Major Depression and Somatic Symptoms in a Mind/Body Medicine Clinic
Major Depression and Somatic Symptoms in a Mind/Body Medicine Clinic
复制标题
身心医学诊所的重度抑郁症和躯体症状
作者：
M. Nakao;G. Yamanaka;T. Kuboki
本研究探讨了日本心身门诊中重性抑郁症的躯体症状和精神特征的患病率。共有2，215名因精神/身体投诉而转诊的门诊患者接受了DSM-III-R或DSM-IV的评估。使用康奈尔医学指数问卷对躯体症状进行评分。91例门诊患者（4.1%）被诊断为抑郁症。疲劳（86%）、失眠（79%）、恶心/呕吐（50%）的患病率，和背痛（36%）以及社会心理压力程度（DSM-III-R轴IV）（P均< 0.05）和心理社会功能总体评估评分（DSM-III-R/DSM-IV轴V）在重性抑郁症患者中低于其余门诊患者（p < 0.001）。在重性抑郁症患者中，“重度”重性抑郁症患者的躯体症状总数大于“轻度”抑郁症患者（P < 0.05）。这些研究结果表明，抑郁水平与心身医学人群中的躯体症状报告密切相关。
This study examined the prevalence of somatic symptoms and psychiatric characteristics of major depression in a Japanese psychosomatic outpatient clinic. A total of 2,215 outpatients referred for mind/body complaints were assessed by DSM-III-R or DSM-IV. Somatic symptoms were rated using the Cornell Medical Index Questionnaire. Ninety-one outpatients (4.1%) were diagnosed with major depression. Prevalence of fatigue (86%), insomnia (79%), nausea/vomiting (50%), and back pain (36%) as well as degrees of psychosocial stress (DSM-III-R axis IV) were higher (all p < 0.05) and scores of global assessment of psychosocial functioning (DSM-III-R/DSM-IV axis V) were lower (p < 0.001) in the major depressive patients compared to the remaining outpatients. Among the major depressive patients, the total number of somatic symptoms was larger (p < 0.05) in patients with ‘severe’ major depressive episodes than in those with ‘mild’ depressive episodes. These findings suggest that the level of depression is closely linked to the reporting of somatic symptoms in a psychosomatic medicine population.
影响因子：
158.5
作者：
Simon, GE;VonKorff, M;Ormel, J
通讯作者：
Ormel, J
女性的压力生活事件、遗传倾向和重度抑郁症的发作。
DOI：
10.1176/ajp.152.6.833
发表时间：
1995
期刊：
The American journal of psychiatry.
影响因子：
--
作者：
Kendler,KS;Kessler,RC;Walters,EE;MacLean,C;Neale,MC;Heath,AC;Eaves,LJ
通讯作者：
Eaves,LJ