2015年8月14日金曜日

More important than medicine prefer the psychiatrist in the treatment of depression

If you are looking at a clinical significance of the "relationship" in the medical, In the treatment of depression, more of psychiatrists, is three times more important than the medicine, I've read the research reports that. (J Affect Disord 2006 Jun; 92 (2-3):. 287-90) In the field of psychosomatic medicine and integrative medicine, Relationship between patients and healthcare professionals, have been demonstrated to affect the prognosis of the disease. That is, If the doctor patient relationship is good, At the same medicine, it is more effective, it is better passed, is that. Also in the process of the administration analgesic, there is a comparison test of the mechanical pump, a nurse, Better administration by a nurse, there are several studies that the large analgesic effect. First, as the background of this study, Assessed by the National Institute of Mental Health of the United States NIH (NIMH), In the treatment of depression, Imipramine tricyclic antidepressants, there is a consensus that it is more effective than placebo. (Data of NIMH TDCRP. Imipramine + Clinical management is more effective than placebo + Clinical Management.) But, In this data, not been analyzed clinical significance of healer such as a physician, Contribution to the role and treatment plays the psychiatrist has not been shown. Therefore, in this study, The role of the psychiatrist in the United States NIMH TDCRP has been verified. In particular, Patient 112 persons of data becomes the subject from NIMH TDCRP, · Imipramine + Clinical management group (n = 57, 9 psychiatrists), - Placebo + Clinical Management (n = 55, 9 psychiatrists) But it has been verified. As the evaluation score of depression, BDI score and the HAM-D score has been compared. As a result of the analysis, First, Contribution of each element in the BDI score, Pharmaceuticals: 3.4% (p <.05) Against, Psychiatrist: 9.1% (p <.05) was. That is, In the treatment of depression, Psychiatrist, And will it plays a triple role of antidepressants. In addition, HAM-D score, Pharmaceuticals: 5.9% (p <.05) Psychiatrist: 6.7% (p = .053) was. From the above data, In the treatment of depression, The role of psychiatrist is suggested to be more important than the drug.

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