Pendse Baba P G, Engström Gunnar, Träskman-Bendz Lil
Division of Psychiatry, Department of Clinical Neuroscience, Malmö University Hospital, Psychiatric Outpatient Clinic, Fosievägen 15, UMAS, S-205 02 Malmö, Sweden.
J Clin Psychiatry. 2004 Mar;65(3):322-7; quiz 452-3. doi: 10.4088/jcp.v65n0306.
Few studies have compared the psychopathology of patients with seasonal and nonseasonal mood disorders.
We compared the psychopathology of a consecutively referred sample of seasonal affective disorder (SAD) outpatients (N = 87) with that of hospitalized suicide attempters who had nonseasonal major depression (N = 65) by using the Comprehensive Psychopathological Rating Scale (CPRS). Diagnoses were made according to DSM-III-R criteria. Data were gathered from October 1992 to April 1996.
There were no significant differences in the CPRS total scores of all of the observed items or of the depression subscale items between the groups. The SAD sample had significantly (p <.05) higher scores on 18 reported non-psychotic items than the non-SAD suicide attempters. Eleven CPRS items were independently associated with SAD in a backward logistic regression analysis: the reported items were hostile feelings, indecision (negatively), lassitude, failing memory, increased sleep, muscular tension, loss of sensation or movement, and disrupted thoughts, and the observed items were perplexity, slowness of movement (negatively), and agitation.
As compared with non-SAD suicide attempters with major depression, SAD patients have an abundant symptomatology, reflected especially by scores on self-reported items.
很少有研究比较季节性和非季节性情绪障碍患者的精神病理学。
我们使用综合精神病理学评定量表（CPRS），比较了连续转诊的季节性情感障碍（SAD）门诊患者样本（N = 87）与患有非季节性重度抑郁症的住院自杀未遂者样本（N = 65）的精神病理学。诊断依据DSM-III-R标准做出。数据收集时间为1992年10月至1996年4月。
两组之间所有观察项目或抑郁分量表项目的CPRS总分均无显著差异。SAD样本在18项报告的非精神病性项目上的得分显著高于非SAD自杀未遂者（p <.05）。在向后逻辑回归分析中，11个CPRS项目与SAD独立相关：报告项目为敌对情绪、犹豫不决（负相关）、倦怠、记忆力减退、睡眠增加、肌肉紧张、感觉或运动丧失以及思维紊乱，观察项目为困惑、运动迟缓（负相关）和激动。
与患有重度抑郁症的非SAD自杀未遂者相比，SAD患者有丰富的症状表现，尤其体现在自我报告项目的得分上。
