Yates W R, Wesner R B, Thompson R
Department of Psychiatry, University of Iowa College of Medicine, Iowa City 52242.
J Affect Disord. 1991 May-Jun;22(1-2):37-42. doi: 10.1016/0165-0327(91)90081-3.
To determine the validity of the DSM-IIIR category organic mood disorder, we compared 50 psychiatric consultations with this diagnosis to 50 psychiatric consultations diagnosed with major depression in the medically ill. Organic mood disorder patients were more likely to be in the index affective disorder episode and have a negative family history of depression. Despite similar pharmacologic treatment between groups, the organic mood disorder group was less likely to be completely recovered at 4 years follow-up. This study suggests organic mood disorder is a valid diagnosis in the psychiatry consultation service.
为确定《精神疾病诊断与统计手册》第三版修订本（DSM-IIIR）中器质性心境障碍这一类别诊断的有效性，我们将50例诊断为此病的精神科会诊病例与50例被诊断为内科疾病伴重度抑郁的精神科会诊病例进行了比较。器质性心境障碍患者更有可能处于首发情感障碍发作期，且有抑郁家族史阴性。尽管两组之间的药物治疗相似，但在4年随访时，器质性心境障碍组完全康复的可能性较小。这项研究表明，器质性心境障碍在精神科会诊服务中是一个有效的诊断。
