Emrich H M, Lund R, von Zerssen D
Arch Psychiatr Nervenkr (1970). 1979;227(3):227-40. doi: 10.1007/BF00367393.
Vegetative functions were studied in a 66-year-old-male patient with 48-h unipolar cycles of depression. Salivary secretion, body temperature, and motor activity were measured at 3-h-intervals during the day and once at night. The mood state was assessed by two self-rating scales. There was a regular alternation between 'good' and 'bad' days. Salivary secretion was higher on good days, especially in the morning (P less than 0.002, 10:00). The shape of the 24-h-prolife was different on good and bad days, with a maximum at 10:00 on good at 16:00 on bad days. The mimimum in the night was the same on both good and bad days. Body temperature was increased, as compared with normal subjects (mean 37.2 degrees C) and the diurnal variation was slight. On good days, body temperature during the day was about 0.1 degree C higher than on bad days. Motor activity (arm and leg), registrated by means of the 'activity watch', was higher (during the day) on good days. The present data give some hints for a central dyregulation of vegetative functions in endogenous depression.
对一名患有48小时单相抑郁发作周期的66岁男性患者的植物神经功能进行了研究。白天每隔3小时测量一次唾液分泌、体温和运动活动,晚上测量一次。通过两个自评量表评估情绪状态。“好日子”和“坏日子”有规律地交替出现。好日子时唾液分泌较高,尤其是在早晨(P<0.002,10:00)。“好日子”和“坏日子”的24小时曲线形状不同,“好日子”在10:00达到峰值,“坏日子”在16:00达到峰值。“好日子”和“坏日子”夜间的最低点相同。与正常受试者相比(平均37.2摄氏度),体温升高,昼夜变化轻微。“好日子”白天的体温比“坏日子”高约0.1摄氏度。通过“活动手表”记录的运动活动(手臂和腿部)在“好日子”(白天)更高。目前的数据为内源性抑郁症中植物神经功能的中枢调节失调提供了一些线索。