Οδηγός Για Τη Διάγνωση Και Θεραπεία Της Κατάθλιψης...

32
A-PDF PageMaster Demo. Purchase from www.A-PDF.com to remove the watermar

description

Depression diagnosis and treatment guidlines in family medicine

Transcript of Οδηγός Για Τη Διάγνωση Και Θεραπεία Της Κατάθλιψης...

Page 1: Οδηγός Για Τη Διάγνωση Και Θεραπεία Της Κατάθλιψης Στην ΠΦΥ

A-PDF PageMaster Demo. Purchase from www.A-PDF.com to remove the watermark

Page 2: Οδηγός Για Τη Διάγνωση Και Θεραπεία Της Κατάθλιψης Στην ΠΦΥ

Zl Q TO Q

s

H •c Q

rA bUopdg orgsX^ :j

Q | Q 9 O -62

O CD

00 D 9 < •*. 9 Q-

CD S'

J3 ££,

I\ cn

Q CD CD 03_

FT CD Q.

> X I O isorder - ^-j

zi Q •o a* •g H .2 •c Q B: To epu)Tn.uaToAc) -< o CO ^ 1 JO 5 c Qs

r5 o JO Q > O --si

q CO >• r\ OO

Tl

2- CD'

n: CD 03 r— t- D C CD £ o 3 3 03 -si

Zl

Q •Q Qs

•o H ^3 •c Q > O CO TD I 1 S. -< 5 c -< CO f H O c Q Q CD CO 0 c-

JO -D 31 D cb q CO •^ ro

CO-3s

•c Q 01 O

=1

Q

30 bui LiDU0noyoxDd

•D § CO 9 7^

JO D $ O 3 q- T -D q 3 j-) ££

,_,

.~-

j

CO-3s

•c Q *»O

Zl

Qpoxn EKnaiSeuTiKcov •c < c

10 Acoipr q JO § CD £ CO Jo"

w.

1 cn

COJs •n Q COO m 3 I CD CO "D § CO K x1

03-

0 5 f^lVTl|jeT(JL)T -) 9 J3 JO q P- — »•

COJs

•n Q ro o >

1ny0piD» bla liocoAAi

j JO q CO >•

o oo

I i i > ( < j _

' jD 3

- 5 -k o > S, i i o ^ 03 >-

0 J,

O

Zl

m LI — m X 0 ^. m z >

H v napaKoAoL CD

J Q _Z3

JO I P 3--

7< "D Q JO H e p Q CD

CO I Q _23 CD

00 ~D p a co p"

< oo 7; P 01

CO

1 H 1

AOr)A30OD

1 g 7^ PS

CO d j 7v

Q q PS g -G-

JZi 7; P i CD oo ~D P a CO

^

Q' ^

JO

H O

9 prloDiQsXo

co -D P 3 co 5 7;Js

JO | 1 e~ a Q _Z3

JO

H O1

t I Q 1 JO 1 H PS

CD

>^

-e j JO 7s P H < 7s >-

7^ CO 5 T='

Q d JJO

< p f co Q , — {

JO 7; 9 PS

CD

>-

•e JO Q CO

P Q CD < oo J5'

, |

JO =1 e

=1 CO

-D X~

V CO 1 o" —

1_l

0 d CO 7; o ~r~ a o "8^ p m -e p -D

Anoioorl o a Os

H i < TV Os

|

9 J3 < avayvcopior] 7s P ,

|

< 1 ~C ro 2n e> a Q 1 JO 7J 9 PS

03 ;>-

-G-

JO

=1 -Q e H O "CD

PS

O TI

P JO e •D O | Oi

p JO CO P~

JO I — 1 o c Ol

m < co J -e c X 3 —*- o o

O Q C,

$ O T: 0 JO p I JO o 01 J Os

JO Q 7s:

O 3 co ds 2 P "CO O CD a CO H O C JO 9 ' —

1"O o C

s

JO H JO

Page 3: Οδηγός Για Τη Διάγνωση Και Θεραπεία Της Κατάθλιψης Στην ΠΦΥ

cr (D ^O | <

-30DDbnoii3yc-106 DA isdoiirl 1

o

CD

O

-O

piB

"°*:

>-o

o

g 1 CO

CO

.

f J II

-cr

o_ICOAA Ugi3ii3 bnodlDl noio oyoxDng 1013.A30DD ADA3 bl3On3AXlAD DA 01 DAXnj

>

Touq napane- o B -3 H t 8 a -B "co 000A1O><DAD bnoi ADIO orlAiio OXIAOOAIOX 01 bis >

evei'q auvr|9u)q a o „-a Q

.

1 1 -o

nouv orr| 5idYvcoor| Trjq KaTd9Aii|jniq.

3.

g -a 3 0.

cr

-o H a s H -0 nodiDiA noj S a. -CO )igA3 OID DX1130 fiyOll IDlAOAldxOllDIA o

-codsrlLiAS ADIO JO "co B d CO CD I 'i CO B a £ AnodgiiAD A3g DAXno IDX bnoi Uo30pi VO

LLODIODIDX Udl | cr ' -o I 3 O 1 t; ouv KardAAnAa, KaTavorjoouv TTI 5uvc

CD

g cr

o O -a | 3 D O H*

> -13 O CD 3 1 CQ

.O CD O -g Q. ouq rj/Kai neiorouv OTI Lie OUTOV TOV • P

cr

0 cr

f CD

-O'ii bUxiiDrlooo bin Disdoii U U Diorlmiu3.

6. -a ^ 1 cr cr CD

-O B r r- 1VIXV8UOT) TT|(

\~r

Eivai auvencoq POOIKO va u.nv avaore>

cr 3 VO -a 0 cr B is o -cr o -O"

CO CD D O cr o

ouv 01 «KOKKiveq anLiaieq», 5nAa5r| or

X

-1113 JOdlDlA 1O ' scr

CO CD bnoi bnoino CO cr cr y0piD» LiDCoyUgxs AUi DiA noAngAix no r

<.

VO CO o cr

P cr a -3 o c 0 6 cr cr C

D I € 1 S > | o_ X 1 O

cr

1 |

G '1

VO

Q

_C

O.

CO

cr CO "o 1 *o \^ 0 0 T CO

:D0noyo»D o 1- -o g cr co <§ O o X LU

O CQ

. a 3 1 3 -o CO a. -o -cr o o B cr adDlDig DlA DAOllpdDll DA01A3

| conirlnD pxiiDrlooo oiUAU^SADbnodpg)

Xpdvioq ndvoq •

cr co -co CD 0 O cr -co Q. B cr CO -o X •

-DcbsxAs oxoisAAo 'noigdoxonrl noi orlAo Q.

9- -o CQ. 8 o B cf

-o Q. e. t

AIKO eneiod5io)

o 1 g -cr

cr

-O O O -o 6- o D CO a. B 8. "U o B f -o a. c

o- ¥ OTOLIIKO avaLivrjoriKo KOTd9Ai

cr f a. o B VO cr ^ Q. B X •3-

cr 5 Q. a -D

cr § CO CD -a to ts cr fdDlDig OXldOlOl OXD13A3AO»10

•(«noy3>iD4 nodiAoX» orlodQAno) AGO 6 CO Q.

CT

3 -1XldlDl AC01 UoUdX UA3rlD131X3

Page 4: Οδηγός Για Τη Διάγνωση Και Θεραπεία Της Κατάθλιψης Στην ΠΦΥ

•bUftny0piox bUi UoooAApig Ui puo*o srl Acoiprlroiurlno

AO)xiiuiy0DiD» ACOI liDlirliiNS liAsrloodUyxoyo 3D srlnoDUdcoXodii DA boApy isXsdiA

-no 3101 'bi3oUiood3 onQ~5iT~oIib siouUgoiouo 3D «IDN» ISDLUADIID bUA30DD o AV

'LlilllLlAdD 1DA13 LlDTOAXlAD U '«lXQ» blSDUlCOdS OflQ bllD 1DX ISDUlADliD bLlA30DD 0 AV

:U/boA3rlDiuy3iiD U U/boA3rliy0DiD» 'Li/boA3rlD3ii 3iD0a>iN 'ZIbsiLapidUiDDdg OIID

UoLaoidDXns UAiy U bsiUipidLuDDdQ DiA AodsAoiQAs oAsrlcoistl DAXno 310X13 m\.

•••DAUrl noioinsysi noi oisxdpig Lai

:bi3D

-Laoods b30noyp»D ba UA30DD AOI 3K>Laood 'Uftiiy0pio»

bisoUimds SIADX :jji. orilig

v i a u v d a © i v » H I U N J V I V HI v i j Z O J H V O I O I N O I N A I

Page 5: Οδηγός Για Τη Διάγνωση Και Θεραπεία Της Κατάθλιψης Στην ΠΦΥ

Api9udq ouunrcoudTcov (AKoAou0u)vraq TO Kpnf|pia Tnq KaTd0Aii)j —

JO H o c o (75

§

-55

MeTd TTI auunAripcoori TOU PHQ-9 and TOV aa9evr|, olaTpei'cov TT| 3a9|aoAoYe(. Yndpxouv 5uo ouviorcoaeq TCAoyiOTOuv:

c

£^3 ^

P |.

If a

3"O

2

£o

o-a

rio

e

•AnoorodUyxoyo 01 DA bnu AnoAU^13 01 AnoondUyurlnD DA Anoitr) bnoi bnoiouo bnoi DiA1 AnoiU^no AcoisdiDi AOOI p»iucooodu 01 U/IDX lodioi IQ

lApyoiDriUicoo1A30DD bnoi sr

0

ilj,

9

oo

-^

^ 0-

3 |

CO

r

6A. Odnyief; XPn°nS TOU PAVO-9 OTO napapir]na A

flepa and rc\n SiayvcooriKri a ioAdynori ueaco cQuestionnaire - 9 (PHQ-9) eivai eva epcoTnuoroAoYio QUI

(3on,9d on-| SidYvuoT) Tr|q KaTd9Aiipn,q KOI npoa5iopi' ei . piLandoj) LaL bpdod>DAD-o:i 'bU^nsiASAnx

d

o

oIn

c

-a

Q

&)

CD

2>'

|- I

O

?*

CD

Q ro p ^>

Q Q Q JTH 1 .3 Q m 0 w •o e J 5 1

A^ioAdYnoT) TOU Kiv5uvou auTOKroviKOTnTaqA ioAdyrioTi TOU auvoSou dyxouq

> a o >• $ Ol 9 D T> | "w" a CO 8- 01 P 1 -c ^

bno0A3u uoDdgiiAv -ypoxyo UoUdXpiD» -

iiy0oiD>i isApus nou bUAcoAo bU>iiin3»Dr1dDd) LidiUv -

3 Q-

Q Q Q

(oiriiDAD 'bprloigi303dn0IY0D1DX 3ri lDlAO^)AD6rl3 nOU bl30U0DU bSXllDriCOJ -

D-

Q I 1 -=f

X a:booup '(LiocoAApig

nniiy0DiDx buoiApcbrls ACOHID Amyyp prl£»i3y>iouD AOI(uoUrliixs LoiiAiyx) bnoi bpila

iprlcoinrlnD Amxiiuiy0DiDx Acoyyp LioidmAADAD AUi

e-

<

! '

3 <

p

CO

1

3Q

s

^*

i 1

Ol

HFS

-^

•© 0

"TO

TD

O

' T'!

C-

H avixveuori Sev iao5uvaue( ue TT| SidvvcooTi. 'Orav (npenei va auunAnpa)9ei u.e aKdjja 5uo PnuaTO nou 5iKaTd9Aii|jr|q:

a AnoiyD6DD1130 13A1D00UE

-^

^

»—

"<

<

If

13

Aidyvwari Tqq Q Q> a> ^

m

j ^^

JO

H I M -1 CD € I M M H I 0 H 0 03 © 2 © Tl

O H D> > K m M

Page 6: Οδηγός Για Τη Διάγνωση Και Θεραπεία Της Κατάθλιψης Στην ΠΦΥ

CO01

wro

DXI LiAsrlcoisrl

iXD UXOA3 1D» jTiKO. U.E TO OTI si'vai ao6£vr|q)vdTnra aKEiJjnq, auYKEvrpcoar JO JO 3 •D O q i. JO .3

-Q < § 0 -6 § ^ 9 H

•D 00 q 2,

q aapoAnpr|TiKou Tunou) ox£5dv ;* q CD

00 •D < o> f Os 1 o q 5 o O -^ 5 J-

iD D1D1-IU0D1D

U oiDcouoxns11 U blaxiYOcjdsun U bDilupiD/iXo bDilaip»uLiAd3A3 DISYOOUD

O

S3

CD

g1

o 9V

>- <

SII -°

^eg

-S

o

<|

q-

JO "J" DIOUO t

•c 3 o

l|jUXOKlVT|TlKr|

Touq dAAouq. IU0D1D pxiAsrIisxoun OAprl 1X0Q3Xo UoAnQpdcJius U UodsAsig

fe

O-

II < CD m

jaT3

M

S

"2o-

<

3 £

51

.3-

q"c

o ^

o E-

01 Q

_3

.3H

Q

q

S/2

- 0-

q q~ j- 3 CO

pAld3rlll0D>t AOQ3XD DIAUnd

rj jn

&*

^ 5

gf

is (bnodptf bUoU^no biiAsrlpAsrlioil so :Uomi3rtUj) DAid3riU0D:

Ol

Q, 1 Q S S o- i Co •c 5 1 ^ 3 rj 1

N

Ul

*H O q e o

\ DrlLuopig 3D bnodpcj noxm

A Q^

J- i e" 3 .3- q c-

JY

1J3 | JO o- TD 00

(jsviKeq avacpar|(javTiKr| ar U DIIDIQ bidcoX bnodpcj DISYOOI

(UoUdUiDdpii OLID 3i)3 bsdo

q § i •co s

~T

) U o c JO 3 X "S q •co o 2r — }> V

01 T) | •o 1 "1 JO 1 Ol

o- ;* q 1 CO •Q I a- 6 JO ;* 9 q 01 CO S < §" q CO q~ CO § o-

c o m w *^

01 <

T)

gq

•£.

9 S

II

co

£2

))dDXn3 U A(01Apd3(bDlQA3 LlDO",

irl 5no£fi/rf)3 )D>/ p?o)DU 3D :Uom

11

J^

Q

§CO

00

0-

§'

^*

^*

f »

JO c

-**

-Sq

co

-

" Q

Ol

H

< 1

o

21°

S-

CO

CD

JO

00H

9

y5

=5.

U (D1D1UY3UD ^p ACOI LiDUdUiodDU AUi DUDX 00 -6 i -c

? H q Ol

q ^ •o q "w-

13OD1DX bCOUO

U>niiiiY0DiD»bsxiAsrIisxoun OUD 3113 iDisriAx3dop bsdsiODDidsu bu UD30pi2

q

-^g ^

-6

->

0 J

•Q

-^

CO-

00-

JO

-Q*=

r Q

F1

JO^ 3i 1

c.«

01CD

O

-00

<

|l

?1

W ^

<

<o-

q-

1^ -° C

D

H 5 g

q q

00-

J=^

JO

o-

m

o "D CO <~

OQ

H

21

JO

"TO

-I -e &

^ J

Od

29~

9

^ o e

-coJ

&1

^JO

CO

-

3- e

...

oJO

S

>

Ol

JO

JO

TD S q

0

s

O CD

O-

c

c

I <

Z,

c

!l « e

I1 ! °

co01

2-

£ a

a § I €

9 ?

o

q

O

X C

Oc

o "D

3 9

q

q

9- I ^

< §

o

9

o-

00-=

"D

q

o

a =

Mf |i

1-?

IJO

O

-3

~q

•§

>a|

fl|

H -^

°~O

C

D j

^ a

SH

H

o -5

Z -°

| ^

ft

i| •CO JO

CD

^S

-c

qO

- -D

CO-

%- 11 JO

ftjo

ro c q-

JO H O C

M -< O M O > I —I

O M > > ID M I © m T) m >

Page 7: Οδηγός Για Τη Διάγνωση Και Θεραπεία Της Κατάθλιψης Στην ΠΦΥ

LU O Q. e C

D O I— a Q. o

o c: cr 3 -g 'io cr

-co O_

O 9-

O CO 3- o -0 g ? Q.

1 CD O -O IO i a I

a CQ.

t-t avdrou), enavoAc

CD cr O CQ

.-0 9

- booyiiD 1X0) noiDAD0 bisrfisxo bSAsrloXdsADiis(bnoyyp OLID iDiisdUiod

at

i a o Q.

CO -o g 9 u-

to

^gS

i* >

X 0

KpiLievo ca OUTOKT

vd|aevoq auTOKTOVlKoq i5eao|adq x^pi'q ouyKeTOKTOviaq r| ouyKeKpiLievo oxe5io yia andneip

o > a n napa(3AdnroLITOUpYlKOTTITaq.

'a-

-<e

-£§|

to

g . bnoxiiAorlLiD bnoyyp la oxoiooAds 'OXIAOOAIOXUxiiADrlLiD pxiAiyx AnoyoxodiiDiDrloonirlnD DI m

~zL

313DDdgill3 b3XlA( o 6 3 9-

J0DU 3D 1300gOLlD DA ISdOLirl A3g OigpD13113 Ol ' a

d to -o

naOAtmiKd Ensio

cr

3r—

t*

J*

r-

v —

iD

co

a s

ouai'aq r) Liiaq dAAnq YeviKH^ icrrpiKrjq KOTdorZAjpe/wa/j: 7a Kpafipta A-C avrtoroixouv OTO I

CD S CO C!

~W Q.

O CO to ,0 to O D

, H eneAeuan TOU Liei'ovoq KaTa9AinriKou enet

Q

a

d

1 § II

s|

gl

f-

a -

S0 a

i_ ,

\J n -cr S x to

H

-cr

KaAuTepa and undpxouoa ox^oouvaio9r|Liciox^o^peviKOLiopcpri 5iaTapaxn, napaAnpr|TiK

3 i1 3- § $LDrlDpd) n•AnXodoiDig AmxuooXnrti Aooyyp

01 UXodoiDig LiAsrlp idoigDodu Url Li LiAsrlDid

d to -o g CO CO OXDlAOrlCmn U pxDiAorl Apgysdoii OID 31011 s^dLmn ASV ui

a S orloiin Li nomiADrl B D -|

vr-< ZiMie/uar): AUTOC; o anoKAEtou.dc; 5sv toxusi ec

o- ^ ouv va ano5o9ou\ ^. S

2

a=L *

-c-

-cr

a

S

KOU wnou £n£iod5ta tivai £naydu.£va and ouoinaQo-<puoiOAoytK£c; smdpaoEiq u.ia dAAryc; iaip

d c a to 1 CO CO a a. 1 CL co c: -cr o -c

o bOO lD13^1AD6rl3 cr 3 CD

H LieiTjcov KaTd9Aii|jr| OL

CO cr S cr g CO a. -o to cr -O B | oonirlno OOADIIC a. o o H srl (U6dorl DDno^pmod P

a 1 *: g CO CD a a.

a CQ.

o D -cr f -3 S.

^O -cr

CO CO Cf

co

pio|aeveq LIOVO nepinrco

0

DTllAOrl IDlAOAlA n01QOO1311c

UnriKOu f

CD O B *: o H OiDrlnmrlno DI Disiiods CD

cr

•§•

CD -O B g -o -O

nmdTepa ouLinrcoLiaTa LIE- S. 9piox U6dorl Li -o a a

Yndpxei OOOTOOO KOI |ai

c Q.

o B to cr

cr

8 -a 1 o_ 1" a o. o X •UXodoiDig Ux CD b IS~\

U 'b

oisx

dpig

bU

dsiny

o

>-

ICOlpXDdDll Dl 1DA13 bU X

o Q.

O B to a -S s cr O H Q.

O CO

.cr O. 1 E •

bodsrl odsinyoAsrl 01 DlA is Q.

o 10 0LI blaD30pig bla> | o flapouoia xpoviaq KOT •

g -o X CVJ > o B X -o ^< o a >- cr

CO a.

-co cr cr 8. CO 1 o_ CO cr

P a" CL

-| cr

co CD -g -cr

1H1Y0D1Dx ALa bm0UAnD > o CO 1 8 o •

o 3

- 5iorapaxeq dpec;nq K

3 -o UioxiiLiAdsAS UyUrloX -

Page 8: Οδηγός Για Τη Διάγνωση Και Θεραπεία Της Κατάθλιψης Στην ΠΦΥ

f ?

o 3

^

T

I ^1

J-

S,

^\n Jnoig 'LiAi^oAig 't i ;* P-

AvnunepraaLKd KOI avnappud/JiKa Mel tD t a P TO CO -c? t 1 01 1

\3 AnoXs DiDiy U0noyo>iD Alao oxoridp* DI g 1 o 3 CD 2,

-<10 TTIV enayooYn K 1

TT|q <papu,aKeuTiKr|q aycoyriq. EAeyxeTeiTivTArjipn TUV napaKOTco ouaicov.

•D | | -6 P ~O I i 1 5 1 UAD0111 DlA L

Tpsxouaa (pappaKEuriKq ayuyn

KaTaGAinriKou Tunou auu.nTa>u.aTa u.nop CO 25 2,

<* 9 01 loauyKpaaiaKeq bi30pdgm3

•(borioigiso3109) ArtAorldo Aa)»igi3O3dn0 UODIS^S Ala < p § o I 5

,j i P •£ p~ ?: 9 o unoGupe-

'jjriDyidsii DA I3ii3dii boXAsys bp»DidLaoDAi OLID oyyp IIDX iDisnAxisgoiin ADS bpixg

•QOOA U0Diioicodii Ala srl roiAOsgAnoIDX AnoXdpiinAno bsrlrlodA bsxiAsA 3D pyyD

a-

oa

g•c

o

< 1

d §-

^

^5:

•<

n<

B1^

" "I

« 9

8 5-

9 C

O

« i

S9,

S•c

P

11

JO

07^

CO

9

"9

01 1 o TD CO H P- IDX DiDrlmnirino noil D)3rlliD

ZcjjL/arfKeq voao/

FloAAeq acoLiaTiKeq naGpaeiq Linopei va a -o o *p mtv^

q o c

* DiDriconirino A OTdGAiipriq,

anoKAeiorouv 01 niGaveq auTeq aiTi'eq KOTOT] 5ia9OpiKr| Sidyvcoari uiq KOTdGAiipriq.

CD >• | 7; JO q -r~

boiAoyoiDriconiT

?; 9 p t

npOKdAeaav TO KaTaGAirrriKd auLinrcoLiaTaeni5pa)vraq OTO KevrpiKd NeupiKd IUOTTILIIipuxiKeq 5iaTapaxeq.

Me auvroLieq 5o(ar|Lieveq epcoTrjaeiq, nou -H 4§ o Q f 9 p "D p 7i 1 --

I O T) O c~ I

p

p-

CO ^

« J5?

& p

C-

JH

zz IDX bsxiAoyoXnff

J b)3A3A(0^3 31)3 [apdyovreqaordaeiq r|

X Ol f e | JO 9 ft | JO Ol

p q -6 £ f p 1 o- 9 i § o 1 I 3 S Ol

CO & CO o a

Briiia 2p: A^ioAOYI^I aAAuv ainuv £ticpa> •** Q JO 1 a CD IITTIKUV OU|JTTTU) Q-

Oi

X

M •< O M O M > > M I © m -a m >

Page 9: Οδηγός Για Τη Διάγνωση Και Θεραπεία Της Κατάθλιψης Στην ΠΦΥ

M

I 5 §. w I. Ol 5 "5 3

CD

>CO

<

Q

«j

CO ^

I i

Os

_I3

H

<O

3<

-D If £2

co

5.

•P

D-

~CD

O D S 1 O

l o" co "D 1 Q CO Jo I 1

ro

-t

a e JO o CD Ox

o o JO Q ! TO a 5 o- Ol

5-

A z g x 9 - < I. UoUimdc"D e 3. 1

a "ro H -i 3 CD illDX OIDAD

o 5 c. o 2.

c Q

e JO D 5 ~^»j a T) o. S 1 a CO 6'

01 o JO a 0

5 « T) O | ro I-

a e.

"O

CD

o r

o9 ro

a °

o ^

c

"c"

" "C ro

.O JO 01 c c JO

ro H Jo D 9* e ro T) I Jo

a

5 a CD I

•O

-S e I Q 3 2

i

t O.

S -O

< ^

D

"D

9 1

O

K

JO

COO

q

«•D

ot

o

P~

o II

i

o >•

~o

^TO

O

o r

•§ T

?^>

jSj

D-

o

II Q. C

O.

J 01

CD € x M M H I O ro > O e Tl o m M

Page 10: Οδηγός Για Τη Διάγνωση Και Θεραπεία Της Κατάθλιψης Στην ΠΦΥ

CO I O T>

<

CD

"O

TD

H•u .If

# §

< o

I f

11111

^ -p

&

& 8

& <

•^

H

^CO

O

O

C o -e o" Q

JO Q O-

CD $ 01 CD

"

3

"§D

6

•D

d If s <

o-

co"P

T

5

1

B D-

1

3

"Ce-

DH <<

T

)O

Q M 33

i. 8

p

o-

8

m 0

1m

§

§

<

5.

CD •c^

Q -C1

O o. Ol

c- o a I i

ouveneicov (n.x. eurtAoKr) oe aXdyioreq OIK>Kpioieq r) anepiOKenreq enavyeXLiaTiKeq en; 3

£O

l O

c"

"C

Q

5=£2

g.

JO,

JO Ol

Q Q*

CO JO (-)

CO J-n o c 1 CO

-J~

) % 7-^

-*\

11 bsiUioidUiDDdQ 3D U>ioyLirl3 UxiyofjdsuA •

DDdQ bUA3npAn0n3iD*-oXoiD bUi UoU^ny '

11 < o*

CO-

H

=8 ^

c

O<

JO

C J-

-e

i- t

o- x

2 ° 11 < 3

o 5-

0

Q

01 9

c

5

^ 1

!.&

Ul bUXoDodii bUi DiUiprliDDiiDidsij •

Diyirio UionoiipioxD DiA bUD

J>

U

i noi UdsinyoAsrl nyoii piox DiLapxiiUyirlo 'SLisduoyDAsr) U UDUrtiiMSOino UicbodidsiiA •

>-J

^C

O

CD

O -O •< Q H O P-

•~\ •n 0 j~ o rr\?

— -^ O a^ ^C

"

10

9iorr]q 5id9eoriq. MeicoLievn avdyKn yia unvo

-«.

o

rliiis IDX p»iAoyo0Dii bogojdsu UndxDiQ DIIAJ •niirlnD DI OLID oimdu 01 IDAIS DA isiisdii DIOLI

o e-

° I

O

Q<

"-

1

c

q•&

3

I f

-|l|

P

** 01 5 x . — JO J,

CO CO -Q rr».

T3D

MnopeiTe va 5iepeuvn,aeTe nepaiTepco yia ndvovraq TH auvunapcin TOuXdxiorov 4 and T 0

C

DQ

g*

:S

o-

o-

§1 li Q

S-

c 1 3

3 C

O

i. Q

•c

o~D

O

lo

0O

^ qCO

* C

<

-co

a

o

-o

It

Ufbiy0DlD» DlA UA30DD AOI SnnOlLlCOlSrlllAD

^ 5" CD 3 s .3- B o~ 1 Ol

CO % m a CD I 01 O S Ol 31

" 0 "D S s~ K1 o-7

- | 7;

5* D 3 O- g

!O1QOD13L13 9»DlADrl 3D 31D13 11O

i o -6 ? Q D JO O 1 i ? 1 •< 5 CO a JO J~ ?: O~ a o 5 JO -< 9 •D O-

JO < D § X J J Q i< O ^*— /

CO T3 CO

Ynr|pc;e noTe nepioSoq TouXdxiorov 4 pu.epvoq/n H ev9ouoiao|aevoq/n wore va ppiaKoa 1

!Q

a<

0 t< Q

•C

QCO

, Q

o 9

jo

33-

5 HJ- 0-

j 9

...

oS

0 5

•< ^

co-

2

If

M O M O > I -I o M

CO

> > M I © m Tl

> =1 m

Page 11: Οδηγός Για Τη Διάγνωση Και Θεραπεία Της Κατάθλιψης Στην ΠΦΥ

LU L_ >- o Q. e CO o I- a CL l/xlI ©

§ D ~O O 2 ^

H

vcr

S

•*>>-

-o

a

g-i

. JC

6 w

1 >

, »

/fe

O

</"

<5

¥o

S

B

t.

a a

f

> D

S

>£r

*

° >

>

> a

o CD -B "CT a-

pu>

u

0

(g

CO

gjo

5

r-

S

f 6

s-r

ac-

>

P

^-O

cr

cr

0CO

G

•3-

"Of

5D

a

1 la

1

ii p

g

is

§ .-

&cr

3 *

co

g

;§•

1 |l

11

f3

g

C

D

0

fO

>

I i !

-° 1

1 .°

* 11 II

"

»

9-

0

0

W>•

>

5

Sf

g o

=w

x >

-S

.5.

sw

«-

z^

a 5

3 fl

-S 1

Q.

Ill

i-

to

>

is;CQ

. a

°'

° o

-

Ro

Q

. o

a"

-o

t; o

C

D3

d

o^ ^

0

§CO

^

2

WH

^

Mc-

S

!

&K

~E

- LU

CM

CO

| g ^0 CO

.a > t s§ 1 "3 g ^Q

ai

I"

&

1

|

« g

f

f 1

-s |

Q.

^

U

2

if*

s0

b

.0-

a:

CO

CO

p

,

B B

2

^

=-£

~§: --

p

§3

3^

X

X

«>

&

& 1

S

-t

t g g

g

S x

w

D

3 o

^

P

g,«g

z ^

-co

zi

, 1=

g*

at Ci

in

t? 3 -S 3.

O c a > 3 > 5 •\/ J^} loropiKO anoneipaq auTOiaoviaq

S f g CD cr o CO

.

AmiDno UoLidXpiD>|

f a Q.

a 5 1 C" 1 ¥ 1 CO a 1 a. C5 O U

sl

M w 5 o_ CO CD g"

X 1 lAj

cr | CD 1 a a. a c a *

F b -1 0 Jj~ a : £ D 0 a. c

a : £ f -o > (O 2 h^ CO cr

r~ P

cr -D i K> CO CO D -cr

0 g o Q.

a tr

O)

O

cr a co cr

"g"

X •3-

Page 12: Οδηγός Για Τη Διάγνωση Και Θεραπεία Της Κατάθλιψης Στην ΠΦΥ

Z Y N T O M O Z O A H T 0 I MA TH A I A T N Q I H K A I 0 E P A n E I A

napdyovTeq KIV&UVOU

Tpexouaeq OKeipeiq u.e

OTOV

EnineSo KivSuvou Apdar]

YipnAou KivSuvou

auyKeKpiu.evo

npoq eKreAeori

napdyovreq KivSuvou)

Eneiyouoa napanonnrjoe ipuxiaTpiKr) unripeaia(n.x- ecpnuepeuouaa

KAlVlKfj)

Brjpa 25: TOU auvoSou

'Eva aKdun aniaavriKd oroixeio yia TTJV KAiviKri eiKdva Tqq KaTd0Aii|jriq ei'vai n noAuauxvr) ouvunap^r) Tnq (je dyxoq (ayxcoSpq KaTd9Aii|jn) r| |ae auyK£Kpi|jeveq ayxwSeiq5iaTapaxeq. ZuyKeKpineva, r| KOTdSAiipri anoTeAei ae laeyaAo (3a9|ad eninAoKf) n auv-voarjpri KaTdoraori oriq e^rjq SiaTapaxeq: 5iarapaxr| yeviKeujjevou dyxouq, SIOTO-paxn neTarpauiaaTiKou orpeq, iSeoilJUxavayKaoriKri 5iaTapaxr|, 5iaTapaxn naviKOu.

Eivai yi' OUTO OT||javTiKd va auveKniacrrai TO en(ne5o TOU dyxouq ae aa9eve(q |ae KO-Ta9AiTTTiKn, au|am:(0|jaToAoYia (bore eiTe va napaneu.cp9ouv ae ei5iKO i|JUXiKr|q uyeiaqav auvundpxouv (3apid KaTa9MnTiKd KOI ayx^Sn. auiamcbiaaTa, eae va napaKoAou-9e( o yiaTpdq KOI TTJ peATicoor] uiq ayxooSouq auianrcoiaaToAoyiaq KOTO rr\-

To Generalized Anxiety Disorder - 7 (GAD-7) ei'vai eva epcoTnuaToAdyio auTO-ava-

cpopaq TOU aa&svf], nou por|6d orn Sidyvcoan TOU KAiviKd arinavriKOu dyxouq KOI

npoa5iopi' ei TH papuTr|TdTOu.

6A. OSqyieq XPnorl^ TOU GAD-7 oro B

Page 13: Οδηγός Για Τη Διάγνωση Και Θεραπεία Της Κατάθλιψης Στην ΠΦΥ

•bliDiiimisrliiAD bU*iin3iiDd30oXnrti bUi dsiinUoUrliiodii U ID* bUftiiy0piD* bUi DAO*i3 U*iAiy* U AV

H O Q q CD

CO o J0~ q < o T

D 0 c-

<

•(Am*prldDd)g) D1311Dd30 U0llAnD UlO Dllilp>lll*30AD 131OlAD(brl3 AV

•(•uy* UXodoioig IwiXnifi Uyyp srl DiUipdliDOAAnoDiA) UDiAid*n3ig InniDmAAoig rndsnodsii rois^pisdX AV

3 UypAsrl nyoii 'DiDrlmnirlnD p*umXnrti 'DiUip*iAOi*oibDiUindD£J bliAsrlU^nD DiDrlmnirlnD iDiAnodUiDdDii AV

s; i I

TJ-

Q S

a 1

1 f

•2

21 r,

-o§

g |

5

1

r g

ern

^

C

/-,

-S

-3

x "D

R 2

1?

8

f III

-E

;g

0

Q

^

3^2

-?

•(UXodDino liDUdXpiD*) DiUiodUooAAno U*oyiiid3ii isXdpiin AV | , 8 "C

D D E- Q -3 x e- Ol

JO Ol

5

^

3

-•OJ//5/3 3X) 3±3lfiri311DdDll DA 31Oj

•UDiiimiarliiAD U*igi3 iDis^pisdX uoiA arlnoona

Aq apxioou|i£ and TO TEAoq. Ei'vai oniaavriKd va yvco TD t 1 1 Ol

1 CD

Q CD

CO TD D

X 9 TD p § TD CO q o~ -e X 1 JO c CO a~ .n.

\Ui DiD>iADAD Anoioi0D* noil Am3Dmniid3ii Ami LiDmAj•bliDpdg bU*un3iiDd30 bin. bUonXoiAs U*iAUi

DD UurloiiDO

CO CO Ol

s 0-

c

Aiax£ipior| cpapiaaKEUTiKriq aytoyriq:Ec;oiK£icooT| u.£ TOuAdxiOTOv 5uo £i5r] avTiKaTa9A.inriKcc < o H O 1 X 9 o T

Z o" 9 " TO Q

)du AOI DiA ID* DrlU0Uojj p*iiomAADig bm orlioUdX bUoD AUio U uiiiD OID AnoomdUyiirlnD 01 DA Anodoiirl b)3A

Q

CD

01 0

1 §i|

51

S*

8 H

1 S eg 3_ T

^

iDiA p*iiDrlD3y3ioiiD 1DA13 6-QHd oiApyoiorlUimds 01ibUoUAoyofjD Am*prliy* UoUdX Ui srl boiorlo

CO <" OrlOlAflD ID

| 0 Q CD

UJ

CO

• •

ID* Di3iiDd30 Uio blioid*piiDiAD bUi UoU0noyo*DdD|j•bDiUip*iAoi*oinD noAngAi* noi UoUrliixg

| CD

CO TD § CO T^ O c-

§ 3 CO

•^ ?

3

•bD)3iiDd30 noigsXo bpA3 U^nnipAD ID* UomAApivjiiAodd) bDir!0pcjoimdii bUi odioi ADAS OIID srlnoAsrhds

Q JO

Q

1ioi3odii oyUyypio* IDAIS AOD063 UffiiygpiD* srl AOM30ODA Anodoiirl bogiiAOd* boirl0pcjoimdu bsiosdUiin IQ

5 "g

3

•8 -§

1-53

-J?

8H i

i-1

s ^

CO

>•

c-

o ll O CD

a E-

m 1 <D

CO Q CO 5s

S> k Oi

6 Q

M 7; > -\ © M M O CD e Tl o

s> COm M

Page 14: Οδηγός Για Τη Διάγνωση Και Θεραπεία Της Κατάθλιψης Στην ΠΦΥ

•bsisysrl bis^dous bsXioioiiAD )30UioiioiDrlADdLi AnoXs ASO. PYYD 'bsX-DdoiDig bisgrnXAo bii£> p»iiDrlD3Y3iouD bUDiiis IDAIS DA isdourl DXIILIIYODIDXIIADDYYP !D>i •UA1^D6DYA3^ Ul 1DX LlA)YDdld3D Ul 'UA113^0dDU AUl 'UrlpdllOYDllDS AUl

DiA )30midUrl>i3i 13X3 bsXodDiDig bisgmXAo bsdsipoDidsii biiD DIUIOXIIDHDSYSIOLIDLwiiADrlUj -ArnXodDiDig Ami Ammo bDiUiodUooAAnD bUyUftin bUimApy 'bnoXAp nog-3111113 noYUrfin UomniidSLi 3D Ddsnoigi iDiSAUionD (bsXadoiDig bisgrnXAo DiA ID>I

'Evaq napd-Yovraq eupeoq doLiaToq (nou ev5eiKvuTai TOOO yio. KOTaGAinriKeq dao

•oxorldpcb pxiiniYGDiDx-IIAD DYYP PLID bsisAdsAsdou b3»iYDno^3D bsdsioAiy AnoXs Ugirl3j)OY>iorl U IDX UAIII-D^oidiri U 'UApmodiinoj) H 'liAiyDdidso UIIDX UgirlsjjOYxorl Ui 'UrlpdiioYDiios AUi

KaTdGAiipn.Yndpxouv Kdnoieq evSei' eiq yia KaAuTepn ppaxunpd6eou.n avoxn orn aiToAonpdLin,

pidDcJ om srl b)3A30DD 3D odsiioioi 'LiAiDd)DYA3j) iD>i LiAiiiD^Didirl 'UrlpduoyDiiDS3rl bDi3iiDd30 bUi DiUip»iiDrlD3Y3ioiiD UAsrlU^no DiA bi3^}3QA3 bsioupx AnoXdpiiA

:(\. bo>iDAi|j) boXAp 01DiA bnoi Ui3QA3 AUi ID>I UXOAD AUi 'DiUio»iiDrlo3Y3ioiiD AUi pdo6o AODO AowpndDct)Ami pxiiDidUixodDX pxiQi3 3D bmidrw IDISIDDCJ noxiiuiY0DiD>iiiAD noi UAoYius H

•bsisAdSAsdoii bu IDX DiUipxiiorlDSYSiouDAUlD UDH3><lrioiD^3 UxilADrlLlD IDllSdUlDdDU 110 nOA3rlog32 'UA30DD 310UUQA0101IO

DiA bUAmAo bUxunsxarldo* UAoyiiis Uxiioido ID>I oirl OAprl isXdpun ASQ bm0UAn j

ZuvrayoYpcupriari svoc; avriKaradAinTiKou (papfjaKou

Oi ordxoi yia Tnv Gepanel'a Tnq ol;eiaq cpdoriq ornv KOTdGAiipn eivai n nAnpn^ u^eonTCOV auLinTcou.dT(jov KOI n endvoSoq TCOV aoGevcov ornv apxiKn Touq AeiTOupyiKOTnTa.ZTO ouvoAo TCOV KaTaGAinriKcov aoGevcov ornv HOY, TO 60% ecoq 80% u.nopei va ava-pevei ucpean- Qq ucpean opic^eTai n unap^n cpuoioAoyiKriq 5id6eor]q KOI eAdxiora au-LmrcbuaTa, aAAd eivai KaAuTepo va a^ioAoYeiTai xpnoiLionoicovraq nia SiapaGjaiOLievnKAi'iaaKa, dncoq pe LIIO paQ|aoAoYi'a evrdq TOU cpuaioAoYiKOu eupouq OTO PHQ-9.

Ta avTiKaTaGAinriKd 9dp|aaKa eivai Gepaneieq npcoTnq eKAoYnq, eiSiKd yia Tn |-ie-

Tpia ecoq papid KOTdGAnpn-'OAa TO veaq ysvidq avriKaTaGAinriKd (eKAeKTiKOi avaoroAeiq enavanpoaAn^n^ o"£-

pOTOvivnq [SSRIs], avaoroAeiq enavanpoaAn^n^ aepOTOvivnq [SNRIs], LiipTac^anivn KOIPounponldvn) eivai cpapiaaKa npcoTnq YpaMMn^. napexovraq KaAurepn avoxn KOI aocpa-Aeq npocpiA oe ouYKpior) u.e naAaiOTepeq KauiYOpieq, TO TpiKUKAiKd avriKaTaGAinriKd(TCAs) KOI Touq avaoroAei'q Tnq u.ovoau.ivoc£i5doT)q (MAOIs) (flivaKeq 1 KOI 2).

UAmAo U)iiJ.n3)iDridD<t> (y

M -< O M O > I —I o M > > D M © m ID m

Page 15: Οδηγός Για Τη Διάγνωση Και Θεραπεία Της Κατάθλιψης Στην ΠΦΥ

O

-vj

O

O

O

Oen

o

cp

cp

o

-^

ro

ro

ro

roen

en

en

en

en

o o o o o

i1 CD

M •o (O

f>

S

m 5i

H ^

DO

«

C

OT3

~

O

Q

, T

O

Iflll

*fflf

en o O)

o o

ro

eo

->.

o

o e

n9

6>

9

->.

o

eo

o

oo

o

•vl

O>

en

oro

ro

en

oen

o

ro

o

o o

1+ 1+

S

I M © > € I M M o -I o 03 > CD e Tl

O

S

s s

sm >

Page 16: Οδηγός Για Τη Διάγνωση Και Θεραπεία Της Κατάθλιψης Στην ΠΦΥ

!x; j-

•OdlDl'

3dli DQ -UrtllYOplDX DNDrldpcb DID U»113130AD AUl I UD DlADll lD131DD<i>011D DA 1311

0-

•e c

H

1YD6DD 1DA13 (103) D1311Dd30OrlDDllDOdl>l3YU H

•(DAOOnisXAO

| Ul DlA U»llDrlD3Y310LlD 1DM bl

OJ

O -D 5~

CO

_=

1DYDAD113) UXodDlDlQ U>01DrlU0DlDAnD UxDlXoil

ld006 bcod) OA01A3 3D UD30X3) D)3LlDd3001CO(b H

ill OdoAUdA DA3 AOlOlXpYHOl ,,31oUd)DdAoADJjVn£

113113 DX1H11Y0D1DX DASnOADcJr

lA U»iiDrlD3Y3ioiiD iDAis (norlD•bcniDUdsrIU DrlUipiids

8. B

01 d

5 <

»113Ad3n3 1DA13 DlUlOldUlDDdg U 1D» llDUXDD H

J3-

•< 5 1 * 9 Q-

CD jx -e D JO CO ^ 1 o c

••1

b3l311Dd3Q i>3YYV. (.

AianpooconiKr) 9epane(a: AidpKeiaq 14 ecoq 16niaLid KOI Tf]v avTiLieTconiori 5ianpoaconiKcov OL

AcoiprlUYfjodii ID» AmsDnodviAiAOID UDD*rl3 3l1 ACOQprloOCJS

CO 9

no IDX bU^3>iD noupdi noxiioiYosd om UDUioiiAC03DU01O11311 Am>lllLlAdD AC01 LlDldCOAADAD AUl KOI auLinepupopcov KOI TT)V evi

unepicpopdq.v* 5 o

bois^dpiy :Di3iiDd30 UxidocbidsiirlnD-UxDiDcoAj

'AcDLJ AUio UrilD

12 ecoq 16 ep5o(ad5cov Lie eniK! w ~r\ o

Gepaneia eniAuoriq npopAriMaTtov: AidpKeiaq 4avaYvcopiarj TCOV npopAnucrrcov KOI an\eq TCX\q 6 ep5ou.d5cov Lie eniKevrpUKeq eniAuariq npopAHLidTcov, X

°

^ ^

-?'

<

ono TT) 5ia9eaiLiOTr)Ta TCOV unapxdvrcov ndpcov.Oi enicnT|LioviKd TCKLiripicoLieveq ipuxo9epanem ;* C

O-

JO a "D 0 Q 5 | JO CO T)

| •co D-

0 <

01 T

: T:OKO 5ev AeiTOupYei KoAuTepa and OTI TO Ka9eva

e xpovia, papid n av9eiaiKr| KaTd9\ii|jri, n OTOVlaTapaxn, 5iaTapaxn npoaconiKOiriTaq). H eniAi

jadvo TOU eKroq and Touq aaG

undpxei auwoaripOTnTa (OYXOYH TTjq i(juxo9epane(aq ec;ap H

e-

«B~

01

<H

-t

C

O9

^0

J5-

D

DDOQAHD 0 'OXDrldpcJ) O11DX ODD UxilDnD3Y31011

|i U UiY0piD>) boiUindocj boidisrl bcos omU 3j01 3i1 bDi3iiDd30oXnrti bLa bprlIDAIS DA isdoiirl Di3iiDd30oXnr

II ? 0

CO f I Q S'

-•

^

S. ^

•c

m0

sn

1 I

f ^

O

01

I!

51 f I

II""

1118

if

E *

O M O > I -1 o M

O .=?

ro

coo

o

en

-^o

en

> > 10 M O m Tl

> =1 m

Page 17: Οδηγός Για Τη Διάγνωση Και Θεραπεία Της Κατάθλιψης Στην ΠΦΥ

LU O a. e © < CD o h- a Q.

1=

00

o

co=-

<5D

b

> o

> £ 10 CO X o Q.

o^ ®

U0(QAADIQ Ul o >• g o a.

o > a. b «t o a.

-c-

00

O

cr

sc—

O

:Urtliy0plD>l U 1DA13 ASQ 11 Ol 3T1

no IDX DiDrlnAUrl bo) AnoAdsii DA bnoino oilLL» 1DA13 DA 13113dll noil U iy0DlD>l Alll DlA b

cr

CO GL a cr

cr 1 1 cr

w CD

-3 | I f 3

Yndpxouv opiOLieveq paoiKeq yvcbaeijjv laTpcbv Kd9e eiSiKOTryraq KOI Lieaa aa9eve(q. KaTOpxdq, yvcbaeiq oxeTiKd |

H KaTd9Aii[jr| 5ev eivai anAd eva au\ 0

-cr a isyooiiD OIID pisrl Drlli0DiDAno odooXpASin oou». Eivai KOTI nepiaaoTepo and TO

TaaKcoLid n oAAeq 5uaKoAeq OTIYME^-

£-°

^

3

a TOU xapaKTT]pa, ouTe ev5eic;r| npooconnn 5ev npenei va aia9dvovrai vrponr) yia ai

H KaTd9Aii|jr| 5ev eivai eva eAdircoLiaSuvaLiiaq. Oi aa9eve(q |ae KOTd9Aii|jnou Touq au|a(3ai'vei.

¥

oo

>

•DdsinyD>iUi Uino AnoDOT0doig DA bnoi lOAprl OIID An>i lOAprl AnoDiiicoisrliiAD Ala DA isiisdii nou

Afl00AD0OlD DA 1D>< LlODlODlDX UdllO

odoiirl Asy 'Alaino OLID AnoXopii 1000UDDUDDIDX Dirl IDAIS Asg Urtiiy0piD» H •

f aiKeq nAnpocpopi'eq Yia TO TI eivai n KOTd9Ai

:blii LuDiiiroisrliiAD U0do AUi£>

AvTioroi'xcoq, undpxouv opiOLieveq 3aou npoTpenouv lOTpouq KOI aa9evei'q

t=

§"¥

f.\ *.*£

HC

O

¥ 3

O

D0-

cr

15 £!

»f ^ ^ S g

cr

OC

" H

CQ

. S

0 -w

KD

£0 b

""

?-

3

PC

D

-o

pdQiiis noil (bisoU0Dii bsxidioi IDAISi) boopA Li>iidiDi Dirl IDAIS Urtiiy0piD>i H •

eg ^

iTpiKr) voaoq. Yndpxouv anoTeAeoLiaTiKeqpiaodTepoi dv9pconoi Linopei va apx^ouv

SLi 10 IDX LirtiiY0piD» Alii DiA bsisiiod)i lirlionsiiDd30 Dirl IDAIS U iy0piD>i H

•pdo6idsiirlno lii IDX DisAn

5 t- 1 CO 1 1 1 1 -o 9- CO cr CO KD -O

•UAcoAo UxunsxDrldD*rloo£J3 bs idsrl so odsinyov Ano0miA

2

o

>>

• C

3o0a)iA bmu 01 DiA pdioiA ADAS srl AnooUyirl

0)d0AD 10 Dd3inyD» AnoomiA DA DiA orlUcj c

bnoi pdioiA OK) SApyirt ASQ 'U iy0piD» An

DA Anoosdoiirl DA IDAIS 'Liftiiy0piD>i srljxuADrllio oimdii 01 'Ano0a)iA bmii 0110X3 noil ioLi(r>d0Ap loyyoii bmXniony •

••

Page 18: Οδηγός Για Τη Διάγνωση Και Θεραπεία Της Κατάθλιψης Στην ΠΦΥ

< UJ

D-

LU © a z o l_ I < o w O 2 O

O co o Q.

W <D C"

0 >- DiDrinAlirl DMiinsgiDiixg :j)f orllii

, B

x£ i "S"

ie P C ci e •)UV aVTIKd

itf 1 iSC

A i CO S o o

6 Q.

-co CO Svj *: cr u Q.

'3 o H > O £ -o > o Q.

g D>(lllliy0DlD»llAD Dl

-ci B C

D CO 1 CO sg p»lllllY0DlD>niAD Dl

(bsgprlogcjs g OIID pisrl boo CD Q

,> O a s*

^9-

O > *^ O Q.

O f 6T 1 -o g % -co 9-

o a

cr -CO ^ 10 o Q.

Ci c 3 c cr y C

vt— cr 3 CD D

Oi nap£vspY£i£q eivai£ KOAuTEpa. & -3 > 1 3 * s -o ID p»iiuiy0 ZUVEXIOTE TO aVTlKOTO

•boo pdioiA 01 Dimdii CO "co B 1 0 ca 3.

3 b o > Q.

C f 6T AUl 313DUlDrlDlD AU|AJ

CO 1 s-r -g CO X cr H o 9-

cr | Q.

0 -a c5 CO 9-

-3 cr Q.

«£—

t 3 "co ^"CO 1 CO CD Cr

cr -ct B 0

cr CO CO CD -o g o a. piaodTSpsq and nia n

o o CO

. o CL o J- g p 1 CO -co 3.

Q.

if S

S

jr<g ^ 'DdSlOdlsX 3130W1A AV

OD 5noi bnoyp 30 3i/3j

g CO -o cr O

KdAEOTE OTO lOTpElO \.

•3rlLiA3 Digpyyn6 -X'li) bnoA30DD 13 g | CO vo "3 c CO > f a £ -o CO g -a CO

. 1 Q.

CO 3.

D a z

ao9£vouq). o H cr & 3 Q.

no Ui srl bUoU0pii bUi bnoi boic; *— cr p F c5 5. 1 VO if "co 1 D O cr O H G ^ c 3.

CO a z

•bnoi Di3iiDd30 bUi prioo' 10 & b o B cr o H ^x o 1 D a.

5 CO 1 3 *: F b F H ^r—

-N

J-

3D IDIAO IDDCJ noil) bl3OU»OD 1DX cr CO ">-

VO o CO 1 CD O ca i a o IO "o. 1 CO _B o g uy

<

, ^

cr ^g CO g a.

CO CD cr -cr

Q.

0 9-

Q.

CO cp c!r

x; O 6 3 > cr -co ^ S-

w H

U. a n s i Cr

O c§ -c- o

.00. § a i))3D(/VDD 3rf 01 IO -a ^ e •< CQ

mC

-

Page 19: Οδηγός Για Τη Διάγνωση Και Θεραπεία Της Κατάθλιψης Στην ΠΦΥ

3" -o

0

-S 8

Q

CD

i,!

£S

1 8

S f

CO

<

5- g

•C1

33

2

q -5

at

-<

°

i'l

<

5o

o-

-o

<Q

o

1,

<M

9

JO

O-

Q X

>•

°^»

I

q

q•<

T)

# £

9

2"1

q

CD i

oo

z;•o

9

q _3

a <

5"!

SJ

JYI

- — ••

£2q

q"&

-6

J

q~5 3

5 f °'

3|

JO

O

^ §

a

c?-§

«

q

joIs 1

§ % I q c H O-

< H O I X o *• 00 s Q,

§ 8 3 q 8 CD

00 •o q 3 0) 5s §

L Uoroiiixs Dirlox IDXyoriQDjJ Uio Uocoi3|/\

•3 5

•o •

<>•

Q

2 -j

3

§

' 3

-< z

S

00*

(bJ

•£

H „,

9 x

-T>

TO A 01

$ 9

o ordxoq Tnq 9epane((

•£ Trjv avranoKpior) o

iq va ex°uv:

3 X

CD 9

oo

dTO

-^

q

<3

0S

--81

S

oq

-6

•5

§"c

cb -

?•c

2-

If d o w

3 y

oo

5•S

«

O

CO

l X

= C

DQ

- 2-

0 J

$* £

p

-6o

W

-2 9

S-

-P9

m

n

32 i

g j?

,§,

9co

Q

^

UJ ^-

0 Ol

T? =i •o o 3 Q>

CD

W 5 •< Q -1 -e'|

i Acogprlogcja >y ACOI orlLaopigoosrl 1 TO I JO A O cT- -< i JO •E 00 H 0 -D I 9 cb

M rr

La U LioiXsAno La DiA bi3op6oiiD IQ

bCOL13AI

•D c-

CD 1 i JO CD

00 •Q § f -< <"

q <, jj q q | JO M 0

n: -i" 00 s 1 q 1 6 t q TO q 2 q < j>

CD

1 § .— 1 o- oo 00- e JO — i.

I\ 00 TO 01

O fc g1

JO

CD

>-

| ^ JO 5 1 JO q TO q S i CD e JO 00- e JO H JO 00 T

D 01

O Q-

O1

00 JO

^ q"

"S "D q'

•c q- n T)

|- q 5 § q- 7^ -o 1 < ^ 9 q-

>^ I E-

.3 Ol

q q 0 I q" 9 5 ^ S q

X C1. 0 01 3rl boiAoYOiDrlcoiurlno bnogc > o -ig g T

T £>

CD

00 s q'

fV) f- ^^

Ze nepinrcoaeiq nou auvundpxei ( w 51 ! o JO -< <" 2 q /-) -& o •y q- -< 1 i H J3

JO 5

>"

00

•boiLnoiAdnoiiDiApii iDiisiouoiDrlAodii bsino 3j

00 3 -^~

> 1 TOJVQU i e 9" e < •E 00 H 0 T) 9 cb 7S /-\0

TD 'Uop<b 013^0 AUi DID» bsgprlogt

O i q 00-

00 Jo o c q q CD

00 | JO 9 o •< i TD q- 3 TD s- co < q d TD 1 1 3 g o S q ^ q-

CD

00 r\ r^

CD \[ia 5a: TaxriKn napaKoAou6r|or|arq Bcpaneia

*Q M 3 "r*^ ^ 1 H JO a < | o- ^

•WK 2 Q _3

J^ | 0 M e-

O gr c> CD Q

M © M M

DldviOilD

O CD > © e -a o

JO

JO

•< —i m > M

o

Page 20: Οδηγός Για Τη Διάγνωση Και Θεραπεία Της Κατάθλιψης Στην ΠΦΥ

co

ro

£navac>oAdyr|or| Tr)q Sidyvcoorjq KOI TClaaKEUTiKriq aycoyriq, ipuxo9£pan£ia, a] >•

c

CO

m IspanEUTiKOu nAdvou

q9£pan£i£q).

-— -

3 j- -6 o •9

.DlXnrtl 3D UA30DD AUl/AOl 3irtlrt3UDdD|J '

~\) o J- c •o CO Q P~ -e X 5-

JO c CO p* JO -< P H -§

H oi0iy 01 srl p>iigi3 'bsisAdsAsdou b33A

Q

IDCOXnllAD DliniD Dl

p-

vriq avEXETQi KaAd rr\v TPEXOUOO avriK>

va nai'pvEi noAAanAr] cpapu.aK£UTiKti ay -1 3

-<

oi9AitTUKr) aycoyn KOI E

f\. Na EIOTE npOQEKTlK & B ll a o-

cb

cp

< 1

CO-

OJO

JO

D 3D 313DUdCOXodu DA 31131(t)3»D ADIQ

1N

H O TD

f CO -S1 Q -6 £ CO § o P P CD cp

•(bcoioUdsrlU 6uu 006-001- UAiuoiisnox

xaviau.d 5pdor)q (n.X- and SSRI OE SNFIuv5udoT£ avriKaTa9AinriKr| aycayri ar

KaTa9AirrriKO)v U.E Sia^opETiKOuq [anxa1

nponidvr) r| (jipTa^anivrj OE SSRI f) as £

TO 5uo 9dpu.aKa. Na EIOTE npoasKTiKOi '

KOI au^nMEvsq napsvEpyEieq:EvioxuDTE Tr) 5pdor| TOU avriKaTa9Aim

pdyovra: A(9io (600-900 mg nMePH^^1

1 .0 mmol/L) n Tpuco5o9upov(vri (25-50 i

OTE Eva dTuno avTiipuxwotKO (oAav^ani <

3

J>

5

->

^J

5:

o=

=^

CQ

J-§

P

|P

°;-

N> J

Q

0

Q

•§

01

V1!"

^^

°~

°III! til!

m list

1 II i |

s 3

§J

^8

,<

S 8

1 8

10

g-

P

Q

R~

CD

0V

1 "-, 5

c

-e

-3

§- "

2-C

O-

S^

d

P-

7v

9c

OI

TP

9S

-

Dp

co

-o

« 1

P ?

1

§ * g

^^

99

P

o

- 9

v

AAAd^TE KOI xopnYn°T£ o -O avriKOTa1 CD

>• )ig srl o>iDrldp6 p>iiii

M -6 0 "D 3 S o- •c J

Triyopiaq, n.x. aAAo EKAEKTIKO avaoroA p~ ospOTOvivriq (SSRI).

\ 9>iii3do6Dig sioUAUdoX ID» sipyyv

\ noAsrlnoAUdoX noi Uopg Ui sinU^nv

d

5:*

5

5»Dr1dp6 9>nmiy0DiD

•noximiy0DiD:

^^ H JO Ol

1 *Q

01 co-

-6 CO k S JO ^ 9 f 1 o Q f

m s •a1 CO f P- H Ol

f I 3 01 a o >• 1 Oi a pdUDOAAnD U UXodo. •-i H Q a o c Q JO

s CO

O

CO

li JO1.

s i

2 °

H

•*

I I'

^

5lo

e Q

<

CD

_L

CO

^5

-s-g

-B

§Q

~ O

-O

l JO

e *

^ %

1 is

*J! I

s< i-lf

Q

9

•?

>o3

Q c

^

5 -°

1^

JO ^

a

^I 9

O

CO

- 9

Co

5"

>-

JO-S~

^^

D

q C

D II D

Q

H

if 2 01 -

<Q

- 3

-o &

1 1

jo 3

a ^

d

<01

-c

°'

Q^ 3

n

^

Q"

§

<i§i

I

^ o

g Q

CD

I a

2ra

Q

a.

Q < -^

CO CO

~>*

llQ

<

§

I

& H

P

CO J

JOa

&

o

O

JO

SC

C

D 9

-P

co

dQ

"D

H

CD

P

QJ?

c^ ^

J~ p

~q •

"J

^ ® i

CO

P,

O

JO f *CO

_P

co-

:^

3

g g

3 C

D5

>"* a

£l

2

§-°

;

Is

M -< O M O t> I —I o M > > M I O m T) > n m

Page 21: Οδηγός Για Τη Διάγνωση Και Θεραπεία Της Κατάθλιψης Στην ΠΦΥ

I M

CDepaneia KaTaGAinriKd en CO 8- Ol

Q a •q CO

- a CO <; q q c 1 q~ q c d _d < B 5 S 9 a o >* I j. _/^ _q.

CD

J-

> CD

i J0~

CO q •q $ q F] JO ^ li | § if q c a 9 -q q a £ q < H q "CD q •q 5~ _3

.Q 1 00 3 •H S q-

H

CDa npenei va auvexi'aouv i

r|v eniTeu^n u^eoriq.

j i 9 q CD

^*

?^ 1 5c q — J-* q 1. ^s

-<. q H q c I x 9 i ^ CD

T:

^~ CO JO q-

EKrdq and Touq aaGeve j^^ lo CO 01 1 J0~ a q -q q-

-; q I JO 2 01 c-

q c q a q- >^ q q q q CD 1 CO K

H

p6rl3ADU3 bLa ID» blauod < 1 -O *H e 1 e ^— q- 9 e

0 9 f JO JO CD

CO •q 1 D1"

s

J~

> Q f 5 JO y < 9 q* rn u^ ^^ f^ -f _3 CO q j -q q- Z — i H j JO q

raIrjua 5y: Oepaneia OUVT j- •o j Q J1

£ a 01

•q q- 8 | <

j.

!AlAOlOd3£

fc"J 5 s q JO q •q 5- I JO I e * o | 01 TIKCOV CD 1 -e 0-

-q p 1 j

O 1 "S" q isusdu ASQ (LiQirlscjoYxorl a q 1 q-

ji

q q i s q q ^^ 1 CD

>- a H S q~

£5

-eS ^

=a "I 3 JO |ae loxupouq avaoroAei'q T q o ~D > ro f e JO f q c •co q f <*

7; q -r x^ q

i I >- q 3 1 "§ q "CD q >• f q CO 1 JO B q- 3 o "O § B o- m q a q -6 CO o C

O ^H CO 3 3

f 9

t g

k 3

"6

T

P

s?

pcpapi'vr), KiviSivr), cpaivuTCiivn, pouonipovr), 5iac£nd| S

f ^ 1 B q •q I q S CO Q -6 g> ±1 •co q •q 01 5 q

CO Ol

q -S q •q q-

» iDiAojYocJDisrl nou AOOX

-q §' JO B q- q q- H q q CO.

< J-N q v a •q q 8 X .3-

CO

m f •co q J

Y1

q

13YJ31DDAD DA isdourl LiAirl

q o -D •> fc § 1 q •Q £2-

q q rri

3. 8 H q 3

9 lo

£ 3

CO

"CD

^ £

3 §

^

51 3

o -

w.

^

!-§

~ e

"JO B o- q 5 q- g q q co

-

-cl

q 31

•q q q q 3-

CO H q O > g JO "CD q 1

TIji cn o 'o -D ->. our! IDX 9Q2 orln>30Oi (09

t Q q 5!

q q 3 S a~ CO 01 q -6 q •q q- 1 a q

31 cpAouo^eTi idourl LiAiis^odou la IDX IOA ^v <a avaor CO 1 < 1 1 5 S q.

H q * q.

£ S ^

-< I ^

01 o- 5 JO H q a •q e- H q I S 9 q9AITTUKOU a •q < B q- | CO- a -q 51 H q 01

CO •q -q o i

< UoiAAsoodu)

^^ M CO I CO s Jo~

q c CO 1 CO q cT CD q 9 JO q -q CO & 5 C

O CO-

JO ^ <" s CO CO e~ J

1 3rl DXDIQDID

o a -q §'

q q S •x

11U1Y0D1D:

•* q- H q c o a q 5" c J 01 o-

J CO e- c§ H q a q •q 5j

f

D1DX11AD Od31

CD 1 S q- ^— q •q CO q CD S JO q JYI

CO 2 q% 3 | f Ol

0- 5 g < o Q T

^ ^CO

1 01 1 q •q % 9. e~ I •* 1 CDAinriKcov ( C

O 3 q.

JO B q- H q JO > O ID f*l

•J J CO * 0 I - H q §!

M c < "cb e JO 01

CO < CO q § q •q q f -c q ^ q CD q •q 3 CO •q 5*

01 o JO * 9 q* | £ q £ 5 _3-

CO q j-n

q c q | t qOUV TO 0 -e CO- B q-

H q a •q r i s qTaGAinriKO.

CO CO CD q q §- q q c J Oi

o-

J CO :H~

CO CD q q <5udaouv lo q i 7: 9 §> >- 1 s q- a •q q ?; C

O "c^-

isXdpun ADIQ

CO* 9 e 7: q CO -q

DUDIAD U>l

7( •q 1 CDepaneia, 01 S •q Q 1 •q q ^< S q

1 a q- -q ^*~ n ?; •q E~ c> 3 -i q | c CO •q 1 B q ALiiodK) be ^ JO^ s- I e < D;

|

M M ID "0 ID H O CD > © e -a O m M

Page 22: Οδηγός Για Τη Διάγνωση Και Θεραπεία Της Κατάθλιψης Στην ΠΦΥ

D

n-6

-<

?u -D H

*1

^^

s

•bLiQirls^oyxorl bLa ID>IiAiDd)DyA3j) bill ID* bL i

-O

: Q >*

r^ O-

H CO "D O 3 CD

D < O-

^ 9 o- pj

3 01 o 7; § -3^

-0 t o 0

— i

\^ ^

ix

i ^_

j*-

i i/j

°

5 5"

9'

D S

:

-iQ

3

§> _

§•

c

3

5

§c

o j

-^ ^

S

, P

, -o

§' 2

-2

-o

6^

10

^C

O

1 9

O

JY1 H

z/""

"

TT

"

/^

D

5

0

S

-p

2

H

1 I

^ i

° ° | I || | |

&

i -If

l|S

<li 1

J

1

OQ

^ i~

i^

D^

3-<

1o

Q|O

o

ig

ol^

S

<

M

§

f t

§

1^

1 9

^1

- «

0o-

1

•"

1

o

°

S- g

«

9~

^i||

i~ 2

£ o

. 5

^

ill

s

^^

g^

^1

JJ

•"

g

§^

oCO

-p

- <

O<

-3

~S

M

§'

1

f s

- 5 1

2~

a 1

f 1

1 1

1

-!

§>

fs?

i S

0,

^5•

Q

CO

!=~

"D

S

0 ^

-C

0

S

-1

^

D

Q,

iq

$2

o

S

Ol O

D I

2

P

r?

m

o

1 lit!

1

£Q E "C

DO <

" ^ 9 Q-

3 01 o ^ I 3 J~> D

0 J

m

0

>gi j |

|.

^

>S

rf

co

-e

Q

z'

<

e~ -

o <

D

-H

Q

Q ?

w

-1

o

§ 3 ^

^<

v M

Q

CD

H

^~

Q

~ -,-

£

5 3 |

g

lift

1

>P

Q £

. 1

"S

^ ^

"o

. g i

®

§

3

a

3

^

rno.

e-

< 3

o -D

Q "5 ° "

a

>c

P

c 01

~D

^9

P

o~ 9

- 9

=" m

Page 23: Οδηγός Για Τη Διάγνωση Και Θεραπεία Της Κατάθλιψης Στην ΠΦΥ

•E O

ToeupoqTnqouvAoYi'eq eivat ev5e 3

2s

?5

M bUi boiUindocj bUdsinYoAsrl bs0 OIID iDiSAiorlnx bDiAoYor!0Dcj bU

pexpi 27. Yipn^orepeq 3a9-

:aTd9AiHJnq.

T)

X0

T

>

9 bUi UoU0noYO»iboo )30UiouorlioU

to

w-o

~v

a

-<

•bUoidxpiioiAD bUxunsLiji boiUindocj bUi bUoUdisrl OISYE

JO 1 D-

CD

>-

-e JO ^ i i a

5 H 31 napandvco oxe

flepav Tnq XPW 51

i 'noiSYDAds noxnocoAADig boo nc(bUf(iiY0piD» bUi UoooAApig Ul srl

o -Q I O cb o T) 2-

co 1 JO a

Q

CD

00

UoidisXoig DiA bi.1113 bll 3113l63ȣ>

^

3-9 £ oiv KAiviKeq eKTiu.r)aeiq nou MnoP£i

9epane(a. (EpYoAeta Yia TeToiouva ennpedaouv Tiq anocpd-e(5ouq eKnurjaeiq napexo-

•co

;*D

~O(or) TOU KOI u.e a?

.punTraq KOTO9Al g

%9

oS

c

O-

JO

a £

fc 1

o 1.

^ " O

tm

£2

-6

3 M si CD < CO

H—

o

-E

CC

? 3

-i

Qi.

-D -OHd 01 sri UoooAApig UADgbUxiiADrlLiD DAS iDis^piono

>• o- • oil jo

qH

0

1 o

CD D

>•

q^

CD

-E

CO

^- «

d -°5ev 9a npenei va SiaYiYvcoaKovrc

ov TOU PHQ-9. 0 KAiviKdq ocpeiAei U»iioroAADiQ Ui isnXoiAS DA-orl0Dfj bUi ooosrl booAirlo ir

-E o § H O C Tl 9 cb Q o-

H D

JSQ noiDiDrlamirlno IDX DisrlUo e

\fl YiaiT| (-lei'c^ova KOTd9AiiJjn-

C

H•< j

CO

H

a* °

j~>

e-E

-0

"

CO

-

§

o§1

-8?

-<J °

J>

oT

j^ 6'

ac;ioAdYnoT|q Tnq KOTd9Aii|jnq or.ontoria, eYKupdTnTa, euaia9na(a -rlUY 6 DI -Lion3^iQi3^3 IDX

D011AOd6 Dirl0Dfj0100dll AU

X

Hu

6

J3-

< 1! — X -^ 11 11 o 5

3? J

">S

R oco auTO-ava^opdq TOU aa9evn, iaia 9povr(5a UYeiaq. To PHQ-9 e -prlioUdX UA3rlooidUrl>i3i isX

DlA DX1Q13 3xU0XnillDAD HOI

pYOiorlUioods 01

-< 5 —r-

l \J 31 9 cb q < 9 Q-

•E Q'

E TD -6 J. q 5 o i— JO § 5 I" i JO "C

D

| 1

(Patient Health Questionnaire)

0 CO •o 6 Q 3 o> 0 c CO 5N -O C i

Q CD

CO ,

•D T O (O

M © M M "D D -I O CD > © e Tl

O -< -I m > M

Page 24: Οδηγός Για Τη Διάγνωση Και Θεραπεία Της Κατάθλιψης Στην ΠΦΥ

< LIJ

CL

LU © I W a O L_ X O o 2 o

a>

^V

O

CO

CO

CD

x -a

cr

co

cra.

-w

CO

P

8

cr

O

H

Of

Q.

-O

Q.

£ §

H

^cr

^ cr

Q.

Q_

1 S

(i/OkMDUD

Uviiyyp10* A^L siomyxnyj)iDioriLtycjodii coipxadoii DI

ADDliyXOAS bDD DAXnD ODOli

bsgprlogjjs z bsioinsysi bii

co CM

^ O

cr

•bsiLiipidLiiDDdgOIID llDlllDldDXnS

lAiy U bsiLupidLuDDdg DiAAodscboigAS pdxirl 310X13 • |.

CO eg " o •(Li)bOA3riDmy3iiDLi (U)bOA3rlrliy0DiD>i

'(U)bOA3rlD3Ll31DDmiN 'Z

CO CM O pxiyocjdsun sioDDprliox UbDD OAllfl AOI 313D1X3AHD

DA U 31130UrilO»OUD

DA orlUycjpdu 310X13 •£

co CM o 'D13Ad3A3 UAly 31DX)3 U

(U)boA3rlDDdno» 3iD0miN -fr

CO CM o •pxiyosjdsun sioAcodi UU^sdp LiAsrlcoisrl 310X13 -g

CO CM O

-1 H

'bDD D13A3AO>I10

ALu. U bDD pinos AOIisonsiUoAoiiD 313X3 up UOIID 313X3 110 U bDD OJ/1D3

AOI DlA DrlUXDD 31D00)1N '9

CO CM 0

> >

Sn

O

Q.

cr

H

H -osyLu 3iDDno0noyo>iDdDU

p U ogidsrlLicbs siD^pjJDigLO booiip 'bsiUipidUiDDdg31O1IDX 3D bLLDO)dlA3><AnD

DriUyfjodii 310X53 mi

Page 25: Οδηγός Για Τη Διάγνωση Και Θεραπεία Της Κατάθλιψης Στην ΠΦΥ

THZ K A T A 9 A I H J H I I T H N F I P O T O B A O M I A O P O N T I A A Y T E I A I

EPnTHMATOAOriO YFEIAIAZ0ENOYZ (PHQ - 9)

Tiq TeAeuTdi'eq 2noao auxvd aaq evdxXi"]°~av

TO napaKOTco npopXruaaia;

Ka06\ou(jepeq

flepiaaoiepeqano nq (aiaeq Ka6e [aepa

8. Kivioaaarav r]TOQO apyd nou ti\\oi dv9po)noiTO napaTT)pouaav 'H, TO avr(0eTO,ei'aaoTE TOOO avrjauxoq(n) nveupiKoq(n), nou Ktvioaaorav no\nepiaaoTepo anoTi auvr|9a)q. 0

9. iKsnToaaorav OTI 9a r|iKaAuTepa av ei'xaTe ne9dvei naKenrdaaorav va npOKaAeaeTeKOKO OTOV eauTO aaq JJE KdnoioTpdno. 0

K n o i ara, noori SuaKoAia

npoKCiAeaav TQ npopXruaaTaaura orri 5ouA£id aaq,oriq otKiaKeq epyaaieq aaqH orriv eniKoivcovi'a aaq|ue ciAAa dTO|aa;

Kajji'a MiKpn MeYdAri Yneppo\iKr|SuaKoAia 5uaKo\(a SuaKoM'a

Kroenke K, Spitzer RL, Williams JEW. The PHQ-9: Validity of a brief depression severity measure. JGen Intern Med 2001; 16:606-613

23

Page 26: Οδηγός Για Τη Διάγνωση Και Θεραπεία Της Κατάθλιψης Στην ΠΦΥ

< LU Q.

LJJ

© X w a O L_ I < O lAl

O s o

cr b cr

OT/i/orro/wwoq TO PHQ-9 yia T/J 5;ayvwor/K/j afyoAoy cr Q.

><

(1DJI '(Z < boriQDtf) «b3d.

-no AnoXs noil pino OAor _L. -

ww

a. 5?x)/ri 5/i piio b3d3±pooid3ii» AO±oiXpyno± bm i30oodU

i3£Jpyid3urlnD 'bLioLuoods bUioodii bUi DiorlrlUy 6 DI pu <

<< c 3.

A3Q AO '(6) bO±U±O)IIAO±) 9 ino bU± ortrtliy o± UoUd±3ri U±o 3±3fjpyid3iirino Uosdi o uj- to

•«noypQD)i» n a » W

Dioinsysi U 'Aosyiimg ••

DA I3ii3dii z I1 1- DiDrirlUy s &•

I— '

e.\

l bs

Dirl

bu

OIID b

sdsip

ooids

ii" b

co )30

oodU

yiirlnD

. OIID DAS AOiDiXpynoi 'bU(tiiy0piD» bUi UDCOAADIQ La D- L_

C

O X -w

1 a g 1 o CO -co o.

C O CD 'boiUipxiAdnoiisy bUi UDOOIUXS AUi pdocbo noil 'UoUn -3 o_ CO

coq «[jiKpr] 5uoKoA(a» TOuAaxiarov.

..

CO CD

ts I ci ^g g e>>

£• f cr tndojf 5fci UoUrtiixs Ab± oiA 6-OHd O-1 bo±Amioiioriio< ET

Q.

X

a B f b 1 -o £ CO CO

. 1 o_ COurlnD 'bUDUimds bUioodii bUi DiDrirlUy oimdii 6 DI oil <

13X3 nou. orlrllay 30p» 3D t

30p» 3D prl0D£J |. siomgo: r-

N-*

^ ^5n0oj) g '«b3d3rl b3><id3rl» boo )30mdUyiirlnD 13X3 nou or!

•«b3d3rl b3xid3rl» boo AoioiXpynoi)30mdUyiirlnD AnoXs 3

3.

o -

crC

,<

§. ®

3-

a.^

ca

-<

-cr

CO

^CD

;

-O

0XL

>

g

g

<S

X

O

CO

3.

HCD

b

O

~oC

O.

Q.

ai pisri IDX «Dd3r1 30p» ApQ3Xo» boo )30oodUyiirlnD 13X3 iID>< «b3d3ri bsDirl bu OIID b3d3ipDDid3ii» boo )30oodUyiii .

^3

Ob

c

cr f a_ a B 10 cr | Q.

a CO

. f CO IO lo o a | < o 3.

rNQZTIKEZ KATHfOPlEZ TIA THN KATA0AHPH

5 <

& Q.

o un Uxiinsyno jrlnj i -cr a 1 o V a B 3.

-3 H i 3. •* cr 3 -co

T—

a >

EKna(5euar| cbore

i I f _ >. ca o b 2 g" 3 1 -co

§• 3 £ a.311 3D 13DO)d3riUA3 a H B -3 1 g % W -1" :

bLiomAisgiiis cr F

KaTd9Aii[

b7 CD"

1

npoaeKTiKti napa 1 a a. -G •* iO T

~ S 5 3.

-3 t 3 b ^~ fj- -w C\

s- Q.

O XL H 1 O CQ.

3.

lAj 1 a P B 1 b f \—> w C

D CM -cr i F 1 CO

§ 3 S CO ca 1 -o c e? K3

^i cr cr I 1 >- 6. 3 O b 5 3 i -w

jadTepouq

\*j a.

CO -cr

-o g I > 8 I g -1" XL

§ I cr H CO sp 1 CO XL b cr CO f * cr f-c

r >CpXlllliy0DlD>lllAD

a >- -cr

0 g o_ a c:

a CO g Q.

co CD | •i-

Page 27: Οδηγός Για Τη Διάγνωση Και Θεραπεία Της Κατάθλιψης Στην ΠΦΥ

fill

llfl

O

O

H3 _O

C

DI

I?

"

H

-I

rr

O1

"I

I M © > € I M M O 03 > CD e Tl o m M

Page 28: Οδηγός Για Τη Διάγνωση Και Θεραπεία Της Κατάθλιψης Στην ΠΦΥ

OTlKnq 5iepeuvr|OT|q.

aopapou cryxouq, avriOT)uavriKOu dyxouq, n O

Q

c

qx

2-

S2 x

!3UDd30 13^L

>yorl0Dg -boc

H ^

o' si n a a ADIQ (odsnodsu ID* buo

My* LoniX130.A3 1DA13 OOAC

<. ^

? s^

m'

JO P o i C?i

D H O O- AD Alll DlA D

_P e- T)

1 | a~ 5 c "§- T)

% "CD

Q •D D JO •^ Q

To eupoq uiq auvoAiuoAoyi'eq eivai ev5ena 7

. S

CO-

-3-

JO

JO•C

"C

D

bUdsinyoAsbD)Aoyor)0D

-co

^

if.

IS O

Qy

« o

_Q-

ar£

o-

^ o [aexpi 21 . Y^nAoTepeq p

uq. Oi auvo\iKeq paGuo >•

Q0

C

D

VCOVIKOU dyxouq KOI TT 1 Oi iXodoio 9 CO JO

H CO Jo O |- Q q f JO 01 CO Jo 01 | O CO-

JO i 01 9 O •D 1. i UXodoiDiQ la 'noxiADu

Xs o

'bnoXAp noA3rln3»iA3AIAD Alll DlA 131OD1Q3XO

CO-

-<

% 1-

•Q

TD

qCO J

CD

-x

- 9

-^ "

<z3

co

o

3

" f

a 3

« « &

•E 3

1D» bCOApyDAD 130111OUC

todoiDiQ bLa p»iQi3 boi

"*•

3-

Q

J0~

f CO CO Ol

D-

5 f a 1 ~Q^

-6 T3 S 01

Q C CO 5' jT> Q m O • — O-

TCOV) TOU KaGpnepivou 3 & 01 o c o JO T: Q~ e D 1 o -6

D nou 'UA30DD noi bpdo < 9

oiAoyoiorllaoods 01

0 > 0 -7 ouviord |, o'

o -o -6 OUVTO[.

rlliy /) blioliApyoiD blii

•c D-

0 (D B) Q.

3 iety Disorder- ^1

51 CO •o 1 o o> 0 IV*1 "Q o Q> o D

•odioiX1D»11AD 3rl

Q "^ s J3. 1 OUD pisrl L

ro o CO "co Oi

0 ~J^ Q> & JO a T

D i a | •co 0 1 o c-

-e- i

0 1 CO *c r--N

J~

)

O C Ol

CO 3 :H YXavouvTTi < c-

-6 CO 3 D>

D o-

01 1 b)3»dDU3 C

,— 1 i D- CD CO CO JO

cpapMOKOL - a "D O a j- 5 CO 1 9 0

0 Q" JO -6 D-

Q ^3 JO Q CO f D 1 O D

,

.§,

Q .q -^

D13UDd30 I

1 01 o- 3 JO 1 -3-

ol

O Q CD CO CO JT o ^ Ol

CO < 3 ^ 1 o c Q c 0-

H O < 9 o- a o T^>auevouv a H CD CO O CO 5'

o 0 §> CO < 22 -O o c n | o < o 1 H O < 9 o- >< o CO 1 i Q i CD

CO -o § CO O~ Q i. "Oi

I 9 cb « 3_ o Ol o A Ul

13A30DD 10

JO < O co-

^CO e' JO q 1 £?

JO TO 0 CD

•C

01 boiAoyo

JO 9 o CO J 9 o -< 5

0 1 -O -^ JO CD

CO § CO JO-1

JO CO D~

JO -6 D-

^JO CO ^> c« •e CO 3 ,-j e Q s 9' \ 9 CO

M -< O M O M > > M I © m i: m

Page 29: Οδηγός Για Τη Διάγνωση Και Θεραπεία Της Κατάθλιψης Στην ΠΦΥ

T H E K A T A 0 A I Y H I I T H N Fl P Q T 0 B A 0 M I A O P O N T I A A Y T E I A Z

EPOTHMATOAOriO GAD-7

Tiq Teteuraieq 2 ep5o|ad5eqndao auxvd aaq ev6xA.naav

TO napaKdro) npopArujara;(KuKAwars TTIV KardAArjAr/andvujor])

Ka06\ou MepiKeq nepiaaorepeq(aepeq ano nq piaeq Kd6e [aspa

jjepeq

1. Nicoaate veupiKoq (r\),ayxwiaevoq (n) nae unepevraarj.

2. Aev (anopouaare var| va

ayxoq aaq.

3. Avriauxouaare unep3o\iKdyia Sidcpopa

4. AuaKoXeuoaaorav vaXaAapcoaere.

5. Eixaxe toao |jeYdA.r|nou 5ev lanopouaaieva KaGiaeie aKi'vriToq(ri).

6. Ni(jL)9aTE euKoXar|

7. (t)o(36aaorav on KOTI cppiKrolanopei va aun3ei.

ZuvoAiKn paepoAoyia:

Spitzer RL, Kroenke K, Williams JBW, Lowe B. A brief measure for assessing generalized anxietydisorder: the GAD-7. Arch Intern Med 2006; 166:1092-1097.

27

Page 30: Οδηγός Για Τη Διάγνωση Και Θεραπεία Της Κατάθλιψης Στην ΠΦΥ

LU 1= < Q.

LU © a •z.

o w O ^o

CO

. I I! g cr CL to

o I o o 2 o

cr

oSC

O

~J C"

g 5

3. -O

3

tog

7?

u

-ocr *

-co

>^

o6

%

CO

. O >

cr -

coH

3-

co

Q. H3»Ano oioupy DiAsipiDiidSLi

113101iOlDrlADdLl DA DlA OAOd)

•U/boA Q. ^

OSJ

P >

w

co

o'9

~3

§:

±

CL u

fc "

too

9-

-a

5"

o 9-

3

_:

oo

te

w

o1-

C

O >-

£ B

c7w

-<

S

a

1 1

f J

-Q

. D

>

3.

2

9 a co

C <

cr

CD

. D

-O

i-

D *

••--

=-- =

-~»s

> o 2 X -o o 3 *3 o_ M

•' OOAD» DA 31DO) (OXlKJiyDSd

n6o D0 odsrl 30p» bogprlogj endjaevriq efe TO euKoAo,

! i

11 -a

w10

"<

£

-O i

co

3. g

>^

CD

Q.

CO

Q

o ~F

to

CL i

*-

tO

Do

E"

o

P

5

3.

>

~X -3

CO

. C

O *

g- s

qmrlpX oioiip>i srl 3i)30LiyoXoD

lOllp» 313ADX DA 3113in3rlO3g

>y up U iOA3rlLiioLioiLiAi>i bm>ic

•b3iliipidlJi£>Ddg bsiD a. a

w

o"

^f

CO

^~

3^

^-/"

~i

f i

v^

CO

co

p

QJ

10g

w

P"

^OQ

D

-^

O"3

"

3"

o i

° c

^

•*

f/*

-3-5

> ^

3a

«i

J

* i i

1 1*^|i|

c\

co P

^

••-•—

-.••'•

•=.•-

-••

^ -3

°"

cr

""-•

-••"

" v

*j

^0

2

>

J .«

• «

o-

O

ET

-3

u.

CO

fc

e-

c b

H2,

^

cr -F

E

X

CD

3

C.

-o

-o

-a

o £+

—xi

• p

p "^

Q

.3

>

5

w -

a F

° 1

S i

^ I

¥

I s

§ -£

? a

g>

Ji

H

cr

— to

S

1

II -f

P- 8 a

^i

§1

| U

ft

<§ 1

o °

a5 9

"S

g

aS

^

gR

^g

<

§3

f

«

"§ «

i |

g

*S |

8. 2

2 2

||

& f I

^ 8

H £ 3

3 J

II

g. | i I

g- |1

1. f f

^

-O

CO

c~ ^

t^

O

fr

C

^ CZ

^ CZ

^,

ry

3

3.

^=

*:s

3h

Cr<

j-(O

-r

tC

O

cr

HC

>L

r f

/-

W3

33

SB

C

-^

^-

gO

^

oD

DD

^ •§

^

o2

5g

J

g^

-3

33

• o

§

0

K

§

> -=

3-

5 -n

n

n

g. a

|S

->

.i8

|^

S^

co

o"

s

P 3

H °

9

^-

^-

oo

cs

fl

f e

-t|| |i|s

sw

-3

°^

15

:3-g

§

wb

b6

3.

co

co R ^

>

^

•<

-3 -

^ -^5

ig lit! I f !!!

t -

oa

o*

3-

.-

cr

-,

95

9F 1 |

o g

co

g-

^ S

-S

-S -

Ss

^S

>"

&

5g

co

-o

t-

^E

"0

-^

wx

^b

B

oP

o^

2

-c

To

_E

,

-a

^c

oc

c

o.^

^

5

a.

~S

B ^

'O

~

a

=» ^

S

Jg

^c

So

» P

g

*fi|g

| ^

^

„CO

X

C

D

>

C\

Page 31: Οδηγός Για Τη Διάγνωση Και Θεραπεία Της Κατάθλιψης Στην ΠΦΥ

>

o a. e CO o I— c Q.

c:

a <§

6

s^

lollx

! §*D s- CO

X Q.

*CO C CO o o

o * cr

f° 1 Q.

V^ 8 > o 1 o

v*» 3 Q.

1 X X

W-l o p CO L

_l I CD f*

f*t

D O ~c5 w V

H CO m

C S O .§• -< -o: P

^L^ O Q. •a CO C

D -o i^*t

6 f3 O H §.

a >

! 11

I; .s 1

°H

ill

1 1

I *

B 5

Ii§

1is

^ ,

> 3.

>

Q_ a

s. *

S"

« ^

Bin

CQ

. Q

. w

3.

,> CO c 1 (£ *o c o

a .3 CO C - G o 1 or ^

c iCM O

.

13-

«c CD

CO

= § CD

O)

CO r- co 1 CD a

Page 32: Οδηγός Για Τη Διάγνωση Και Θεραπεία Της Κατάθλιψης Στην ΠΦΥ