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抑郁症与抑郁焦虑障碍共病临床特征对照研究
引用本文:魏冬,张振毅,席永稳.抑郁症与抑郁焦虑障碍共病临床特征对照研究[J].临床心身疾病杂志,2009,15(2):112-114.
作者姓名:魏冬  张振毅  席永稳
作者单位:1. 洛阳市第五人民医院老年科,河南洛阳,471000
2. 上海市宝山区精神卫生中心
摘    要:目的探讨抑郁症与抑郁焦虑障碍共病患者的临床特征。方法对34例抑郁焦虑障碍共病患者(研究组)和44例抑郁症患者(对照组)采用自拟一般人口学资料问卷统计一般资料,采用汉密顿抑郁量表及汉密顿焦虑量表评定两组患者的抑郁和焦虑状况,对评定结果进行对比分析。结果两组患者一般人口学资料均无显著性差异;研究组汉密顿抑郁量表总分、焦虑/躯体化、认知障碍、阻滞因子分以及自杀条目分均显著高于对照组(P〈0.01~0.05);汉密顿焦虑量表总分、躯体性焦虑、精神性焦虑因子分,以及焦虑心境、紧张、抑郁心境、肌肉系统症状、感觉系统症状、心血管系统症状、胃肠道症状、植物神经症状及会诊时行为表现单项条目分均显著高于对照组(P均〈0.01);其他因子或条目分均无显著性差异(P〉0.05)。结论抑郁焦虑障碍共病患者较单纯抑郁症患者的抑郁和焦虑症状更严重、自杀风险大。

关 键 词:抑郁症  焦虑障碍  共病  临床特征  自杀  汉密顿抑郁量表  汉密顿焦虑量表

A control study of clinical features of depression vs. comorbid anxiety and depression
Wei Dong,Zhang Zhenyi,Xi Yongwen.A control study of clinical features of depression vs. comorbid anxiety and depression[J].Journal of Clinical Psychosomatic Diseases,2009,15(2):112-114.
Authors:Wei Dong  Zhang Zhenyi  Xi Yongwen
Institution:( The Fifth People ' s Hospital of Luoyang City, 471000, Henan, China)
Abstract:Objective To explore clinical features of depression vs. comorbid anxiety and depression. Methods General data were added up with the Self-made General Demography Data Questionnaie(SGD- DQ) for 34 patients with comorbid anxiety and depression(research group) and 44 ones with depression (control group) ,depression and anxiety status of both groups assessed and analyzed with the Hamilton Depression Rating Scale(HAMD) and the Hamilton Anxiety Scale(HAMA). Results There was no significant difference in general data between the 2 groups; total, anxiety/somatization, cognitive disorder, blockage factor and suicide item score of the HAMD were all significantly higher in the research than in the control group(P〈0.01-0.05) ; so were the total, somato-anxiety factor as well as anxious mood,tension, depressive mood,muscular system , sensing system, CVS , GI and autonomic nerve symptom and of behaviour representation single-item on interview of the HAMA(all P〈0.01); there were no significant differences in other factors or items(P〉0.05). Conclusion Patients with comorbid depression and anxiety have graver depressive and anxious symptoms and greater suicide risk than ones with single depression have.
Keywords:Depression  anxiety disorder  comorbidity  clinical feature  suicide  H AMD  HAMA
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