干旱区生态环境知识资源中心(Arid): 抑郁症门诊患者躯体症状主诉及疗效比较

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	抑郁症门诊患者躯体症状主诉及疗效比较
其他题名	A comparing study between somatic complain and effectiveness among depressed outpatients
	季建林 1; 赵梅 1; 王崇顺 2
来源期刊	中国行为医学科学
ISSN	1005-8559
出版年	2005
卷号	14 期号:10 页码:892-893,896
中文摘要	目的了解抑郁症患者常见躯体主诉,探讨不同求医主诉患者的临床症状特点及治疗疗效.方法连续门诊就诊、符合CCMD-3诊断标准的抑郁症患者,根据求医主诉不同（采用三级病诉法）分为躯体症状主诉组和精神症状主诉组,各30例.给予8周氟西汀（百优解）治疗,治疗前和治疗后1,4,8周分别予HAMD-17、CGI、TESS等量表评定.结果抑郁症患者最常见的三大类躯体主诉为疼痛（52%）、胃肠道症状（25%）、疲劳和精力缺乏（17%）,并且75%的躯体症状主诉抑郁症患者在深入问诊时承认有精神症状.经8周氟西汀治疗,躯体症状主诉组有效率和临床治愈率分别为83%和51%,精神主诉组有效率和治愈率分别为86%和70%.结论两组患者都具有抑郁症核心症状,但躯体症状主诉抑郁症患者程度较重,并且急性期治疗时间可能需要更长.[著者文摘]
英文摘要	Objective To classify the common somatic complains of depressed outpatients, and to corn-pure the clinical characteristics and treatment effectiveness between somatic and mental complains among depressed oases. Methods 60 outpatients who met the CCMD-3 criteria of major depression are divided into two groups (somatic and menial complain groups) , and treated with Fluoxetine (Prozac) for 8 weeks, meanwhile rated with HAMD-17,CGI and TESS at baseline, after treatment 1, 4 and 8 weeks. Results The most common somatic MiinpluiriK are pain ( 52% ) , gestro-inlestinal symptoms (25% ) and fatigue or lack of energy (16. 7% ) . Three-forlh oi them will express their blue mood symptoms if the depressed patients with somatic complains are deeply in-terviewed wilh mental assessments. After 8 week-treatment with Fluoxetine, the response rale is over 80% between two groups, but the remission rate among somatic depressed group is lower than the group of mental complains (51% vs 70%< ) . Conclusion The somatic complain and symptoms are not uncommon, and sometimes the severi-ty in manifeslulions is more severe among the somatic depressed than the cases with low mood complains, as well as needed longer treatment for remission in the earlier group.
中文关键词	抑郁症 ; 躯体症状 ; 氟西汀 ; 临床治愈 ; 抑郁症患者 ; 躯体症状 ; 门诊患者 ; 主诉 ; 疗效比较 ; 临床治愈率 ; 治疗疗效 ; 精神症状
英文关键词	CCMD-3 Major depression Somatic complain Fluoxetine Remission
语种	中文
国家	中国
收录类别	CSCD
WOS类目	CLINICAL NEUROLOGY ; PUBLIC ENVIRONMENTAL OCCUPATIONAL HEALTH
WOS研究方向	Neurosciences & Neurology ; Public, Environmental & Occupational Health
CSCD记录号	CSCD:2150610
资源类型	期刊论文
条目标识符	http://119.78.100.177/qdio/handle/2XILL650/206920
作者单位	1.复旦大学附属中山医院心理医学科, 上海 200032, 中国; 2.上海市第一人民医院医学心理科
推荐引用方式 GB/T 7714	季建林,赵梅,王崇顺. 抑郁症门诊患者躯体症状主诉及疗效比较[J],2005,14(10):892-893,896.
APA	季建林,赵梅,&王崇顺.(2005).抑郁症门诊患者躯体症状主诉及疗效比较.中国行为医学科学,14(10),892-893,896.
MLA	季建林,et al."抑郁症门诊患者躯体症状主诉及疗效比较".中国行为医学科学 14.10(2005):892-893,896.