Ushiroyama T, Sugimoto O
Department of Obstetrics and Gynecology, Osaka Medical College.
Nihon Rinsho. 1994 May;52(5):1345-9.
The psychologic and somatic symptoms at climacterium are multiplicative, ill-defined, and nonspecific. We studied 390 climacteric patients with ill-defined psychologic and somatic symptoms. While such symptoms arise from an estrogen-deficient state of the menopause, these also occur in certain major psychiatric disorders, especially those of depression. Thirteen and twenty-one percent of the women were diagnosed as depression and masked depression, respectively. The incidence of generalized and panic disorder was 6.7% in each. The ill-defined syndrome of the menopausal age may be severe and persistent enough to meet the diagnosis of a major psychiatric illness, i.e. depression. As these disorders are important differential diagnoses, personality analysis and careful observation of clinical course may be indicated. Furthermore, the psychosomatic approach is recommended for all of these cases.
更年期的心理和躯体症状具有多样性、不明确性和非特异性。我们研究了390名有不明确心理和躯体症状的更年期患者。虽然这些症状源于更年期雌激素缺乏状态，但也见于某些主要精神障碍，尤其是抑郁症。分别有13%和21%的女性被诊断为抑郁症和隐匿性抑郁症。广泛性焦虑症和惊恐障碍的发病率均为6.7%。更年期年龄的不明确综合征可能严重且持续，足以符合重大精神疾病即抑郁症的诊断。由于这些障碍是重要的鉴别诊断，可能需要进行人格分析并仔细观察临床病程。此外，建议对所有这些病例采用心身治疗方法。
