Dols A, Rhebergen D, Eikelenboom P, Stek M L
Polikliniek voor ouderen bij GGZ inGeest/VU mc te Amsterdam.
Tijdschr Psychiatr. 2010;52(8):583-8.
Melancholia is a historical concept according to which the clinical condition is characterised by gloom, apprehension and psychomotor disturbance, vital symptoms and psychotic phenomena. The condition needs to be accurately diagnosed if treatment is to be appropriate. If a patient shows no clear signs of depression, psychomotor disturbance is often not recognised as a feature of severe depression and as a result treatment is delayed. On the basis of two case studies we show that psychomotor symptoms can be extremely important for an accurate clinical evaluation.
忧郁症是一个历史概念，根据这一概念，临床病症的特征为情绪低落、忧虑和精神运动性障碍、生命体征症状及精神病性现象。若要进行恰当治疗，就需要对病情进行准确诊断。如果患者没有明显的抑郁迹象，精神运动性障碍往往不会被视为重度抑郁症的一个特征，结果导致治疗延误。基于两个病例研究，我们表明精神运动症状对于准确的临床评估可能极其重要。
