摘要
目的探讨围绝经期综合征情绪障碍的临床特征及与焦虑症、抑郁症之间在症状学等方面的区别。方法收集围绝经期综合征妇女共148例(组1),与焦虑症(组2)、抑郁症各60例(组3),对就医者的第一病诉、人格与家系调查、临床症状、伴发的躯体化症状及精神病性症状等进行了临床对照分析,同时采用了艾森克人格测定,HAMA、HAMD、WPS的应激评定量表等对3组进行评定、对照。结果围绝经期综合征的妇女第一病诉是烦躁,易激惹,共102例,占就诊人数的68.91%,其临床症状主要是以多种症状合并的形式存在,人格与家系调查表明了围绝经期综合征有更多类似于焦虑症的特点,具有明显的神经质基础;抑郁症有更多的遗传学意义;围绝经期综合征伴发焦虑症状:HAMA总分为26.02±4.22,焦虑症病人:HAMA总分为25.57±6.17,t=0.55,P>0.05。表明两者焦虑程度无显著性差异;围绝经期综合征伴发抑郁症状:HAMD总分为15.50±5.71,抑郁症病人:HAMD总分为22.95±3.75,t=8.36,P<0.05,表明两者在抑郁的严重度上存在明显的差异;3组伴发的躯体化症状、精神病性症状人数比较均具有显著差异;应激评分比较,表明了更多的应激存在于围绝经期综合征的妇女中。结论3组临床特征的比较揭示了围绝经期综合征妇女与焦虑症、抑郁症之间存在的共同之处及不同点,有助于临床对疾病的识别。
Objective To explore the clinical features of mood disorder of perimenopeusal syndrome and its differences from anxiety and depression. Methods The research studied 148 cases of women patients with mood disorder of perimenopausal syndrome （Group Ⅰ） and 60 cases each of women patients of anxiety （Group Ⅱ） and depression （Group Ⅲ）, compared the patients＇ personal narration of their experiences, their characters and family history, clinical symptoms, somatization symtom and psychotic symptoms. Then EPQ, HAMA, HAMD, WPS, ect were used to test the three groups for comparison and e valuation. Results 102 patients in Group Ⅰ （68.91%）, in their personal narrations, have experienced impatience and irritation, along with various complications. Furthermore, surveys on their characters and family history reveal that their cases present more features similar to those of anxiety, whereas cases of depression is more related to genetics. The results of Group Ⅰ and Group Ⅱ in HAMA are 26.02±4.22 and 25. 57±6.17（t=0. 55, P〉0. 05） respectively, and there is no significant difference in levels of anxiety. But results of Group Ⅰand Group Ⅲ in HAMD, 15. 50±5.71 and 22. 95±3. 75（t=8.36, P〈0. 05） show significant difference between them in levels of depression. A comparison of cases with somatization symtom and psychotic symptoms among the three groups also shows a significant difference. The stress assessment score shows that stress is more frequent in the women in Group Ⅰ. Conclusion The similarities and differences among the three groups are helpful for clinical diagnosis in practice.
出处
《中国健康心理学杂志》
2007年第2期165-168,共4页
China Journal of Health Psychology
