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潘鑫.抑郁症与躯体形式障碍共病患者的心理社会特征研究分析[J].浙江中西医结合杂志,2015,25(2):
抑郁症与躯体形式障碍共病患者的心理社会特征研究分析
Analysis Characteristics in Depression and Somatoform Disorders Comorbid Psychosocial
投稿时间:2014-01-17  修订日期:2014-02-27
DOI:
中文关键词:  抑郁症  躯体形式障碍  共病  诊断
英文关键词:depression  somatoform disorders  comorbidity  diagnosis
基金项目:
作者单位E-mail
潘鑫 浙江省湖州市第三人民医院四病区 浙江 湖州 313000 huzhoupanxin@163.com 
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中文摘要:
      目的 探讨抑郁症与躯体形式障碍共病患者的心理社会特征。方法 在2011年9月至2013年9月间,选择在我院门诊和院部收治的抑郁症与躯体形式障碍患者89例作为研究研究对象,严格按照入组标准与排除标准要求,将患者分为共病组(40例)与非共病组(49例),运用汉密尔顿抑郁量表(HAMD),汉密尔顿抑郁量表(HAMD),多伦多述情量表(TAS)进行评价,分析共病患者的心理特征,结果采用SPSS17.0进行统计分析。结果 在HAMD评分项目中,在焦虑/躯体化(t=7.043,P=0.000)、体重减轻(t=3.005,P=0.005)、日夜变化(t=2.395,P=0.036)、绝望感(t=3.117,P=0.004)、HAMD总分(t=16.034,P=0.000)方面具有统计学意义(P<0.05);在HAMA方面,在躯体性焦虑(t=6.116,P=0.000)、精神性焦虑(t=2.476,P=0.035)、HAMA总分(t=8.847,P=0.000)方面比较具有统计学意义(P<0.05);在TAS评分方面,TAS-I(t=5.228,P=0.000)、TAS-Ⅱ(t=2.941,P=0.007)、TAS-Ⅲ(t=4.682,P=0.003)、TAS总分(t=4.771,P=0.003)方面比较具有统计学意义(P<0.05)。结论 共病组患者具有较高的汉密尔顿抑郁评分和汉密尔顿焦虑评分,同时具有较高的述情障碍,提示在对患者进行诊断时可以参考以上评价方法进行综合诊断。
英文摘要:
      Abstrct purpose To discuss depression and somatoform disorders comorbid psychosocial characteristics.Methods Between September 2011 to September 2013, choosed in our hospital outpatient depression and somatoform disorders and hospital department admitted 89 patients as research subjects, in strict accordance with the inclusion criteria and exclusion criteria requirements, patients were divided into comorbid group (40 cases) and non-comorbid group (49 cases), using the Hamilton depression Scale (HAMD), Hamilton depression Scale (HAMD), the Toronto Alexithymia scale (TAS) were evaluated in the analysis of patients psychological characteristics, the results were statistically analyzed using SPSS17.0.Results HAMD score in the project, in the anxiety / somatization (t = 7.043, P = 0.000), weight loss (t = 3.005, P = 0.005), diurnal variation (t = 2.395, P = 0.036), hopelessness (t = 3.117, P = 0.004), HAMD total score (t = 16.034, P = 0.000) were statistically significant aspect (P <0.05); in HAMA regard, somatic anxiety (t = 6.116, P = 0.000), mental anxiety (t = 2.476, P = 0.035), HAMA total score (t = 8.847, P = 0.000) with relatively statistically significant (P <0.05); TAS score in terms of, TAS-I (t = 5.228, P = 0.000), TAS-Ⅱ (t = 2.941, P = 0.007), TAS-Ⅲ (t = 4.682, P = 0.003), TAS scores (t = 4.771, P = 0.003) with relatively statistically significant (P <0.05).Conclusions Comorbid patients with higher Hamilton depression score and Hamilton anxiety rating, but also has a high alexithymia, prompt diagnosis when the patient can refer to more comprehensive diagnostic evaluation methods.
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