伴躯体症状的抑郁症300例临床分析

Clinical Analysis of 300 Cases of Depression with Somatic Symptom.

目的 探讨伴躯体症状的抑郁症的临床特征。方法 总结分析我院心理咨询门诊300例伴躯体症状的抑郁症的临床资料。结果 伴躯体症状的抑郁症患者女性多于男性,88.3％病人首诊于综合性医院非精神科,约90％的病人被误诊。躯体症状表现多样,累及多个器官和系统,以疲乏、胸闷、慢性疼痛、胃肠、心血管症状为主。结论 普及宣传抑郁症知识,提高整体人群,特别是综合医院时抑郁症的识别能力刻不容缓。

Objective To discuss the clinical teature ot depression patients with somatic symptoms. Methods To analyze the clinical data of 300 cases of depression with somatic symptoms in outpatients. Results There have much more female than male in depression patients,83. 3% of patients werer first treated by Non-psychological department in general hospital. Almost 90% patients were misdiagnosed. These patients have variform somatic symptoms involved many organs and systems,most patients complained about fatigue, chest discomfort, chronic pain and symptoms of cardiovascular and gastrointestinal system. Conclusion It is important to popularize the knowledge of depression, improve the cognitive ability to depression of whole population,especially the comprehensive hospital.