躯体化障碍与广泛性焦虑的情绪躯体主诉及服药依从性比较

The comparison of the mood, physical active depiction and drug compliance of the patients with somatic disorders and generalized anxiety disorder

目的探讨躯体化障碍与广泛性焦虑患者的情绪、躯体主诉及服药依从性差异。方法对3 7例躯体化障碍和 3 1例广泛性焦虑分别采用自编躯体症状主诉频数表和汉密尔顿焦虑量表 (HAMA)、抑郁量表 (HAMD)进行测评。结果两组HAMD总分无差异 ,躯体化障碍的认知障碍及阻滞因子分别低于和高于广泛性焦虑 (t =2 .676,P =0 .0 0 9;t =4.13 7,P =0 .0 0 1)。躯体化障碍的HAMA总分及躯体性焦虑分低于广泛性焦虑 (t =3 .773 ,P =0 .0 0 0 ;t =2 .996,P =0 .0 0 4)。胃肠道功能紊乱主诉躯体化障碍患者较常见 ,与自主神经功能紊乱有关的躯体主诉广泛性焦虑更多。服药依从性两组无差异。结论两组疾病症状互有重叠 ,在疾病现象学上缺乏独特性和特征性的症状结构。

Objective To explore the difference between the moods, physical active depiction and drug compliance in patients of somatic disorders and the patients with generalized anxiety disorder. Methods37 patients with somatic disorders and 31 patients with generalized anxiety disorder were studied and compared by the self-edited physical active depiction symptoms scale HAMA and HAMD respectively. Results There was no difference in the grades of HAMD between two groups. The factional grade of cognitive disorder is lower than that of generalized anxiety, but the impair factorial grade is higher than that of somatic disorder (t=2.676,P=0.009;t=4.137,P=0.001).The grade of HAMA in somatic disorder and the grade of somatic anxiety are lower than that of generalized anxiety disorder (t=3.773,P=0.000;t=2.996,P=0.004).Patients with somatic disorder are more obvious in gestational dysfunction as action depiction than other disease .There are many more autonomic dysfunction as active depiction in generalized anxiety. There is no difference in drug compliance between two groups.ConclusionsThe symptoms of two-group disease have the duplicate sections. The phenomenon of disease is lack of trait of symptom structure.