抑郁症——医疗利用与躯体化
Depression--medical utilization and somatization.
作者信息
Katon W, Berg A O, Robins A J, Risse S
出版信息
West J Med. 1986 May;144(5):564-8.
Abstract
We screened 147 primary care patients for depression using depression rating scales and a psychiatric interview. In the one year after screening, the patients with depression visited and phoned their physicians more frequently and had more medical evaluations than the nondepressed control group. The patients with depression were more likely to have nonspecific or vague complaints and psychophysiologic or depressive symptoms than the control group; their family physicians during this same period were more likely to diagnose a psychophysiologic problem.
摘要
我们使用抑郁评定量表和精神科访谈对147名初级保健患者进行了抑郁症筛查。在筛查后的一年里，抑郁症患者比未患抑郁症的对照组更频繁地拜访和致电他们的医生，并且接受了更多的医学评估。与对照组相比，抑郁症患者更有可能出现非特异性或模糊的主诉以及心理生理或抑郁症状；在同一时期，他们的家庭医生更有可能诊断出心理生理问题。
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