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综合医院抑郁症的常见表现形式研究
引用本文:洪兰,魏慧军,马彦,林颖娜,王芳,汪卫东.综合医院抑郁症的常见表现形式研究[J].国际中医中药杂志,2010,32(3).
作者姓名:洪兰  魏慧军  马彦  林颖娜  王芳  汪卫东
作者单位:中国中医科学院广安门医院心理科,北京,100053
摘    要:目的 分析我国综合医院抑郁症患者的常见表现形式.方法 本文采用回顾性研究方法,用明尼苏达多项测验量表检测3322例患者,对其结果进行分析.结果 我国综合医院抑郁症最多见的伴随症状为焦虑、疲劳不适、自杀倾向、忧思、躯体不适、阳痿阴冷、疑病、躯体抱怨、失眠、自罪自责、依赖等.抑郁症与自杀危险、自责、自罪感、躯体不适、躯体抱怨、阳痿阴冷、失眠、头疼、疲乏不适、依赖性、忧思、家庭问题等因子分呈正相关,而与自我强度、社会地位、经济地位等因子分呈负相关.结论 自我强度低、依赖性高、社会地位和经济地位低下,家庭问题突出常为我国抑郁症的常见发病基础,抑郁症患者更多表现为各种躯体障碍,特别是失眠.

关 键 词:抑郁症  失眠  躯体症状

Manifestation study on depression in comprehensive hospitals
HONG Lan,WEI Hui-jun,MA Yan,LIN Ying-na,WANG Fang,WANG Wei-dong.Manifestation study on depression in comprehensive hospitals[J].International Journal of Traditional Chinese Medicine,2010,32(3).
Authors:HONG Lan  WEI Hui-jun  MA Yan  LIN Ying-na  WANG Fang  WANG Wei-dong
Abstract:Objective To study and analyze clinical manifestation of depression in comprehensive hospitals in China.Methods Retrospective study was performed.3322 objects included in this research were measured by Minnesota Multiphasic Personality Inventory(MMPI).Results In Chinese comprehensive hospitals,the most common accompanying symptoms of depression were anxiety,fatigue,suicide inclination,apprehension,somatic discomfort,impotence or asexuality,hypochondriasis,somato-complaints,insomnia,self-accusmion and self-reproach,sense of dependence and so on.Depression was positively correlated with suicide risks,self-accusation,delusion of self-accusation,somatic discomfort,somato-complaints,impotence and asexuality,insomnia,headache,fatigue,apprehension,and family problems.Depression had negative correlations with self-strength,social status and economic status.The results had statistical significance.Conclusion Decreased self-strength,increased sense of dependence,low social status and economic status and family problems were the most common pathogenesis basis for depression.Depression can be manifested as various somatic disorders,especially insomnia.
Keywords:Depression  Insomnia  Somatization
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