摘要
老年期抑郁障碍是老年人中最为常见的精神疾病之一,其病因学、临床特征、评估诊断流程及治疗干预策略与成人抑郁症不尽相同,因此对规范化诊疗带来挑战。中华医学会精神医学分会老年精神医学学组专家在首版专家共识的基础上,结合文献检索及德尔菲法调研,形成老年期抑郁障碍诊疗专家共识(2025版)共识。该共识涵盖了定义、流行病学特征与风险因素、临床特征、多维评估与诊断、治疗原则和策略以及康复预防管理,希望为我国老年期抑郁障碍规范化诊疗提供指导。
Late-life depressive disorder is one of the most common mental illnesses among the older adults.Its etiology,clinical features,assessment,diagnostic procedures,and treatment strategies differ significantly from those of adult depression,posing unique challenges to standardized clinical management.Building on the first edition of the expert consensus,the Geriatric Psychiatry Group of the Chinese Society of Psychiatry has developed the 2025 edition through a literature review and a Delphi survey.This consensus encompasses definition,epidemiological characteristics and risk factors,clinical features,multidimensional assessment and diagnosis,treatment principles and strategies,as well as rehabilitation and prevention management.It aims to guide the standardized diagnosis and treatment of late-life depressive disorder in China.
出处
《中华精神科杂志》
北大核心
2025年第8期592-602,共11页
Chinese Journal of Psychiatry
基金
国家自然科学基金(82471575,82171524)。
关键词
诊断
治疗
老年期抑郁障碍
专家共识
Diagnosis
Treatment
Late life depression
Expert consensus
