抑郁症躯体症状及其相关因素的研究分析(1)
【摘要】近年来许多研究已证明抑郁症是高患病率、高慢性发病率、高疾病负担及高自杀死亡率频繁的精神疾病。,但过去常局限于精神病学范畴,习惯强调病人症状,即“三低”症状——情感低落.思维迟缓和意志活动减退,然而,相当一部分的抑郁症病人就诊的主诉并非情感或精神症状,而是躯体方面的症状,对这样的病人近半数以上将会被临床医生漏诊。近年来,我国很多学者提出中国抑郁症状诊断率较国外低的假设之一是躯体症状主诉高于心境障碍的主诉。为比较以情感障碍为主诉的和以躯体不适为主诉的抑郁病人的差异,笔者对62例病人进行了深入访谈评定,以期为临床医生对抑郁症的早期识别及治疗提供帮助。【关键词】抑郁症;躯体症状;相关因素;研究分析
Depression body symptom and correlation factor research analysis
JIANG Maolian
【Abstract】Recent years many research had proven that the depression is the high prevalence rate, the high chronic disease incidence rate, Gao Ji the sickness burden and high suicide mortality rate frequent spirit vigorous sickness. , but often limited in the past to the psychiatry category, the custom emphasized the patient symptom, namely “three low” the symptom - - emotion was low. The thought is slow and the will activity drops, however, quite a part of depression patient receives a medical examination principal claim by no means emotion or energetic symptom, but is the body aspect symptom, near more than half will be leaked to such patient by clinician examines. In recent years, our country many scholars proposed one of Chinese despondent symptom diagnosis rate overseas low suppositions is the body symptom principal claim is higher than the mood barrier the principal claim. For the comparison take the emotion barrier as the principal claim and take the body as the principal claim despondent patient's difference, the author has carried on the thorough interview evaluation ill to 62 example patients, provides the help take the time as clinician to the depression early recognition and the treatment. ......
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