新疆维吾尔族与汉族抑郁症患者临床特征的对照研究

The study of clinical characteristic between ethnic uygur and the Chinese in depression of Xinjiang

目的 探讨维、汉族抑郁症临床特征及其有关变量上的差异。方法 了解一般情况，采用汉密尔顿抑郁量表（HAMD）、症状自评量表（SCL-90）和明尼苏达多项人格调查表（MMPI）对维族97例、汉族129例抑郁症患者进行测试。结果维族组发病年龄、总病程[分别为（31．35±10．69）岁，（40．06±54．37）月]小于汉族组[分别为（34．94±12．09）岁，（60．15±73．65）月]，差异有显著性（P〈0．05）。临床HAMD测试维族组睡眠障碍因子分、体质量减轻因子分、认识障碍因子分[分别为（3．84±1．12）分，（0．55±0．99）分，（0．61±0．60）分]高于汉族组[分别为（3．34±1．56）分，（0．29±0．79）分，（0．40±0．43）分]，维族组绝望感因子分[（1．15±1．02）分]低于汉族组[（1．54±0．99）分]，差异有显著性（P〈0．05）。SCL-90测试，维族组躯体化症状因子分[（2．52±0．85）分]较汉族组[（2．14±0．84）分]更高，差异有显著性（P〈0．01）。MMPI测试2组有8个量表T分同时高于70分，6个量表T分同时低于70分。结论 民族文化对抑郁症发病规律、临床特征有影响，对抑郁症人格特征影响很小，不同民族抑郁症具有共同的人格特征。

Objective To investigate the similarities and differences of clinical characteristic and variable between Uygar and Han nationality inhospital patients in depression. Methods Knowing normal situation and Using HAMD,SCL-90,MMPI to test the 97 depression of Uygur nationality patients and 129 depression of Han na- tionality patients in hospital. Results It is less for Uygar nationality group than Han nationality group in first falling ill age and the whole ill process . It is significant differences（P〈0.05） . In HAMD test,it is higher for Uygar nationality group（3.84 ± 1. 12,0.55 ± 0.99,0.61 ± 0.60） than Han nationality group（3.34 ± 1.56,0.29 ± 0.79,0.40 ±0.43） in the points of sleep disorders factors and the points of weight loss factors and cognition disorders factors. It is less for Uygar nationality group（ 1.15 ± 1.02） than Han nationality group（ 1.54 ±0.99） in the points of depression factors. It is significant differences（ P〈 0.05 ）. In SCL-90 test,it is higher for Uygar nationality group （2.52 ± 0.85） than Han nationality group （2.14 ± 0.84） in the points of and somatization symptoms factors. It is extreme differences（ P 〈 0. 01 ）. In MMPI test, there are 8 tables for which T mark is higher than 70score together and there are 6 tables for which T mark is lower than 70 scores. Conclusion Nature culture have influence on the regulation and clinical characteristic of depression, but have very little affect on the personality characteristic, and different races depression have common personality characteristic.