Bronisch T, Hecht H
Max Planck Institute of Psychiatry, Munich, F.R.G.
J Affect Disord. 1990 Nov;20(3):151-7. doi: 10.1016/0165-0327(90)90138-x.
Twenty-two inpatients with an acute major depression without an additional lifetime DSM-III axis I diagnosis were compared with 20 inpatients suffering from an acute major depression with a coexistent anxiety disorder. The comparisons focused on social dysfunction, social support, and premorbid personality features. Characteristics of provoking life events and chronic conditions of life during the year before the index admission were analyzed exploratively. Major depressives with an anxiety disorder reported a higher number of abnormal premorbid personality traits such as neuroticism and a tendency towards social isolation; they had fewer confidants and lived alone more frequently than pure major depressives. Furthermore, pure major depressives reported more non-illness-related chronic burdening conditions during the year before the onset of depression than did major depressives with an anxiety disorder. However, there were no differences between the patient groups as to social dysfunction. The results point to fewer personal and social resources of the comorbidity group.
22例无其他终生DSM-III轴I诊断的急性重度抑郁症住院患者与20例伴有共病焦虑症的急性重度抑郁症住院患者进行了比较。比较集中在社会功能障碍、社会支持和病前人格特征方面。对索引入院前一年引发生活事件的特征和生活中的慢性病情况进行了探索性分析。伴有焦虑症的重度抑郁症患者报告有更多异常的病前人格特质，如神经质和社交孤立倾向；他们的知己较少，独居的频率比单纯的重度抑郁症患者更高。此外，单纯的重度抑郁症患者在抑郁症发作前一年报告的与疾病无关的慢性负担情况比伴有焦虑症的重度抑郁症患者更多。然而，两组患者在社会功能障碍方面没有差异。结果表明，共病组的个人和社会资源较少。
