CAJ | 학술논문

目的探讨神经性厌食症与抑郁症在内隐记忆方面的差别.方法选择2005年9月至2009年10月在中山大学附属第三医院精神科住院,初步诊断为神经性厌食症、抑郁症女性患者各21例.利用加工分离程序,分析抑郁症患者与神经性厌食症患者在内隐记忆测试上的差异.并对结果进行统计学比较.结果入院诊断为抑郁症的21例患者,其中3例出院时诊断为神经性厌食症,误诊率为14.3%;入院诊断为神经性厌食症的21例患者,其中5例出院时诊断为抑郁症,误诊率为23.8%.抑郁症组和神经性厌食症组在负性词汇及与厌食症相关词汇上存在内隐记忆偏差[(0.65±0.09)%比(0.55±0.08)%,P＜0.05;(0.43±0.10)%比(0.55±0.10)%,P＜0.01].结论神经性厌食症和抑郁症在内隐记忆测试上的差别,可应用于这两种疾病的临床鉴别诊断.
목적 탐토신경성염식증여억욱증재내은기억방면적차별.방법 선택2005년9월지2009년10월재중산대학부속제삼의원정신과주원,초보진단위신경성염식증、억욱증녀성환자각21례.이용가공분리정서,분석억욱증환자여신경성염식증환자재내은기억측시상적차이.병대결과진행통계학비교.결과 입원진단위억욱증적21례환자,기중3례출원시진단위신경성염식증,오진솔위14.3%;입원진단위신경성염식증적21례환자,기중5례출원시진단위억욱증,오진솔위23.8%.억욱증조화신경성염식증조재부성사회급여염식증상관사회상존재내은기억편차[(0.65±0.09)%비(0.55±0.08)%,P＜0.05;(0.43±0.10)%비(0.55±0.10)%,P＜0.01].결론 신경성염식증화억욱증재내은기억측시상적차별,가응용우저량충질병적림상감별진단.
Objective To explore the difference of implicit memory between anorexia nervosa(AN) and depressive disorder. Methods Forty-two women patients with initial diagnosis of anorexia nervosa(n=21) or de-pressive disorder(n=21) were recruited from the inpatient unit of psychiatry department of the Third Affiliated Hospital of SUN Yat-sen University during September 2005 to October 2009. The processes dissociation procedure was applied to analyze the difference of implicit memory test in the two groups. Results In 21 patients with initial diagnosis of depressive disorder,3 were diagnosed of anorexia nervosa on discharge,showing a misdiagnosis rate of 14.3%. In other 21 patients with initial diagnosis of anorexia nervosa,5 were diagnosed of depressive disorder on discharge,showing a misdiagnosis rate of 23.8%. There were implicit memory bias in negative terms and vocabulary associated with anorexia nervosa in both groups [(0.65± 0.09) % vs (0. 55 ± 0.08) %,P＜0.05;(0.43 ±0.10)% vs (0.55±0.10)%,P＜0.01]. Conclusion Our study suggests that the bias in implicit memory test may be a practical tool for the differential diagnosis of the two diseases.