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重度抑郁症:抑郁与康复的行为参数

Major depression: behavioral parameters of depression and recovery.

作者信息

Schelde J T

机构信息

Department of Psychiatry, Frederiksberg Hospital, Copenhagen, Denmark.

出版信息

J Nerv Ment Dis. 1998 Mar;186(3):141-9. doi: 10.1097/00005053-199803000-00002.

Abstract

This paper reports on an ethological study of 11 depressed hospitalized subjects. Major depression and recovery are described in terms of general behavioral traits, i.e., behavior parameters. The hypothesis, that the primary behavioral feature of major depression is a reduction of social interaction and that secondary features are reduced self occupation and body mobility (posture flexibility) is tested. The behavioral patterns of depression and recovery are described and elucidated by 12 defined behavioral parameters, eight of which show significant changes between the first and the last hospital week. Findings from six of the parameters are consistent with the hypothesis and demonstrate social inhibition during depression; interactions between depression and nonverbal behavior are particularly striking. Findings also confirm that, during depression, self occupation and body mobility are reduced to a less significant degree than social inhibition. Possible relationships between findings and agitated forms of major depression are discussed. A final section examines findings in an evolutionary context and emphasizes their clinical implications.

摘要

本文报告了一项对11名住院抑郁症患者的行为学研究。重度抑郁症及其康复过程通过一般行为特征,即行为参数来描述。主要抑郁症的主要行为特征是社交互动减少,次要特征是自我活动和身体活动能力(姿势灵活性)降低,这一假设得到了检验。抑郁症和康复期的行为模式通过12个定义的行为参数进行描述和阐释,其中8个参数在住院第一周和最后一周之间显示出显著变化。六个参数的研究结果与该假设一致,表明抑郁症期间存在社交抑制;抑郁症与非语言行为之间的相互作用尤为显著。研究结果还证实,在抑郁症期间,自我活动和身体活动能力的降低程度不如社交抑制那么显著。文中讨论了这些研究结果与重度抑郁症激动形式之间可能的关系。最后一部分从进化角度审视了研究结果,并强调了它们的临床意义。

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