或药物干预，并提出了协同护理模式的新建议。（文章详见-2016 CCO临床实践指南：癌症患者抑郁的管理）

三、2016 ACP临床实践指南：药物治疗与非药物治疗治疗成人重度抑郁症

2016年2月，美国医师协会(ACP)发布了药物治疗与非药物治疗治疗成人重度抑郁症指南。（文章详见-2016 ACP临床实践指南：药物治疗与非药物治疗治疗成人重度抑郁症）

四、2016 卒中后抑郁临床实践的中国专家共识

为了促进国内神经科领域对PSD的关注，普及PSD的临床规范化诊疗，中国医师协会神经内科医师分会神经心理与情感障碍专业委员会组织国内部分神经科及心理科、精神科专家就上述问题展开讨论，并结合目前国内外现有的研究证据，就PSD的临床诊疗相关原则达成共识。（文章详见-2016 卒中后抑郁临床实践的中国专家共识）

五、2016 CANMAT临床指南：成人抑郁症的管理

2016年8月，加拿大情绪和焦虑治疗网络(CANMAT)发布了成人抑郁症的管理指南，该指南主要包括6大部分内容，分别为：1.疾病负担和护理原则；2.心理治疗；3.药物治疗；4.神经刺激疗法；5.补充和替代疗法；6.特殊人群（儿童/青少年，女性，老年人）。（文章详见-2016 CANMAT临床指南：成人抑郁症的管理）

六、2016 临床TMS学会共识建议：经颅磁刺激治疗重度抑郁症

2016年4月，美国临床经颅刺激学会(Clinical TMS Society)发布了经颅磁刺激治疗重度抑郁症共识建议，建议指出每日左前额经颅刺激治疗急性期抑郁症患者安全有效，该建议针对经颅刺激治疗抑郁症共提出了5条推荐意见。（文章详见-2016 临床TMS学会共识建议：经颅磁刺激治疗重度抑郁症）

七、2016 ICSI卫生保健指南：抑郁症基层医疗管理（第17版）

2016年3月，临床系统改进协会(ICSI)发布了抑郁症基层医疗卫生保健指南第17版，该指南主要涉及内容包括基层医疗中抑郁症的诊断，治疗和随访等。（文章详见-2016 ICSI卫生保健指南：抑郁症基层医疗管理（第17版））

八、2016 EPA指南：慢性抑郁症的心理治疗

2016年3月，欧洲精神病学协会(EPA)发布了慢性抑郁症的心理治疗指南，该指南主要提出5条建议。（文章详见-2016 EPA指南：慢性抑郁症的心理治疗）

九、2016 USPSTF建议声明：儿童和青少年抑郁症筛查

2016年2月，美国预防医学工作组(USPSTF)发布了儿童和青少年抑郁症筛查建议声明。（文章详见-2016 USPSTF建议声明：儿童和青少年抑郁症筛查）

十、2016 USPSTF建议声明：成人抑郁症筛查

2016年1月，美国预防医学工作组(USPSTF)更新了2009版成人抑郁症筛查建议。（文章详见-2016 USPSTF建议声明：成人抑郁症筛查）

下接【盘点】抑郁症指南一览（下）

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2016, time=2016-10-11, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=136312, encodeId=c3071363120f, content=学习了，很受益，谢谢分享，继续关注中！, beContent=null, objectType=article, channel=null, level=null, likeNumber=63, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/oLAjfB7s1ib06iaV3D9Tg5K3j7ibEWPiarwpqibEYqqX9yVibV5uebib0O7hQSOPmqGrb5FfyDbLsLawnz7ShAb5ibtiayWgI5ClMTh5v/0, createdBy=a47c1614293, createdName=童小孩, createdTime=Tue Sep 27 17:20:10 CST 2016, time=2016-09-27, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=133262, encodeId=6aec1332625b, content=已学习！, beContent=null, objectType=article, channel=null, level=null, likeNumber=87, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cacheapi.medsci.cn/resource/upload/20160914/IMG57D82E721DB581755.jpg, createdBy=4fc81933929, 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2016-10-12 1e10c84am36(暂无匿称)

好文章，受益

81 0
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2016-10-11 Laykein

这种痛苦是语言无法描述出来的。

74 0
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2016-09-27 童小孩

学习了，很受益，谢谢分享，继续关注中！

63 0
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2016-09-22 明天会更好！

已学习！

87 0
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2016-09-20 flysky120

谢谢，学习了

66 0
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channel=null, level=null, likeNumber=39, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/jW482SpianMayicTRbRZ5RzcjoLTEEgkSSQ8pVIiaf4a4INaoMLBV16QEk3dvvBRpicwIwmDGv0jePErJ4aE9ibVBDPtkialQLT9Bs/0, createdBy=04811949400, createdName=邓启付, createdTime=Mon Sep 19 09:45:00 CST 2016, time=2016-09-19, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=130723, encodeId=302d130e2392, content=抑郁症治疗首先要排除器质性病变，再结合药物治疗，配合心理疏导。, beContent=null, objectType=article, channel=null, level=null, likeNumber=33, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/jW482SpianMayicTRbRZ5RzcjoLTEEgkSSQ8pVIiaf4a4INaoMLBV16QEk3dvvBRpicwIwmDGv0jePErJ4aE9ibVBDPtkialQLT9Bs/0, createdBy=04811949400, createdName=邓启付, createdTime=Mon Sep 19 09:44:00 CST 2016, time=2016-09-19, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=130720, encodeId=2a8f130e2031, content=讲的挺好，学习了, beContent=null, objectType=article, channel=null, level=null, likeNumber=34, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/NUyjXTCJjo5nmIH5IQqCKjJgSCuicPWUWOUcdqt1ROPnEiaOYN4pSHibDv8la3OxNLalvuvUXn8clpJlrpuyTpckgt9OPkeSSdT/0, createdBy=8fd71930726, createdName=半夏微凉, createdTime=Mon Sep 19 09:09:00 CST 2016, time=2016-09-19, status=1, ipAttribution=)]
2016-09-19 李东泽

很好，不错，以后会多学习

36 0
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createdAvatar=https://wx.qlogo.cn/mmopen/jW482SpianMayicTRbRZ5RzUn81b5CF5ibVPib8jWI92iciaxmqGHlwruOnK4SVZykd4iahqo1hicklIibyZoxm55X7EM8BW9eX1h1hQ2/0, createdBy=8aa81937526, createdName=李东泽, createdTime=Mon Sep 19 15:54:00 CST 2016, time=2016-09-19, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=130729, encodeId=edaa130e2993, content=乔任梁肯定早已知道自己的疾病，但是身不由己，以致病情越来越重，延误治疗。, beContent=null, objectType=article, channel=null, level=null, likeNumber=38, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/jW482SpianMayicTRbRZ5RzcjoLTEEgkSSQ8pVIiaf4a4INaoMLBV16QEk3dvvBRpicwIwmDGv0jePErJ4aE9ibVBDPtkialQLT9Bs/0, createdBy=04811949400, createdName=邓启付, createdTime=Mon Sep 19 09:50:00 CST 2016, time=2016-09-19, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=130724, encodeId=ba8f130e24e4, content=排除导致抑郁症的病因，很多娱乐圈明星都是压力太大，不堪重负。, beContent=null, objectType=article, channel=null, level=null, likeNumber=39, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/jW482SpianMayicTRbRZ5RzcjoLTEEgkSSQ8pVIiaf4a4INaoMLBV16QEk3dvvBRpicwIwmDGv0jePErJ4aE9ibVBDPtkialQLT9Bs/0, createdBy=04811949400, createdName=邓启付, createdTime=Mon Sep 19 09:45:00 CST 2016, time=2016-09-19, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=130723, encodeId=302d130e2392, content=抑郁症治疗首先要排除器质性病变，再结合药物治疗，配合心理疏导。, beContent=null, objectType=article, channel=null, level=null, likeNumber=33, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/jW482SpianMayicTRbRZ5RzcjoLTEEgkSSQ8pVIiaf4a4INaoMLBV16QEk3dvvBRpicwIwmDGv0jePErJ4aE9ibVBDPtkialQLT9Bs/0, createdBy=04811949400, createdName=邓启付, createdTime=Mon Sep 19 09:44:00 CST 2016, time=2016-09-19, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=130720, encodeId=2a8f130e2031, content=讲的挺好，学习了, beContent=null, objectType=article, channel=null, level=null, likeNumber=34, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/NUyjXTCJjo5nmIH5IQqCKjJgSCuicPWUWOUcdqt1ROPnEiaOYN4pSHibDv8la3OxNLalvuvUXn8clpJlrpuyTpckgt9OPkeSSdT/0, createdBy=8fd71930726, createdName=半夏微凉, createdTime=Mon Sep 19 09:09:00 CST 2016, time=2016-09-19, status=1, ipAttribution=)]
2016-09-19 邓启付

乔任梁肯定早已知道自己的疾病，但是身不由己，以致病情越来越重，延误治疗。

38 0
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GetPortalCommentsPageByObjectIdResponse(id=130720, encodeId=2a8f130e2031, content=讲的挺好，学习了, beContent=null, objectType=article, channel=null, level=null, likeNumber=34, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/NUyjXTCJjo5nmIH5IQqCKjJgSCuicPWUWOUcdqt1ROPnEiaOYN4pSHibDv8la3OxNLalvuvUXn8clpJlrpuyTpckgt9OPkeSSdT/0, createdBy=8fd71930726, createdName=半夏微凉, createdTime=Mon Sep 19 09:09:00 CST 2016, time=2016-09-19, status=1, ipAttribution=)]
2016-09-19 邓启付

排除导致抑郁症的病因，很多娱乐圈明星都是压力太大，不堪重负。

39 0
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channel=null, level=null, likeNumber=39, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/jW482SpianMayicTRbRZ5RzcjoLTEEgkSSQ8pVIiaf4a4INaoMLBV16QEk3dvvBRpicwIwmDGv0jePErJ4aE9ibVBDPtkialQLT9Bs/0, createdBy=04811949400, createdName=邓启付, createdTime=Mon Sep 19 09:45:00 CST 2016, time=2016-09-19, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=130723, encodeId=302d130e2392, content=抑郁症治疗首先要排除器质性病变，再结合药物治疗，配合心理疏导。, beContent=null, objectType=article, channel=null, level=null, likeNumber=33, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/jW482SpianMayicTRbRZ5RzcjoLTEEgkSSQ8pVIiaf4a4INaoMLBV16QEk3dvvBRpicwIwmDGv0jePErJ4aE9ibVBDPtkialQLT9Bs/0, createdBy=04811949400, createdName=邓启付, createdTime=Mon Sep 19 09:44:00 CST 2016, time=2016-09-19, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=130720, encodeId=2a8f130e2031, content=讲的挺好，学习了, beContent=null, objectType=article, channel=null, level=null, likeNumber=34, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/NUyjXTCJjo5nmIH5IQqCKjJgSCuicPWUWOUcdqt1ROPnEiaOYN4pSHibDv8la3OxNLalvuvUXn8clpJlrpuyTpckgt9OPkeSSdT/0, createdBy=8fd71930726, createdName=半夏微凉, createdTime=Mon Sep 19 09:09:00 CST 2016, time=2016-09-19, status=1, ipAttribution=)]
2016-09-19 邓启付

抑郁症治疗首先要排除器质性病变，再结合药物治疗，配合心理疏导。

33 0
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2016, time=2016-10-11, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=136312, encodeId=c3071363120f, content=学习了，很受益，谢谢分享，继续关注中！, beContent=null, objectType=article, channel=null, level=null, likeNumber=63, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/oLAjfB7s1ib06iaV3D9Tg5K3j7ibEWPiarwpqibEYqqX9yVibV5uebib0O7hQSOPmqGrb5FfyDbLsLawnz7ShAb5ibtiayWgI5ClMTh5v/0, createdBy=a47c1614293, createdName=童小孩, createdTime=Tue Sep 27 17:20:10 CST 2016, time=2016-09-27, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=133262, encodeId=6aec1332625b, content=已学习！, beContent=null, objectType=article, channel=null, level=null, likeNumber=87, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cacheapi.medsci.cn/resource/upload/20160914/IMG57D82E721DB581755.jpg, createdBy=4fc81933929, 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2016-09-19 半夏微凉

讲的挺好，学习了

34 0