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伴躯体症状的抑郁症临床分析
引用本文:姜小琴,杨开仁,等.伴躯体症状的抑郁症临床分析[J].中国行为医学科学,2002,11(2):170-172.
作者姓名:姜小琴  杨开仁
作者单位:浙江省衢州市第三医院精神科 浙江衢州324000 (姜小琴,杨开仁),浙江省衢州市第三医院精神科 浙江衢州324000(郑洪祥)
摘    要:目的 了解伴躯体症状的抑郁症的临床特征。方法 采用半定式检查法,对44例伴躯体症状的抑郁症患者(研究组)和92例不伴躯体症状的抑郁症患者(对照组)分别用HAMD、SDS、SCL-90进行评定,记录研究组病人的躯体症状,并对数据作统计分析。结果 研究组HAMD认识障碍因子分及SCL-90人际关系,巩怖及偏执因子分低于对照组,临床以躯体性焦虑、胃肠道及疑病等症状为主,自罪、自杀,工作和兴趣减退,激越等症状较轻。结论 伴躯体症状的抑郁症因抑郁症状常被躯体症状掩盖而更易被误诊。

关 键 词:躯体症状  抑郁症  临床特征
文章编号:1005-8559(2002)02-170-03
修稿时间:2001年9月16日

Clinical analysis of depression with somatic symptoms
JIANG Xiao qin,YANG Kai ren,ZHENG Hong xiang.Quzhou Third Hospital Quzhou.Clinical analysis of depression with somatic symptoms[J].Chinese Journal of Behavioral Medical Science,2002,11(2):170-172.
Authors:JIANG Xiao qin  YANG Kai ren  ZHENG Hong xiangQuzhou Third Hospital Quzhou
Institution:JIANG Xiao qin,YANG Kai ren,ZHENG Hong xiang.Quzhou Third Hospital Quzhou324000
Abstract:Objective To recognise the clinical characteristics in depression with somatic symptoms. Methods 44 depression with somatic symptoms and 92 depression without somatic symptoms were assessed with HAMD, SDS and SCL 90.The somatic symptoms in patients were recorded ,The data were statistically analyzed. Results The scores of cognition factors in HAMD and sociality factors,phobic factors,and paranoiac factors in SCL 90 were lower in research group.The somatic anxiety,gastroenteric symptoms,and hypochondria syptoms were serious and sin idea,suicide attempt, were not serious in these patients. Conclusion Patients in depression with somatic symptoms are frequently misdiagnozed because of the somatic symptoms.
Keywords:Somatic symptoms  Depression  Clinical features
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