Lyness Jeffrey M, King Deborah A, Conwell Yeates, Cox Christopher, Caine Eric D
Department of Psychiatry, University of Rochester Medical Center.
Am J Geriatr Psychiatry. 1993;1(4):288-295. doi: 10.1097/00019442-199300140-00003. Epub 2013 Jan 28.
The relationship of "somatic worry" to age, actual medical illness, and depression severity was examined in 91 psychiatric inpatients with unipolar major depression. Multiple regression analysis was used to determine the independent contributions of demographic, psychopathologic, and medical illness variables to the measures of somatic worry. Increased age and higher Ham-D scores were significantly and independently associated with greater somatic concern in the sample as a whole, but medical illness was not. Therefore somatic worry in depressed inpatients cannot be conceptualized as a direct consequence of poor physical health; age and the depressed state itself play important, though poorly understood, roles.
在91名患有单相重度抑郁症的精神科住院患者中，研究了“躯体担忧”与年龄、实际躯体疾病及抑郁严重程度之间的关系。采用多元回归分析来确定人口统计学、心理病理学和躯体疾病变量对躯体担忧测量指标的独立影响。在整个样本中，年龄增长和更高的汉密尔顿抑郁量表（Ham-D）得分与更高的躯体担忧显著且独立相关，但躯体疾病并非如此。因此，抑郁住院患者的躯体担忧不能被视为身体健康不佳的直接后果；年龄和抑郁状态本身起着重要作用，尽管人们对此了解甚少。
