The significance of secondary depression.

The significance of secondary depression.
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继发性抑郁症的意义。

DOI:
10.1016/0165-0327(81)90016-1
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发表时间:
1981
影响因子:
6.6
通讯作者:
Lewis,CE
Lewis,CE
中科院分区:
医学2区
文献类型:
--
作者:
Clayton,PJ;Lewis,CE

文献摘要

被引文献

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继发性抑郁症是一种抑郁症,个体患有一种或多种预先存在的非情感性精神障碍或丧失能力或危及生命的医学疾病,这些疾病先于抑郁症症状并与之平行。继发性抑郁症常见于精神病院的患者。对于每5例被诊断为抑郁症的患者,大约2例应归类为继发性。患有继发性抑郁症的患者更可能是年轻的男性,并且有酗酒的家族史。他的第一个诊断很可能是酒精中毒;然而,先前的诊断取决于患者所处的环境。歇斯底里、反社会、药物滥用和焦虑性神经症也很常见。继发性抑郁症的症状与原发性抑郁症几乎没有区别。病人接受精神病治疗的一个重要原因是他发展出了共存的抑郁症。
Secondary depression is a depression in an individual who has one or more preexisting, nonaffective psychiatric disorders or an incapacitating or life-threatening medical illness which precedes and parallels the symptoms of depression. Secondary depression is commonly seen in patients presenting to psychiatric facilities. For every 5 patients who are seen with a diagnosis of depression, approximately 2 should be classified as secondary. A patient with secondary depression is more likely to be younger, male, and to have a family history of alcoholism. His first diagnosis is most likely to be alcoholism; however, the preceding diagnosis varies depending on the setting in which the patient is seen. Hysteria, sociopathy, drug abuse and anxiety neurosis are also common. The symptom picture of secondary depression is almost indistinguishable from primary depression. One important reason a patient enters psychiatric treatment is that he develops a coexistent depression.