抑郁性神经症的诊断研究

Diagnosis of depressive neurosis

对１９８４～１９９２年期间出院诊断为抑郁性神经症的患者９７例．分别以中国精神疾病分类方案与诊断标准，第２版（ＣＣＭＤ－２），国际疾病分类，第１０版（ＩＣＤ－１０）的恶劣心境和轻度抑郁以及美国精神障碍诊断统计手册。第３版修订本（ＤＳＭ－Ⅲ－Ｒ）诊断标准严格对照进行再诊断．结果发现９７例中符合ＣＣＭＤ－２抑郁性神经症标准者仅２３例（占２４％），其余７４例改变诊断为单次或反复发作抑郁症、其他类型神经症、双相情感性障碍的抑郁相或混合相以及精神分裂症等。以ＩＣＤ－１０和ＤＳＭ－Ⅲ－Ｒ诊断标准对照的结果也十分接近。可见这些诊断标准的一致性很高。对仰郁性神经症的诊断问题提出若干讨论意见。

e studied 97 patients who were diagnosed at thetime of discharge having depressive neurosis within theperiod of 1984￣ 1992.They were rediagnosed accord-ing to the diagnostic criteria of CCMD-2,dysthymiaand mild degree of depression in ICD-10 and DSM-Ⅲ-R.Only 23 patients were in accord with diagnostic cri-teria of CCMD-2 and maintained the diagnosis of de-pressive neurosis.The other 74 patients were diag-nosed as having depression (single or recurrentepisode) other types of neurosis, bipolar affective dis-orders (depressive phase or mixed phase) andschizophrenia. These diagnoses were similar to those inICD-10 and DSM-Ⅲ-R.