心境一致和心境不一致的精神病性抑郁：它们相同吗？

Mood congruent and incongruent psychotic depressions: are they the same?

作者信息

Burch E A, Anton R F, Carson W H

机构信息

Veterans Administration Medical Center, University of Utah School of Medicine, Salt Lake City.

出版信息

J Affect Disord. 1994 Aug;31(4):275-80. doi: 10.1016/0165-0327(94)90103-1.

DOI:10.1016/0165-0327(94)90103-1

PMID:7989642

Abstract

DSM-III and DSM-III-R instruct the clinician, if possible, to classify major depression with psychotic features into either the mood congruent (MC) or mood incongruent (MI) subtype. Patients hospitalized on a psychiatric unit for major depression with psychotic features were classified as predominantly MC or MI. The MC and MI groups did not differ significantly on a number of demographic or symptom severity variables. Thirteen (50%) MI patients experienced at least one MC symptom and 10 (71%) MC patients experienced at least one MI symptom. Overall, 25 (58%) of these patients experienced both MC and MI symptoms. This study demonstrates that subtyping psychotic depression into MC and MI subtypes is seldom an 'either-or' decision. Indeed, these results combined with findings from previous research suggests that there is no compelling scientific evidence for subclassifying psychotic depression into subtypes.

摘要

《精神疾病诊断与统计手册》第三版（DSM-III）和《精神疾病诊断与统计手册》第三版修订版（DSM-III-R）指导临床医生，若有可能，将伴有精神病性特征的重度抑郁症归类为心境一致（MC）或心境不一致（MI）亚型。因伴有精神病性特征的重度抑郁症而入住精神科病房的患者被归类为主要是MC型或MI型。MC组和MI组在一些人口统计学或症状严重程度变量上没有显著差异。13名（50%）MI型患者至少出现一种MC型症状，10名（71%）MC型患者至少出现一种MI型症状。总体而言，这些患者中有25名（58%）同时出现了MC型和MI型症状。这项研究表明，将精神病性抑郁症细分为MC型和MI型亚型很少是一个“非此即彼”的决定。事实上，这些结果与先前研究的发现相结合表明，没有令人信服的科学证据支持将精神病性抑郁症再细分为亚型。