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躯体化障碍与抑郁症的生物学特征及心理社会因素比较
Comparison between somatization disorder and depression in biological,psychological and social respects
【摘要】 目的 :了解躯体化障碍是否等同于隐匿性抑郁症。 方法 :按 DSM- 诊断标准收集躯体化障碍 5 6例 (A组 ) ,抑郁症 5 1例 (B组 )。对所有病例均用生活事件量表 (L ES) ,社会支持评定量表 (SSRS) ,明尼苏达多相人格调查表 (MMPI)进行测评 ,并作痛觉阈测定和地塞米松抑制试验(DST)。 结果 :A组 L ES总值显著高于 B组 ,SSRS总分显著低于 B组 ;躯体感觉阈 (SPT) ,痛觉阈 (PPT)及 DST阳性率亦显著低于 B组 ;MMPI模式特点与神经症近似。 结论 :躯体化障碍与抑郁症的特征相异而与神经症的特征相近。
【Abstract】 Objective:To find out whether somatization disorder is equal to masked depression. Method:Fifty six patients with DSM Ⅳ somatization disorder(group A) and 51 patients with DSM Ⅳ depression (group B) were assessed with life events scale (LES), social support rating scale (SSRS), Minnesota multiphasic personality inventory (MMPI), and underwent the pain threshold test and dexamethasone suppression test (DST). Results:Patients in group A had significantly more life events than those in group B; the total score of SSRS was significantly lower in group A than in group B; significant differences were also found in the somatosensory perception threshold (SPT), pani perception threshold (PPT) and the rate of DST positive reactions between the two groups; the MMPI profile characteristics of patients in group A were similar to that of patients with neurosis. Conclusion:Somatization disorder is different from depression in many aspects while similar to neurosis in some respects.
- 【文献出处】 临床精神医学杂志 ,JOURNAL OF CLINICAL PSYCHOLOGICAL MEDICINE , 编辑部邮箱 ,2000年02期
- 【分类号】R749.4
- 【被引频次】18
- 【下载频次】222