Nakane Y, Ohta Y, Uchino J, Takada K, Yan H Q, Wang X D, Min S K, Lee H Y
Department of Neuropsychiatry, Nagasaki University School of Medicine, Japan.
Acta Psychiatr Scand. 1988 Dec;78(6):698-705. doi: 10.1111/j.1600-0447.1988.tb06407.x.
A study aimed at the standardization of symptom evaluation of patients with depression was carried out as the first step in an extensive collaborative study on affective disorders between centers in Nagasaki, Shanghai and Seoul. This study was initiated in order to clarify the factors affecting the low reported prevalence rates of depressive disorders in Asia. No significant difference in evaluation of psychiatric symptoms was observed between the 3 centers. Nevertheless, the diagnoses given by ICD-9 showed very interesting differences. For any given case, Nagasaki tended to make a diagnosis of an affective psychosis depression, while Shanghai made a diagnosis of neurotic disorder. No significant tendency was observed in the Seoul center. These findings are discussed in terms of their importance for future international collaborative studies.
作为长崎、上海和首尔各中心之间关于情感障碍的广泛合作研究的第一步，开展了一项旨在使抑郁症患者症状评估标准化的研究。开展这项研究是为了弄清楚影响亚洲抑郁症报告患病率较低的因素。3个中心在精神症状评估方面未观察到显著差异。然而，国际疾病分类第9版（ICD - 9）给出的诊断显示出非常有趣的差异。对于任何给定病例，长崎倾向于诊断为情感性精神病性抑郁症，而上海则诊断为神经症性障碍。首尔中心未观察到显著倾向。就这些发现对未来国际合作研究的重要性进行了讨论。
