Tebbi C K, Bromberg C, Mallon J C
Adolescent Unit, Roswell Park Memorial Institute, Buffalo, NY 14263.
Am J Pediatr Hematol Oncol. 1988 Fall;10(3):185-90. doi: 10.1097/00043426-198823000-00001.
The prevalence of depression was studied, using the Beck Depression Inventory (BDI) and Schedule for Affective Disorders and Schizophrenia (SADS), in a sample of 30 adolescent cancer patients. BDI scores revealed that 26 patients (87%) were not depressed, 4 (13%) were moderately depressed and no one had severe depression. Similarly, SADS data indicated no history of depression in 75% of the sample, and histories of minor and major depression in 14 and 10% of the sample, respectively. Females scored significantly higher (p less than .05) than males on BDI physical, but not psychological, items. The average response to BDI physical items was significantly greater (p less than .05) than to psychological items, suggesting that somatic symptoms are more salient than psychological symptoms of depression among adolescent cancer patients. Overall, however, as compared with norms, the rate of major depression among adolescent cancer patients is not greater than that for the population at large. These data do not exclude the possibility of masked symptoms, which only under stringent conditions will become obvious.
使用贝克抑郁量表（BDI）和情感障碍与精神分裂症量表（SADS），对30名青少年癌症患者样本进行了抑郁症患病率研究。BDI评分显示，26名患者（87%）未患抑郁症，4名（13%）中度抑郁，无人重度抑郁。同样，SADS数据表明，75%的样本无抑郁症病史，14%和10%的样本分别有轻度和重度抑郁症病史。在BDI的躯体项目上，女性得分显著高于男性（p<0.05），但在心理项目上并非如此。对BDI躯体项目的平均反应显著大于对心理项目的反应（p<0.05），这表明在青少年癌症患者中，躯体症状比抑郁症的心理症状更突出。然而，总体而言，与正常标准相比，青少年癌症患者中的重度抑郁症发生率并不高于一般人群。这些数据并不排除存在隐匿症状的可能性，只有在严格条件下这些症状才会显现出来。
