Tölle R
Klinik für Psychiatrie, Westfälischen Wilhelms-Universität, Münster.
Schweiz Arch Neurol Psychiatr (1985). 1988;139(3):43-58.
Melancholias (endogenous depressions) are also observed in neurotic persons, in character neuroses (personality disorders) as well as symptomatic neuroses. The neurotic disorders are demonstrable before, to some extent during and also after the melancholic phase. From casuistics, melancholias, particularly in cases of anxiety neurosis, cardiac neurosis, compulsion neurosis and depressive neurosis are reported on. The frequency of this concurrence is difficult to determine. Instead of making a diagnosis under any circumstances, it is nosologically more conclusive and clinically more beneficial to start from two independent diseases, which interfere in one patient.
忧郁症(内源性抑郁症)在神经症患者、性格神经症(人格障碍)以及症状性神经症中也有观察到。神经症性障碍在忧郁症阶段之前、在一定程度上在忧郁症阶段期间以及之后都可得到证实。从个别病例来看,有关于忧郁症的报道,尤其是在焦虑性神经症、心脏神经症、强迫性神经症和抑郁性神经症的病例中。这种并发情况的频率难以确定。与其在任何情况下都做出单一诊断,不如从两种相互干扰的独立疾病出发进行诊断,这在疾病分类学上更具决定性,在临床上也更有益。