有精神病性症状抑郁症的现象学特征对照分析

Comparisive Study of the Syptoms Characteristics of Depression with Psychotic Symptoms.

目的探讨有精神病性症状抑郁症的现象学特征。方法将符合CCMD-3诊断标准的114例抑郁症,根据患者是否存在精神病性症状分组进行临床资料的对比分析。结果37.7%的抑郁症存在着各类妄想等精神病症状;有精神病性症状抑郁症起病时有明显的社会心理因素,自杀行为要高于无精神病性症状抑郁症的3.5倍,联合治疗占81.4%,近期疗效两组均较佳,但起效时间有精神病性症状抑郁症要慢。结论两组病例在现象学及治疗学上均存在着明显差异。

Objective To investgate the symptomatic characteristics of depression with psychotic symptoms. Methods 114 depression patients, who met CCMD-3 criteria for depression divided into groups, according to the patients complicated with psychotic symptoms or not,＇ then compared the clinical between them. Results The prevalence of depression with various declusions or other psychotic symptoms was 37.7%. The onset of depression with psychotic symptoms existed significant psychosocial factors, suicide behavior was 3.5 times more than the single depression. The prevalence of connected treatment was 81.4%. Both the near prognosis were favorable. But the drpression with psychotic symptoms required longer time to prove efficient than the other. Conclusion There were significent differencl between them both symptomatic and thcrapeutic.