在自我报告的抑郁躯体症状频率方面是否存在性别差异？
Are there any gender differences in frequency of self-reported somatic symptoms of depression?
作者信息
Wenzel Amy, Steer Robert A, Beck Aaron T
机构信息
Psychopathology Research Unit, Department of Psychiatry, University of Pennsylvania, 3535 Market St., Room 2029, Philadelphia, PA 19104, USA.
出版信息
J Affect Disord. 2005 Dec;89(1-3):177-81. doi: 10.1016/j.jad.2005.06.009. Epub 2005 Oct 3.
BACKGROUND
The purpose of this study was to evaluate whether self-reported somatic symptoms of depression, as measured by the Beck Depression Inventory-II (BDI-II), are more frequent in women than in men with major depressive disorder.
METHODS
A sample of 105 male and 105 female adult psychiatric outpatients diagnosed with major depressive disorder was classified according to endorsed changes in appetite, changes in sleeping pattern, and fatigue (i.e., "somatic depression") symptoms on the BDI-II.
RESULTS
The female to male ratio of somatic symptoms was approximately 2:1. Subsequent analyses found that change in appetite robustly distinguished between women and men and that fatigue partially distinguished between women and men.
LIMITATIONS
The sample was largely Caucasian and composed of patients with high rates of comorbidity who presented to a service known for specializing in cognitive therapy.
CONCLUSIONS
In outpatients with major depressive disorder, the higher prevalence of "somatic depression" in women is largely attributable to changes in appetite.
背景
本研究的目的是评估通过贝克抑郁量表第二版（BDI-II）测量的自我报告的抑郁躯体症状在患有重度抑郁症的女性中是否比男性更常见。
方法
对105名被诊断为重度抑郁症的成年男性和105名成年女性精神科门诊患者的样本，根据BDI-II上认可的食欲变化、睡眠模式变化和疲劳（即“躯体性抑郁”）症状进行分类。
结果
躯体症状的女性与男性比例约为2:1。后续分析发现，食欲变化能有力地区分女性和男性，疲劳在一定程度上能区分女性和男性。
局限性
样本主要是白种人，且由共病率高的患者组成，这些患者来自一家以认知治疗专长而闻名的机构。
结论
在患有重度抑郁症的门诊患者中，女性“躯体性抑郁”患病率较高主要归因于食欲变化。
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