Jain Rakesh
Psychiatric Drug Research, R/D Clinical Research, Inc., Lake Jackson, TX, USA.
J Clin Psychiatry. 2009 Mar 9;70(3):e04. doi: 10.4088/JCP.8001tx1c.e04.
Patients with major depressive disorder (MDD) often present with pain or other physical symptoms in addition to psychological symptoms. This finding has been replicated in studies across the globe, even though the prevalence of MDD varies greatly internationally. The greater the number of physical symptoms, the more likely the patient is to have a mood disorder, but the presence of pain or physical symptoms negatively impacts physicians' ability to recognize MDD. To improve the recognition of MDD and ensure that patients receive appropriate treatment, clinicians should perform a differential diagnosis that includes psychiatric disorders when patients present with chronic pain or other somatic symptoms.
重度抑郁症（MDD）患者除了有心理症状外，还常常伴有疼痛或其他身体症状。这一发现已在全球范围内的研究中得到重复验证，尽管MDD在国际上的患病率差异很大。身体症状越多，患者患情绪障碍的可能性就越大，但疼痛或身体症状的存在会对医生识别MDD的能力产生负面影响。为了提高对MDD的识别率并确保患者得到适当治疗，当患者出现慢性疼痛或其他躯体症状时，临床医生应进行包括精神疾病在内的鉴别诊断。
