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[抑郁症概念的现状(作者译)]

[The present state of the concept of depression (author transl)].

作者信息

Pichot P

出版信息

Encephale. 1981;7(4 Suppl):307-14.

PMID:7318748
Abstract

The author discusses the necessity of clarifying the classical dichotomy: endogenous vs. reactive or neurotic depression. The category of neurotic depression seems to be the most controversial. After mentioning the recent study by Klerman and al., he reports the results of an experimental study by Klerman and al., he reports the results of an experimental study conducted with a random sample of 100 French psychiatrists, who were asked to select, in a list of 32 criteria used in France for the diagnosis, those each considered important. A factor analysis of the answers leads to the description of three independent criteria-dimensions, the 100 psychiatrists being randomly distributed in the three dimensional space. The author concludes that each French psychiatrist has its own idiosyncrasic conception of the diagnosis of neurotic depression.

摘要

作者讨论了厘清经典二分法的必要性

内源性抑郁与反应性或神经症性抑郁。神经症性抑郁这一类别似乎最具争议性。在提及克莱曼等人最近的研究后,作者报告了克莱曼等人开展的一项实验研究结果。该实验以100名法国精神科医生的随机样本为对象,要求他们从法国用于诊断的32条标准列表中选出各自认为重要的标准。对答案进行因素分析后得出了三个独立的标准维度,这100名精神科医生随机分布在三维空间中。作者得出结论,每位法国精神科医生对神经症性抑郁的诊断都有其独特的观念。

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