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综合医院患者的抑郁模式与疾病行为

Patterns of depression and illness behaviour in general hospital patients.

作者信息

Fava G A, Zielezny M, Pilowsky I, Trombini G

出版信息

Psychopathology. 1984;17(3):105-9. doi: 10.1159/000284024.

DOI:10.1159/000284024
PMID:6473670
Abstract

Little interest has been taken in the characteristics of depression in medical and surgical patients and its correlations with syndromes which may be subsumed under the rubric of abnormal illness behaviour. Depressive symptoms and abnormal illness behaviour as measured by self-rating scales were studied among 325 inpatients of a general hospital. A principal component analysis was carried out. A first factor reflecting general severity was characterized by depressed affect, somatic symptoms, retardation, hypochondriasis, and disease conviction and showed considerable stability within the group. A second factor suggested that in contrast to the younger patients, older patients had a tendency to focus on somatic problems and not psychological determinants, were likely to attribute all difficulties to physical illness, and lacked readiness to report interpersonal friction.

摘要

人们对内科和外科患者的抑郁特征及其与可归入异常疾病行为范畴的综合征之间的相关性兴趣不大。在一家综合医院的325名住院患者中,研究了用自评量表测量的抑郁症状和异常疾病行为。进行了主成分分析。反映总体严重程度的第一个因素的特征是情绪低落、躯体症状、迟缓、疑病症和疾病确信感,并且在该组内显示出相当的稳定性。第二个因素表明,与年轻患者相比,老年患者倾向于关注躯体问题而非心理决定因素,可能将所有困难都归因于身体疾病,并且不愿意报告人际摩擦。

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