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哪些内源性抑郁症状与快速眼动睡眠潜伏期缩短有关?

Which endogenous depressive symptoms relate to REM latency reduction?

作者信息

Giles D E, Roffwarg H P, Schlesser M A, Rush A J

出版信息

Biol Psychiatry. 1986 May;21(5-6):473-82. doi: 10.1016/0006-3223(86)90189-7.

Abstract

In most research dealing with biological abnormalities in depression, the clinical diagnosis of depression is made and the occurrence of a biological abnormality, for example, reduced REM latency, is documented. In this study, that design was reversed; REM latency was used as a grouping variable to assess empirically the "biological" priority of Research Diagnostic Criteria endogenous symptoms. We found that terminal insomnia, pervasive anhedonia, unreactive mood, and appetite loss were most likely to discriminate among "reduced" and "nonreduced" REM latency depressions at various threshold values. Contrary to expectation, diurnal mood variation was found equivalently in all categories of REM latency studied. Implications for clinical decision making based on endogenous symptoms are discussed.

摘要

在大多数关于抑郁症生物学异常的研究中,先做出抑郁症的临床诊断,然后记录生物学异常情况的出现,例如快速眼动睡眠潜伏期缩短。在本研究中,这种设计被颠倒过来;快速眼动睡眠潜伏期被用作分组变量,以实证评估研究诊断标准中内源性症状的“生物学”优先级。我们发现,在不同阈值下,终末失眠、普遍的快感缺失、情绪无反应和食欲减退最有可能区分“缩短”和“未缩短”快速眼动睡眠潜伏期的抑郁症。与预期相反,在所研究的所有快速眼动睡眠潜伏期类别中,昼夜情绪变化的情况是相同的。本文讨论了基于内源性症状进行临床决策的意义。

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