摘要
目的探讨非精神科门诊抑郁症的临床特点、治疗及误诊情况。方法对符合DSM-IV抑郁症诊断标准,且汉密尔顿抑郁量表(HAM D)评分≥18,抑郁自评量表(SDS)评分≥60(标准分)的72例以躯体不适就诊于非精神科门诊,经多方查治无效而转入精神科门诊的患者,进行临床及量表分析。结果 72例中,有77.8%的初诊患者第一主诉是躯体不适和睡眠障碍,而非抑郁症状。经氟西汀治疗6周后,HAM D、SDS及汉密尔顿焦虑量表(HAMA)评分明显下降(P〈0.01)。结论非精神科门诊抑郁症患者正确识别可减少误诊发生,抗抑郁剂的应用可有效缓解抑郁症状和躯体不适。
Objective To study the clinical features,treatment and misdiagnosis of depression in non-psychiatric department.Methods All patients referred to psychiatric outpatient department were screened with depression according to DSM-IV,and HAMD and SDS,72 of them scored higher than 18 of HAMD and 60 of SDS.Then their clinical features,treatment and scales were analysed.Results Among 72 patients with depression,77.8% consulted their physician with chief complaint of somatic discomfort or sleep disorder first.The scores of HAMD,SDS and HAMA significantly decreased after 6 weeks treatment with Flucidine(P0.01).Conclusion Correct recognition of depression in non-psychiatric department may reduce the misdiagnostic rate.Antidepressant can improve de-pression and somatic discomfort.
出处
《中国健康心理学杂志》
2011年第7期783-784,共2页
China Journal of Health Psychology