Lifetime patterns of depressive symptoms in the community and among primary care attenders:: an application of grade of membership analysis
Lifetime patterns of depressive symptoms in the community and among primary care attenders:: an application of grade of membership analysis
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DOI：
10.1016/s0165-0327(02)00096-4
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发表时间：
2003-10-01
影响因子：
6.6
通讯作者：
Füredi, J
中科院分区：
文献类型：
--
作者：
Szádóczky, E;Rózsa, S;Füredi, J
这项研究的目的是描述社区受访者和初级保健提供者报告的抑郁和焦虑症状的经验和自然终身模式。应用隶属度模型对716名18岁至的终生诊断为DIS/DSM-III-R重大抑郁发作的受试者的资料进行分析。抑郁、躁狂和焦虑(广泛性痴呆症、恐慌症和恐惧症)的症状被处理了。六个原型类别(纯类型)对分析中包含的症状结构提供了最好的描述。类型1：双相抑郁伴明显的自杀行为，共病，起病早。II型：起病晚的非忧郁-躯体化抑郁。III型：以男性为主的非忧郁型、非严重双相抑郁。IV型：抑郁继发于焦虑，女性明显占优势。V型：伴有自杀意念的忧郁性抑郁症。VI型：忧郁抑郁伴恐慌症发作，女性占优势。这一结果支持抑郁症纵向症状模式的异质性和两种时间趋势类型的共病焦虑症的存在。(C)2002 Elsevier B.V.保留所有权利。
The objective Of this Study was to describe empirical and natural lifetime patterns of depressive and anxiety symptoms reported by community respondents and primary care attenders. The Grade of Membership model was used to analyze data collected from 716 subjects between 18 and 64 years of age with a lifetime diagnosis of DIS/DSM-III-R Major Depressive Episode. Symptoms of depression, mania, and anxiety (GAD, panic attack, and phobias) were processed. Six prototype categories (pure types) provided the best description of the structure of symptoms included in the analysis. Type 1: bipolar depression with marked suicidal behaviour, comorbidity and early onset. Type II: non-melancholic-somatisation depression with late onset. Type III: non-melancholic, non-severe bipolar depression with male preponderance. Type IV: depression secondary to anxiety with marked female preponderance. Type V: melancholic depression With suicide ideation. Type VI: melancholic depression with panic attacks and female preponderance. The results support the heterogeneity of the longitudinal symptom pattern of depression and the existence of two time-trend types of comorbid anxiety disorders. (C) 2002 Elsevier B.V. All rights reserved.