综合性医院中抑郁症及其躯体化症状的研究  

Study on depression and somatized symptoms in patients of general hospital

作　　者：姚道元 龚震明[1] 

机构地区：[1]上海市第六人民医院

出　　处：《四川精神卫生》1998年第2期83-85,共3页Sichuan Mental Health

摘　　要：比较综合性医院中有无躯体化症状抑郁症患者的临床特征。方法采用半定式检查方法，对连续就诊并且符合ＣＣＭＤ—２—Ｒ和ＩＣＤ—１０抑郁症诊断标准的患者，采用ＨＡＭＤ、ＨＡＭＡ、ＳＣＬ—９０及自制的躯体调查表进行评定。结果躯体化组中ＨＡＭＤ总分以及焦虑／躯体化、阻滞和绝望感因子分，ＨＡＭＡ总分以及精神性焦虑、躯体性焦虑因子分，ＳＣＬ—９０中躯体化、人际关系、抑郁、焦虑和恐怖因子分均显著高于无躯体化组。结论综合性医院中抑郁症的躯体化症状，不仅受抑郁障碍影响，同时与焦虑障碍有关。Objective To compare the clinical characteristics of depressive patients with somatized symptoms and without somatized symptoms in general hospitals.Methods Consecutive outpatients were evaluated with a semi-constructed schedule,HAMD,HAMA,SCL-90 and a self designed investigating form.Patients studied met CCMD-2-R and ICD-10 criteria for major depression.Results The total scores of HAMD and its factor scores of anxiety,somatization,retardation and hopelessness in depressive patients with somatized symptoms were significantly higher than those without somatized symptoms.The HAMA total scores and its factor scores of psychotic anxiety and somatizing anxiety,and the factor scores of SCL-90 including somatization,public relation,depression,anxiety and phobia were also significantly higher in patients with somatized patients.Conclusion The somatized symptoms of depressive disorder in general hospital are not only related to depression but also to anxiety.

关 键 词：抑郁症 躯体化症状 综合性医院 

分 类 号：R749.4[医药卫生—神经病学与精神病学]