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伴及不伴精神病症状女性重度抑郁症的临床对照研究

Clinical Control Study of Severe Depression in Women with and without Psychotic Symptoms
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摘要 目的探讨女性重度抑郁症伴及不伴精神病症状临床对照差异。方法将2020年1月至2021年1月作为本次研究时段,选取该时段内我院就诊的80例女性重度抑郁症患者进行研究。其中将40例伴精神病症状作为A组,将40例不伴精神病症状作为B组。使用汉密尔顿抑郁量表(HAMD)评估两组病情严重程度,使用症状自评量表(SCL-90)评估两组临床症状表现。结果两组HAMD评分比较差异不大(P>0.05)。A组焦虑、人际关系敏感因子评分明显低于B组,偏执、精神病性因子评分明显高于B组,差异显著(P<0.05)。结论女性重度抑郁症伴及不伴精神病症状对抑郁严重度无影响,但是心理症状存在差异,可用于判断疾病严重程度,为后期治疗提供参考。 Objective To investigate the clinical contrast difference of severe depression with and without psychosis in women.Methods From January 2020 to January 2021,80 female patients with severe depression were selected.Among them,40 patients with psychotic symptoms as A group,40 patients without psychiatric symptoms were treated as B group.Hamilton depression scale(HAMD)was used to evaluate the severity of the disease in both groups.a symptom self-rating scale(SCL-90)was used to evaluate the clinical symptom manifestations in both groups.Results A group compared with B group,HAMD score comparison,difference was not statistically significant(P>0.05).The scores of anxiety and interpersonal sensitivity factors in group A were significantly lower than those in group B,and the scores of paranoia and psychotic factors were significantly higher than those in group B,with significant differences(P<0.05).Conclusion There is no difference in the severity of depression in women with and without psychotic symptoms,but there are differences in psychological symptoms,can be used to determine the severity of the disease,to provide reference for later treatment.
作者 白云洋 张婷婷 戴子琪 徐晶 韩静艳 BAI Yunyang;ZHANG Tingting;DAI Ziqi;XU Jing;HAN Jingyan(Fourth People's Hospital,Liaoyang 111000,China)
出处 《中国医药指南》 2021年第8期67-68,共2页 Guide of China Medicine
关键词 重度抑郁症 精神病症状 女性 抑郁 Major depression Psychotic symptoms Female Depression
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