The 2020 Royal Australian and New Zealand College of Psychiatrists clinical practice guidelines for mood disorders

被引：376

作者：

Malhi, Gin S. ^{[1
,2
,3
]}

Bell, Erica ^{[1
,2
,3
]}

Bassett, Darryl

Boyce, Philip ^{[4
,5
,6
]}

Bryant, Richard ^{[7
]}

Hazell, Philip ^{[6
]}

Hopwood, Malcolm ^{[8
,9
]}

Lyndon, Bill ^{[1
]}

Mulder, Roger ^{[10
]}

Porter, Richard ^{[10
]}

Singh, Ajeet B. ^{[11
]}

Murray, Greg ^{[12
]}

机构：

[1] Univ Sydney, Fac Med & Hlth, Northern Clin Sch, Dept Psychiat, Sydney, NSW 2065, Australia

[2] Royal North Shore Hosp, Acad Dept Psychiat, Northern Sydney Local Hlth Dist, St Leonards, NSW, Australia

[3] Royal North Shore Hosp, Northern Sydney Local Hlth Dist, CADE Clin, St Leonards, NSW, Australia

[4] Westmead Hosp, Dept Psychiat, Wentworthville, NSW, Australia

[5] Westmead Clin Sch, Wentworthville, NSW, Australia

[6] Univ Sydney, Fac Med & Hlth, Sydney Med Sch, Discipline Psychiat, Sydney, NSW, Australia

[7] Univ New South Wales, Sch Psychol, Sydney, NSW, Australia

[8] Univ Melbourne, Dept Psychiat, Melbourne, Vic, Australia

[9] Albert Rd Clin, Professorial Psychiat Unit, Melbourne, Vic, Australia

[10] Univ Otago, Dept Psychol Med, Christchurch, New Zealand

[11] Deakin Univ, Sch Med, IMPACT Inst Mental & Phys Hlth & Clin Translat, Geelong Clin Healthscope, Geelong, Vic, Australia

[12] Swinburne Univ Technol, Ctr Mental Hlth, Hawthorn, Vic, Australia

来源：

AUSTRALIAN AND NEW ZEALAND JOURNAL OF PSYCHIATRY | 2021年 / 55卷 / 01期

基金：

英国医学研究理事会; 加拿大健康研究院; 澳大利亚研究理事会;

关键词：

Guidelines; bipolar disorder; depression; depressive disorder; management; mania; mood disorders; treatment; TRANSCRANIAL MAGNETIC STIMULATION; MAJOR DEPRESSIVE DISORDER; TREATMENT-RESISTANT DEPRESSION; RANDOMIZED-CONTROLLED-TRIAL; BORDERLINE PERSONALITY-DISORDER; COGNITIVE-BEHAVIORAL THERAPY; BRIGHT LIGHT THERAPY; QUALITY-OF-LIFE; PROBLEM-SOLVING THERAPY; INDIVIDUAL PATIENT DATA;

D O I：

10.1177/0004867420979353

中图分类号：

R749 [精神病学];

学科分类号：

100205 ;

摘要：

Objectives: To provide advice and guidance regarding the management of mood disorders, derived from scientific evidence and supplemented by expert clinical consensus to formulate s that maximise clinical utility. Methods: Articles and information sourced from search engines including PubMed, EMBASE, MEDLINE, PsycINFO and Google Scholar were supplemented by literature known to the mood disorders committee (e.g. books, book chapters and government reports) and from published depression and bipolar disorder guidelines. Relevant information was appraised and discussed in detail by members of the mood disorders committee, with a view to formulating and developing consensus-based recommendations and clinical guidance. The guidelines were subjected to rigorous consultation and external review involving: expert and clinical advisors, key stakeholders, professional bodies and specialist groups with interest in mood disorders. Results: The Royal Australian and New Zealand College of Psychiatrists mood disorders clinical practice guidelines 2020 (MDcpg(2020)) provide up-to-date guidance regarding the management of mood disorders that is informed by evidence and clinical experience. The guideline is intended for clinical use by psychiatrists, psychologists, primary care physicians and others with an interest in mental health care. Conclusion: The MDcpg(2020) builds on the previous 2015 guidelines and maintains its joint focus on both depressive and bipolar disorders. It provides up-to-date recommendations and guidance within an evidence-based framework, supplemented by expert clinical consensus. Mood disorders committee: Gin S Malhi (Chair), Erica Bell, Darryl Bassett, Philip Boyce, Richard Bryant, Philip Hazell, Malcolm Hopwood, Bill Lyndon, Roger Mulder, Richard Porter, Ajeet B Singh and Greg Murray.

引用

页码：7 / 117

页数：111

共 643 条

[1] Is dose escalation of antidepressants a rational strategy after a medium-dose treatment has failed? A systematic review [J].