慢性抑郁症：203例在私人诊所接受治疗的门诊患者病例系列
Chronic depression: a case series of 203 outpatients treated at a private practice.
作者信息
Benazzi F
机构信息
Department of Psychiatry, Morgagni Public Hospital, Forlì, Italy.
出版信息
J Psychiatry Neurosci. 1998 Jan;23(1):51-5.
OBJECTIVE
To determine the prevalence of chronic depression among outpatients seen for depression.
DESIGN
Case series.
SETTING
Private practice.
PATIENTS
Two hundred and three outpatients with mood disorders, excluding patients with comorbid substance abuse disorders and severe personality disorders.
OUTCOME MEASURES
Prevalence rate and patient variables (diagnosis, age at baseline, age at onset, sex, number of previous episodes of depression, atypical features, psychiatric comorbidity, psychosis, duration of illness and baseline severity).
RESULTS
The prevalence of chronic depression was 46.7%, which is higher than previously reported. The number of depressive episodes was higher, the presence of psychotic symptoms was more common and the duration of illness was longer in patients with chronic depression than in those with nonchronic depression.
CONCLUSIONS
Chronic depression is more severe than nonchronic depression and is a prevalent illness in outpatients with depression seen in private practice.
目的
确定抑郁症门诊患者中慢性抑郁症的患病率。
设计
病例系列研究。
地点
私人诊所。
患者
203名患有情绪障碍的门诊患者，不包括合并物质滥用障碍和严重人格障碍的患者。
观察指标
患病率及患者变量（诊断、基线年龄、发病年龄、性别、既往抑郁发作次数、非典型特征、精神科共病、精神病、病程及基线严重程度）。
结果
慢性抑郁症的患病率为46.7%，高于先前报道。与非慢性抑郁症患者相比，慢性抑郁症患者的抑郁发作次数更多，精神病性症状更常见，病程更长。
结论
慢性抑郁症比非慢性抑郁症更严重，是私人诊所中抑郁症门诊患者中的一种常见疾病。
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