Можем ли мы бороться с депрессией?

Если Вы введете термин "расстройство настроения" в самую большую онлайновую медицинскую базу данных - Medline - то получите около 62000 определений. Если Вы ограничите свой поиск рандомизированными контролируемыми исследованиями, которые обычно рассматриваются как самый надежный проект для исследования эффективности лечения, все равно появится больше чем 3200 определений.

Учитывая огромное воздействие депрессии на здоровье в мировом масштабе, затраты на здравоохранение и способность работать, такое большое количество информации должно быть хорошей новостью. Но посмотрим внимательнее на изучение индивидуума, и скоро станет очевидным, что большинство исследуют физиологические, метаболические или биохимические нарушения, связанные с депрессией. Ни одно из этих исследований не принесло никакой пользы для решения вопроса - к каким пациентам нужно применять какую терапию и в течение какого промежутка времени.

Конечно, все еще существует примерно 1500 исследований различных способов лечения: психофармацевтические лекарства, электрошок, яркий свет, упражнения, психотерапия и даже иглоукалывание. Правда, многие из этих исследований фиксируют краткосрочный, и лишь в некоторых случаях долгосрочный эффект от различных способов лечения, в основном, с приемлемым компромиссом между эффективностью и безопасностью.

To continue reading, please log in or enter your email address.

Registration is quick and easy and requires only your email address. If you already have an account with us, please log in. Or subscribe now for unlimited access.


Log in

  1. Patrick Kovarik/Getty Images

    The Summit of Climate Hopes

    Presidents, prime ministers, and policymakers gather in Paris today for the One Planet Summit. But with no senior US representative attending, is the 2015 Paris climate agreement still viable?

  2. Trump greets his supporters The Washington Post/Getty Images

    Populist Plutocracy and the Future of America

    • In the first year of his presidency, Donald Trump has consistently sold out the blue-collar, socially conservative whites who brought him to power, while pursuing policies to enrich his fellow plutocrats. 

    • Sooner or later, Trump's core supporters will wake up to this fact, so it is worth asking how far he might go to keep them on his side.
  3. Agents are bidding on at the auction of Leonardo da Vinci's 'Salvator Mundi' Eduardo Munoz Alvarez/Getty Images

    The Man Who Didn’t Save the World

    A Saudi prince has been revealed to be the buyer of Leonardo da Vinci's "Salvator Mundi," for which he spent $450.3 million. Had he given the money to the poor, as the subject of the painting instructed another rich man, he could have restored eyesight to nine million people, or enabled 13 million families to grow 50% more food.

  4.  An inside view of the 'AknRobotics' Anadolu Agency/Getty Images

    Two Myths About Automation

    While many people believe that technological progress and job destruction are accelerating dramatically, there is no evidence of either trend. In reality, total factor productivity, the best summary measure of the pace of technical change, has been stagnating since 2005 in the US and across the advanced-country world.

  5. A student shows a combo pictures of three dictators, Austrian born Hitler, Castro and Stalin with Viktor Orban Attila Kisbenedek/Getty Images

    The Hungarian Government’s Failed Campaign of Lies

    The Hungarian government has released the results of its "national consultation" on what it calls the "Soros Plan" to flood the country with Muslim migrants and refugees. But no such plan exists, only a taxpayer-funded propaganda campaign to help a corrupt administration deflect attention from its failure to fulfill Hungarians’ aspirations.

  6. Project Syndicate

    DEBATE: Should the Eurozone Impose Fiscal Union?

    French President Emmanuel Macron wants European leaders to appoint a eurozone finance minister as a way to ensure the single currency's long-term viability. But would it work, and, more fundamentally, is it necessary?

  7. The Year Ahead 2018

    The world’s leading thinkers and policymakers examine what’s come apart in the past year, and anticipate what will define the year ahead.

    Order now