National Stroke Research Institute, Melbourne, Vic., Australia.
Acta Psychiatr Scand. 2010 Jun;121(6):424-30. doi: 10.1111/j.1600-0447.2010.01558.x. Epub 2010 Apr 8.
It remains unclear whether mood depressive disorders after stroke have a distinct phenomenology. We evaluated the symptom profile of poststroke depression (PSD) and assessed whether somatic symptoms were reported disproportionately by stroke patients.
The sample was 149 stroke patients at 18 months poststroke and 745 age- and sex-matched general population controls. A comprehensive psychiatric interview was undertaken and depression was diagnosed according to DSM-III-R criteria.
Depressed controls reported more 'inability to feel' (P = 0.002) and 'disturbed sleep' (P = 0.008) than depressed stroke patients. Factor analysis of the 10 depressive symptoms identified two main factors, which appeared to represent somatic and psychological symptoms. There was no difference in scores on these two factors between stroke patients and controls.
Phenomenology of depression at 18 months poststroke is broadly similar but not the same as that described by controls. Somatic symptoms of depression were not over-reported by stroke patients.
目前尚不清楚中风后是否存在明显的心境抑郁障碍现象学。我们评估了中风后抑郁（PSD）的症状特征，并评估了躯体症状是否被中风患者不成比例地报告。
该样本包括 149 名中风后 18 个月的中风患者和 745 名年龄和性别匹配的一般人群对照。进行了全面的精神病学访谈，并根据 DSM-III-R 标准诊断抑郁。
抑郁对照组比抑郁中风患者报告了更多的“无法感受”（P=0.002）和“睡眠障碍”（P=0.008）。对 10 个抑郁症状进行的因子分析确定了两个主要因素，这两个因素似乎代表了躯体和心理症状。中风患者和对照组在这两个因素上的评分没有差异。
中风后 18 个月的抑郁现象学大致相似，但与对照组描述的并不完全相同。中风患者并没有过多地报告抑郁的躯体症状。
