| 妄想性抑郁症的多因素分析 |
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| 引用本文： | 王东波,徐松泉,汤庆平.妄想性抑郁症的多因素分析[J].齐齐哈尔医学院学报,2003,24(7):725-726. |
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| 作者姓名： | 王东波 徐松泉 汤庆平 |
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| 作者单位： | 浙江省丽水市第二人民医院,323000 |
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| 摘 要： | 目的 研究妄想性抑郁症的临床特点。方法 按中国精神疾病分类方案与诊断标准第2版修订本有关标准，收集住院的妄想性抑郁症及非妄想性抑郁症病人各81例，方法采用多因素logistic回归分析。结果 妄想性抑郁症与绝望(相对危险度RR=2．590)、自责(RR=2．809)自杀行为(RR=3．018)、联用抗精神病药(RR=4．385)及药物显效时间(RR=1．027)呈正相关。结论 提示自责、绝望,及自杀行为是妄想性抑郁症的危险因素，妄想性抑郁症的药物显效时间较迟，往往需要联用抗精神病药治疗。
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| 关 键 词： | 妄想性抑郁症 临床特点 精神疾病 绝望 自杀行为 危险因素 自责 |
A study on the Risking Factors of Delusional Depression |
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| Wang Dongbo,et al..A study on the Risking Factors of Delusional Depression[J].Journal of Qiqihar Medical College,2003,24(7):725-726. |
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| Authors: | Wang Dongbo |
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| Abstract: | Objective To explore the clinical characteristics of delusional depression.Methods 81 depressed subjects meeting CCMD-2-R criteria for major depression with delusion were compared with 81 in patients with non-delusion depression, which were analyzed with multinomial logistic model. Results The delusional depression was positively related to hopelessness(RR=2.590),self-blame(RR=2.809),suicidal behavior(RR=3.018) by using antipsychotics(RR=4.385) and presenting the time of marked effect(RR=1.027). Conclusions Hopelessness, self-blame and suicidal behavior were the risking factora of delusional depression, and presenting the time of marked effect for psychotic depression is later and combining treatment is always necessary for the delusional depression. |
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| Keywords: | Delusional depression Non-delusion depression Multinomial logistic model |
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