阈下抑郁辨识的现状与展望

阈下抑郁是一种以抑郁心境为主的心理亚健康现象，同抑郁症不同的是，目前临床上尚无公认的专门针对阈下抑郁的辨识工具。在心理咨询与临床诊断中，常常需借助于用于评定抑郁症的抑郁评定量表来筛选阈下抑郁患者。但是实际运用中，评定存在不合理性与局限性。本文以阈下抑郁的定义、中医对阈下抑郁的认识及阈下抑郁的症状辨识为出发点，分析了当前抑郁量表在评定阈下抑郁中的优劣势，为建立阈下抑郁的辨识与筛选系统提供了理论依据。

Status and Prospect of Identification of Sub-threshold Depression

Sub-threshold depression belongs to psychological sub-health phenomenon,which is usually depressive-mood based.In contrast to the depression,sub-threshold depression is in the absence of a recognized clinical identification tool.In psychological counseling and clinical diagnosis,the physician often needs to screen patients with sub-threshold depression with depression rating scale for depression.But in the practical application,the evaluation exists irrationality and limitations.From the aspects of the definition of sub-threshold depression,the understanding of Chinese traditional medicine for the disease and its symptom identification,the paper analyses the advantages and disadvantages of the current depression scale of assessing sub-threshold depression,and provides theoretical references for establishing the identification and selection system of sub-threshold depression.