Marmanidis H, Holme G, Hafner R J
Glenside Hospital, Eastwood, South Australia.
Aust N Z J Psychiatry. 1994 Jun;28(2):274-8. doi: 10.1080/00048679409075639.
The study was carried out by the same research team in two metropolitan hospitals, one in Greece (N = 60) and one in Australia (N = 56). Subjects comprised patients consecutively admitted with a DSM-III-R diagnosis of depressive disorder, all of whom completed questionnaire measures of depression, anxiety and somatic symptoms. Clinical concepts and practices in the two hospitals were very similar. Overall levels of depression, anxiety and somatic symptoms in the two samples were almost identical, but there were differences in the pattern of somatic complaints: Greeks scored significantly higher on dizziness, paraesthesiae and masticatory spasms, and Australians scored significantly higher on drowsiness, hypersomnia and non-refreshing sleep, with the latter two items being the best discriminators of the two samples using discriminant function analysis. These findings, combined with factor analysis, suggested that symptoms associated with hyperventilation in the Greek sample, and with sleep disturbance in the Australian sample, explained most of the differences between them.
该研究由同一研究团队在两家大都市医院开展，一家在希腊（N = 60），另一家在澳大利亚（N = 56）。研究对象包括连续收治的被诊断为DSM-III-R抑郁症的患者，他们均完成了抑郁、焦虑和躯体症状的问卷调查。两家医院的临床概念和实践非常相似。两个样本中抑郁、焦虑和躯体症状的总体水平几乎相同，但躯体主诉模式存在差异：希腊人在头晕、感觉异常和咀嚼痉挛方面得分显著更高，而澳大利亚人在嗜睡、睡眠过多和睡眠不解乏方面得分显著更高，后两项是判别函数分析中区分两个样本的最佳指标。这些发现与因子分析相结合表明，希腊样本中与过度通气相关的症状以及澳大利亚样本中与睡眠障碍相关的症状解释了两者之间的大部分差异。
