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[隐匿性抑郁症与内科医学]

[Masked depression and internal medicine].

作者信息

Härtel F

机构信息

Zentralen Klinik für Neurologie/Psychiatrie Wiesenburg.

出版信息

Z Gesamte Inn Med. 1989 Aug 1;44(15):457-61.

PMID:2815890
Abstract
  1. Larvate depressions (LD) are a particular type of significance of endogenic depressions. 2. Somatic-vegetative symptoms are mostly uppermost and involve the risk of diagnostic and therapeutic errors. Therefore it is particularly to be thought of the diagnosis of a larvate depression in non-psychiatric subjects. 3. Diagnostically decisive is the comprehension of the discretely existing endomorphous cyclothymic fundamental syndrome. 4. The therapy is that of the endogenic depression. Essential fundaments are the administration of psychopharmacologic agents, particularly tricyclic antidepressive drugs, the consequent psychic management of the patients, at the beginning emphasized in the sense of tranquilizing assurances and the consideration of social points of view.
摘要
  1. 隐匿性抑郁症(LD)是内源性抑郁症中一种具有特殊意义的类型。2. 躯体 - 植物神经症状大多最为突出,且存在诊断和治疗错误的风险。因此,在非精神科患者中尤其要考虑隐匿性抑郁症的诊断。3. 诊断的关键在于理解离散存在的内胚层环性心境基础综合征。4. 治疗方法与内源性抑郁症相同。基本要点包括使用精神药物,特别是三环类抗抑郁药,对患者进行后续的心理管理,并在开始时着重给予安抚性保证以及考虑社会因素。

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