International consensus statement on major depressive disorder.
Because considerable variability exists between countries in the management of major depressive disorder, experts in psychiatry gathered for the International Consensus Group on Depression to outline a universal treatment algorithm for this illness. The experts decided to adapt the existing treatment algorithm developed in Japan and discuss strategies for clinical issues that have been problematic in some countries. Specific recommendations were made by the consensus group for screening for, diagnosing, and treating depression, which include periodically screening all patients for depression, completing a differential diagnosis of depression, referring to a psychiatric specialist if needed, establishing a therapeutic alliance with patients and their families, choosing and optimizing the dose of appropriate antidepressants based on individual patient's needs, and incorporating nonpharmacologic treatment strategies as necessary.
Nutt
David J
DJ
Neuropsychopharmacology Unit, Division of Experimental Medicine, Imperial College, London, United Kingdom. d.nutt@imperial.ac.uk
Davidson
Jonathan R T
JR
Gelenberg
Alan J
AJ
Higuchi
Teruhiko
T
Kanba
Shigenobu
S
Karamustafalioğlu
Oğuz
O
Papakostas
George I
GI
Sakamoto
Kaoru
K
Terao
Takeshi
T
Zhang
Mingyuan
M
D000465:Algorithms; D000928:Antidepressive Agents / Q000009:adverse effects / Q000627:therapeutic use*; D003131:Combined Modality Therapy; D003299:Cooperative Behavior; D003431:Cross-Cultural Comparison; D003865:Major Depressive Disorder / Q000175:diagnosis / Q000188:drug therapy* / Q000523:psychology; D004305:Dose-Response Relationship, Drug; D019317:Evidence-Based Medicine; D006801:Humans; D033183:Interdisciplinary Communication; D008134:Long-Term Care; D008403:Mass Screening; D055118:Medication Adherence; D010348:Patient Care Team; D010817:Physician-Patient Relations; D017410:Practice Guidelines as Topic; D011320:Primary Health Care; D011613:Psychotherapy; D055502:Secondary Prevention
D000928:Antidepressive Agents