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二十年来抑郁性抑郁症症状学的变化。核心症状和文化决定的症状。

Change in symptomatology of melancholic depression over two decades. Core symptoms and culturally determined symptoms.

作者信息

Ebert D, Martus P, Lungershausen E

机构信息

Department of Psychiatry, University of Erlangen, Germany.

出版信息

Psychopathology. 1995;28(5):273-80. doi: 10.1159/000284938.

DOI:10.1159/000284938
PMID:8559951
Abstract

The psychopathology of 183 patients with melancholic depression first admitted to our department in 1969 and 1970 was compared with that of 184 patients first admitted in 1989 and 1990. A multivariate statistical analysis was performed. The main results were as follows: A socioculturally invariable core syndrome of melancholia comprising psychomotor inhibition and vegetative disturbances can be identified. The contents of depressive thinking are, at least in part, culturally determined and vary with value changes in society. Paralleles to social change could be shown in particular for feelings of guilt and a concern with self-realization.

摘要

将1969年和1970年首次入住我科的183例忧郁症抑郁症患者的精神病理学与1989年和1990年首次入住的184例患者的精神病理学进行了比较。进行了多变量统计分析。主要结果如下:可以识别出一种社会文化上不变的忧郁症核心综合征,包括精神运动抑制和植物神经紊乱。抑郁思维的内容至少部分是由文化决定的,并随社会价值观的变化而变化。特别是在内疚感和对自我实现的关注方面,可以显示出与社会变化的平行关系。

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