抑郁障碍患者的躯体化症状表现的特征及其意义研究

Study on the characteristics and significance of somatic symptoms in patients with depressive disorder

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DOI
刊名
Journal of International Psychiatry
年,卷(期) 2016, 43(3)
作者
作者单位

湖北省宜昌市精神卫生中心一病区 ;
湖北省武汉市精神卫生中心 ;

摘要
【摘要】目的:分析和讨论抑郁障碍患者的躯体化症状表现的特征,以便准确、快速地诊断和治疗伴有躯体化症状表现的抑郁障碍患者。方法:使用“汉密尔顿抑郁量表(17 项)”对患者情况进行评价,此量表由临床主管医生根据患者症状体征的实际情况进行填写;查阅国内外文献,编制“人口学资料调查表”、“抑郁障碍患者的躯体症状表现评估量表”。该表由患者本人根据自身情况如实填写;研究对象共62 例,男性患者20 例,女性患者42 例;年龄24-65 岁,平均年龄为40.8±12.5 岁;首诊于精神科患者16 例,首诊于其他非精神科科室46 例。结果:所调查的62 例抑郁障碍患者中,46 例(74.19%)患者存在家庭矛盾、学习及工作的压力、人际关系紧张、生活和工作环境改变、经济条件差、家人健康情况等社会心理因素,16例(25.81%)无明显诱因。本组患者汉密尔顿抑郁量表评分≥24 分为22 人,量表得分≥17 分为34 人,量表得分≥7 分共有6 人。主要的抑郁症状表现中情绪低落36 例(58.06%)、焦虑26 例(41.94%)、少言寡语24 例(38.71%)、兴趣减退22例(35.48%)、自责自罪感14例(22.58%)、绝望感8例(12.90%),存消极观念6例(9.68%)等。以上症状两种或多种混合存在。躯体症状的检出数量随着抑郁症状的严重程度的加深明显有所增多。结论:生物学因素和社会心理因素等是抑郁障碍患者的躯体化症状发生的重要因素。抑郁障碍患者的躯体化症状表现和其情绪症状表现呈正性关系。抑郁障碍的躯体化症状表现可从其本身特征及患者对其的认识程度而严重影响患者的求医过程,延误患者的治疗。
Abstract
【Abstract】Objective: To analyze and discuss the characteristics of somatic symptoms of patients with depressive disorder.And help clinicians make more accurate, rapid diagnosis and treatment of patients with depressive disorder with somatic symptoms.Methods:Hamilton Depression Rating Scale for Depression,HAMD.Which filled by the clinicians according to the actual situation of the patients.Self-made questionnaire of the situation of somatic symptoms on patients with depression.Which filled by the patients according to their own situation honestly.study,analyze and discuss the gathered information.This study collected 62 cases of patient, 20 male, 42 female, age 24-65 years, mean age 40.8±12.5 years, 16 first diagnosed in psychiatric department, 46 first diagnosed in non psychiatric department.Results:46 cases(74.19%) were affected by family conflicts, School and work pressure, Interpersonal relationships, living and working environment changes, poor economic conditions, family health and other socialpsychological factors. 16 cases(25.81%) had no obvious incentive.22 of all 62 Patients with Hamilton Depression Rating Scale score ≥ 24, 34 with score ≥ 17, 6 with score ≥ 7 points. 36 cases (58.06%) with major depression, 26 cases (41.94%) with anxiety , 24 cases(38.71%) with reticent, 22 cases(35.48%) with decreased of interest, 14 cases(22.58%) with self-blame and self-guilt, and 8 cases(12.90%) with hopelessness, 6 cases(9.68%) with suicidal opinion.The number of detection of somatic symptoms with the deepening of the severity of depressive symptoms was significantly increased. Conclusions: Somatic symptoms of patients with depressive disorder are affected by many factors such as biology and psychology.Somatic symptoms of patients with depression are complex and diverse.Somatic symptoms of patients with depressive disorder and other emotional symptoms showed a positive relationship.
关键词
【关键词】抑郁障碍;躯体症状;临床体征
KeyWord
【Keyword】Depressive disorder ,Somatic symptoms, Clinical signs.
基金项目
页码 444-446
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潘峰,覃松,郑万鸣,房茂胜*. 抑郁障碍患者的躯体化症状表现的特征及其意义研究 [J]. 国际精神病学杂志. 2016; 43; (3). 444 - 446.

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