Abstract

BOHORQUEZ PENARANDA, Adriana Patricia et al. Guía de atención integral para la detección temprana y diagnóstico del episodio depresivo y trastorno depresivo recurrente en adultos. Atención integral de los adultos con diagnóstico de episodio depresivo o trastorno depresivo recurrente Parte II: Aspectos generales del tratamiento, manejo de la fase aguda, continuación y mantenimiento del paciente con diagnóstico de depresiónIntegral Care Guide for Early Detection and Diagnosis of Depressive Episodes and Recurrent Depressive Disorder in Adults. Integral Attention of Adults with a Diagnosis of Depressive Episodes and Recurrent Depressive Disorder Part II: General Aspects of Treatment, Management of the Acute Phase, Continuation and Maintenance of Patients with a Depression Diagnosis. rev.colomb.psiquiatr. [online]. 2012, vol.41, n.4, pp.740-773. ISSN 0034-7450.

Introduction: This article presents recommendations based on evidence gathered to answer a series of clinical questions concerning the depressive episode and the recurrent depressive disorder, with emphasis on general treatment aspects, treatment in the acute phase and management of the continuation/maintenance, all intended to grant health care parameters based on the best and more updated available evidence for achieving minimum quality standards with adult patients thus diagnosed. Methodology: A practical clinical guide was elaborated according to standards of the Methodological Guide of the Ministry of Social Protection. Recommendation from NICE90 and CAN-MAT guides were adopted and updated so as to answer the questions posed while de novo questions were developed. Results: Recommendations 5-22 corresponding to management of depression are presented.

Keywords : Practice guideline; depressive disorder; drug therapy; psychotherapy; antidepressive agents.

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