摘要
目的:弄清躯体化障碍是否为一种隐匿形式的抑郁症。 方法:按DSM诊断标准收集躯体化障碍56例(A组)、抑郁症51例(B组),对两组病例均用病史问卷及汉密尔顿抑郁量表(HAMD)进行调查评定。 结果:A组躯体症状频率显著高于B组,抑郁症状频率和HAMD总分显著低于B组;两组在HAMD因子分析、疾病行为与态度、病程演变及发病背景方面存在显著差异。 结论:临床学方面证据不支持躯体化障碍是隐匿性抑郁症的可能。
Objective:To compare the clinical features between somatisation and depression. Method:Fifty six patients with diagnosis of somatisation according to DSM Ⅳ and fifty one patients with depressive disorder were interviewed with a case history questionnaire and Hamilton Depression Rating Scale (HAMD). Results:The frequency of somatic symptoms was significantly higher in the somatization group while HAMD score was significantly higher in the depressed group.Significant differences were also found in the factor analysis of HAMD scores,illness behaviour,course of illness,age of onset and family history. Conclusion:The current study does not support the concept of somatisation being a type of masked depression.
出处
《临床精神医学杂志》
2000年第1期1-4,共4页
Journal of Clinical Psychiatry
关键词
躯体化障碍
抑郁症
临床特征
诊断
Somatization disorder Depression Clinical features