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[社区诊所中抑郁症的诊断与预后]

[The diagnosis and prognosis of depressive disorders in a community clinic].

作者信息

Zhang M Y, Zhang S P, Zhou T X

机构信息

Shanghai Mental Health Center.

出版信息

Zhonghua Yi Xue Za Zhi. 1994 Oct;74(10):591-4, 645.

PMID:7842332
Abstract

To understand the prognosis and stability of diagnosis of depressive disorders, a follow-up study was carried out in a community clinic. The sample includes of 90 cases whose original psychiatric diagnosis were 38 depressive disorders (16 depression and 22 depressive neurosis) and 52 non-depressive neurosis. Eight years later, rediagnosis was made by using the same assessment instruments and diagnostic criteria. The results suggest that the diagnosis are quite stable and the Kappa tests show the predictive validity of diagnosis is 0. 73 in depression and 0.84 in depressive neurosis. Besides a few differences both depression and depressive neurosis have similar characteristics in clinical features, prognosis and outcome.

摘要

为了解抑郁症的预后和诊断稳定性,在一家社区诊所开展了一项随访研究。样本包括90例患者,其最初的精神科诊断为38例抑郁症(16例抑郁发作和22例抑郁性神经症)和52例非抑郁性神经症。八年后,使用相同的评估工具和诊断标准进行重新诊断。结果表明诊断相当稳定,Kappa检验显示抑郁症诊断的预测效度为0.73,抑郁性神经症为0.84。除了一些差异外,抑郁发作和抑郁性神经症在临床特征、预后和转归方面具有相似特点。

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