Department of Psychiatry and Psychotherapy, Medical University of Silesia, Katowice, Poland.
Psychiatr Danub. 2011 Sep;23 Suppl 1:S87-90.
The target of this work is to consider if depressive symptoms intercurrent with patients suffering from Anorexia Nervosa (AN) and Bulimia Nervosa (BN) form a depression complex or whether they are physiological depression accompanying adolescence. We wished to observe the perception of these patients,of their functioning, both social and within their families and also looking for common point in the issues mentioned above trying to locate them within the course of the basic illness.
We studied 19 patients suffering from eating disorders, and aged between 12 and 24 years old. 15 of them suffered from the restrictive form of AN and 4 suffered from BN. The control group consisted of 30 healthy girls in the same age interval. In the study authors used the Beck Depression Inventory (BDI) and the Quebec Quality of Life Questionnaire.
Comparison of a number of points acquired in the survey using Beck Depression Scale revealed statistic significance at the level p<0.001 which points to a more frequent occurrence of depression symptoms among persons with eating disorders comparing to control group. The survey using the Questionnaire for Social Quality showed no statistically significant differences between study and control groups (p>0.05). The authors observed a statistically significant increased frequency of suicidal thoughts in the study group compared to the controls.
To diagnose depression, depressive symptoms presented by the patients must give the image of depression at the clinical level. The result of the Beck's scale needs to be confronted with the clinical picture. Depression in adolescence requires differentiation from depressiveness.
本研究旨在探讨伴有神经性厌食症(AN)和神经性贪食症(BN)的抑郁症状是否构成抑郁综合征,还是青春期伴随的生理性抑郁。我们观察了这些患者对自身功能的感知,包括社交和家庭功能,并在上述问题中寻找共同点,试图将其定位在基本疾病的病程中。
我们研究了 19 名年龄在 12 至 24 岁之间的饮食障碍患者。其中 15 名患有限制型 AN,4 名患有 BN。对照组由 30 名年龄在相同年龄区间的健康女孩组成。研究中作者使用贝克抑郁量表(BDI)和魁北克生活质量问卷。
使用贝克抑郁量表对调查中获得的多项指标进行比较,发现具有统计学意义(p<0.001),这表明与对照组相比,饮食障碍患者更频繁地出现抑郁症状。使用社会质量问卷的调查显示,研究组和对照组之间没有统计学上的显著差异(p>0.05)。与对照组相比,研究组中自杀念头的发生频率明显增加。
为了诊断抑郁,患者出现的抑郁症状必须在临床层面呈现出抑郁的形象。贝克量表的结果需要与临床情况相对照。青春期抑郁需要与抑郁性情绪区分开来。