抑郁性神经症的鉴别诊断模式  

The Differential Diagnosis Model of Depressive Neurosis

作　　者：陈光敏[1] 

机构地区：[1]广东医学院附属医院心理科,广东省湛江市524001

出　　处：《医学理论与实践》2011年第13期1493-1496,共4页The Journal of Medical Theory and Practice

摘　　要：目的:探讨抑郁性神经症鉴别诊断的规范化方法,提高准确性。方法:采用必备组合症状、病因、内在关系、严重程度、病程、排除症状和非器质性病变基础共七方面作为抑郁性神经症鉴别诊断模式的要素,用神经症二重辨证施治进行临床验证。结果:抑郁性神经症与伴发抑郁性神经症样综合征的其他疾病相比,具有明显的差异。其中必备组合症状、病因和内在关系,是鉴别诊断的核心;排除症状、非器质性病变基础,也很重要,但在某些特定情况下是否成为鉴别诊断的依据,要视情况而定;严重程度和病程有一定的意义。结论:抑郁性神经症的鉴别诊断模式具备了更加缜密规范准确的优点。Objective：To investigate standardized methods of the differential diagnosis of depressive neurosis and to improve the accuracy of diagnosis.Methods：Adoped dual treatment according to syndrome differentiation to test the clinical effect of the differential diagnosis model for depressive neurosis,which included seven factors as necessary combination of symptoms,causes,inherent relationship,severity,duration,exclusion symptoms and non-basic organic lesion.Results：There were significant differences between depressive neurosis and diseases associated with depressive neurosis-like syndrome.The core of differential diagnosis was the necessary combination of symptoms,causes,and inherent relationship.Exclusion symptoms and non-basic organic lesion were also important,however,it depended on specific situation whether these two factors could be adopted as the diagnostic criterion.Severity and duration contributed to differential diagnosis to some extent.Conclusion：The differential diagnosis model of depressive neurosis has the advantage of precision,standardization and accuracy

关 键 词：抑郁性神经症 鉴别诊断 模式 

分 类 号：R749[医药卫生—神经病学与精神病学]