Kuhs H
Department of Psychiatry, University of Münster, Germany.
Compr Psychiatry. 1991 May-Jun;32(3):217-28. doi: 10.1016/0010-440x(91)90042-b.
In this psychopathological study, the subjective experience of anxiety was investigated in depressive patients by means of a semistructured interview. Both International Classification of Diseases-9 (ICD-9) diagnostic criteria (melancholia or neurotic depression; N = 160 or 93, respectively) and the DSM-III classification system (major depressive episode with or without "melancholia"; N = 63 or 153, respectively) were applied. Anxiety can be identified in virtually all patients examined. In contrast, the themes of anxiety are subject to substantial differences. There is a statistically significant correlation between the extent of anxiety and the severity of depression by the Hamilton Depression Scale (Ham-D). However, a distinction between anxiety and depression is possible in the majority of cases if the contents of anxiety are taken into account.
在这项精神病理学研究中，通过半结构化访谈对抑郁症患者的焦虑主观体验进行了调查。采用了国际疾病分类第9版（ICD - 9）诊断标准（忧郁症或神经症性抑郁症；分别为N = 160或93）以及精神疾病诊断与统计手册第三版（DSM - III）分类系统（伴有或不伴有“忧郁症”的重度抑郁发作；分别为N = 63或153）。实际上在所有接受检查的患者中都能识别出焦虑。相比之下，焦虑的主题存在显著差异。根据汉密尔顿抑郁量表（Ham - D），焦虑程度与抑郁严重程度之间存在统计学上的显著相关性。然而，如果考虑焦虑的内容，在大多数情况下可以区分焦虑和抑郁。
