双相和单相抑郁在罗夏测验上的差异。
Differences between bipolar and unipolar depression on Rorschach testing.
机构信息
Department of Psychiatry, Hokkaido University Graduate School of Medicine, Kita-ku, Sapporo, Japan.
出版信息
Neuropsychiatr Dis Treat. 2013;9:619-27. doi: 10.2147/NDT.S42702. Epub 2013 May 7.
BACKGROUND
The bipolar-unipolar distinction in patients with a major depressive episode is the most important issue related to the diagnosis and treatment of mood disorders, but remains unresolved. This study was undertaken to compare bipolar and unipolar depression on Rorschach testing using the Comprehensive System with reference to healthy Japanese controls.
METHODS
Patients with bipolar or unipolar depression who had undergone the Rorschach test for routine clinical purposes were followed up naturalistically for a long period. Based on diagnostic confirmation after long-term follow-up, scores on this test for patients with bipolar and unipolar depression were compared with those published elsewhere for healthy Japanese controls.
RESULTS
The bipolar depression group showed significantly higher scores or positive findings in five variables of the Rorschach test, ie, WSum6, DR2 > 0, (CF + C) > FC + 2, PureC > 1, and Populars > 7, as assessed using the Comprehensive System, than did the unipolar depression group and healthy controls. These scores did not differ between the unipolar depression and control groups.
CONCLUSION
The results of this study show thought disorder or cognitive slippage and marked laxness in modulating emotion in bipolar depression, indicating the psychopathological characteristics of bipolar disorder.
背景
在重性抑郁发作患者中，双相-单相的区分是与心境障碍的诊断和治疗最相关的重要问题，但仍未解决。本研究旨在使用罗夏测验综合系统，与健康的日本对照组进行比较，来探究双相和单相抑郁之间的差异。
方法
对因常规临床目的而接受罗夏测验的双相或单相抑郁患者进行长期自然随访。根据长期随访后的诊断确认，将双相和单相抑郁患者在该测验上的得分与其他地方发表的健康日本对照组的得分进行比较。
结果
使用罗夏测验综合系统评估，双相抑郁组在 5 个变量上的得分或阳性发现显著高于单相抑郁组和健康对照组，即 WSum6、DR2＞0、（CF+C）＞FC+2、PureC＞1 和 Populars＞7。而单相抑郁组与健康对照组之间的这些得分没有差异。
结论
本研究结果表明，双相抑郁存在思维障碍或认知滑动，以及情绪调节明显松弛，提示双相障碍的精神病理学特征。
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