Kalita Kamal Narayan, Hazarika Jyoti, Sharma Mohan, Saikia Shilpi, Patangia Priyanka, Hazarika Pranabjyoti, Sarmah Anil Chandra
Department of Psychiatry, Lokopriya Gopinath Bordoloi Regional Institute of Mental Health, Tezpur, Assam, India.
Department of Microbiology, Lokopriya Gopinath Bordoloi Regional Institute of Mental Health, Tezpur, Assam, India.
Indian J Psychol Med. 2017 Jan-Feb;39(1):46-51. doi: 10.4103/0253-7176.198949.
Early diagnosis and management of depression is important for better therapeutic outcome. Strategies for distinguishing between unipolar and bipolar depression are yet to be defined, resulting improper management. This study aims at comparing the socio-demographic and other variables between patients with unipolar and bipolar depression, along with assessment of severity of depression.
This cross sectional study was conducted in a tertiary care psychiatry hospital in North-East India. The study included total of 330 subjects selected through purposive sampling technique from outpatient department after obtaining due informed consent. Mini-International Neuropsychiatric Interview (M.I.N.I.) version 6.0 and Beck Depression Inventory (BDI) were applied. Statistical Package for Social Sciences (SPSS) version 16.0 was applied for analysis.
Bipolar group had onset of illness at significantly younger age with more chronicity (32.85 ± 11.084). Mean BDI score was significantly higher in the unipolar depressive group.
Careful approach in eliciting symptom severity and associated socio demographic profiles in depressed patients may be helpful in early diagnosis of bipolar depression.
抑郁症的早期诊断和管理对于获得更好的治疗效果至关重要。区分单相抑郁和双相抑郁的策略尚未明确，导致治疗不当。本研究旨在比较单相抑郁和双相抑郁患者的社会人口学及其他变量，并评估抑郁的严重程度。
本横断面研究在印度东北部的一家三级精神病专科医院进行。通过目的抽样技术从门诊部选取了330名受试者，并获得了适当的知情同意。应用了迷你国际神经精神访谈（M.I.N.I.）第6.0版和贝克抑郁量表（BDI）。使用社会科学统计软件包（SPSS）第16.0版进行分析。
双相情感障碍组发病年龄显著更小，病程更长（32.85±11.084）。单相抑郁组的平均BDI得分显著更高。
在评估抑郁症患者症状严重程度及相关社会人口学特征时采取谨慎的方法，可能有助于双相抑郁的早期诊断。
