CAJ | 학술논문

目的探讨通过症状自评量表测验结果诊断和鉴别焦虑症与抑郁症的可能性.方法对首诊的抑郁症和焦虑症患者,采用症状自评量表(SCL-90)比较各组间评分的差异.结果焦虑组除了躯体化因子外,其他各因子分明显低于抑郁组[躯体化(2.12±0.28)分,(2.24±0.82)分;强迫(2.21±0.84)分,(2.64±0.81)分;人际关系敏感(1.78±0.72)分,(2.28±0.81)分;抑郁(2.13,±0.82)分,(2.83±0.87)分;焦虑(2.26±0.85)分,(2.62±0.84)分;敌对(1.90±0.78)分,(2.26±0.82)分;恐怖(1.67±0.71)分,(2.01±0.76)分;偏执(1.68±0.78)分,(1.99±0.79)分;精神病性(1.88±0.71)分,(2.19±0.77)分],差异有非常显著性(P<0.01);焦虑组与抑郁组焦/抑郁比值的对照有显著性差异,根据焦焦虑/抑郁比值大于1或小于1再分组,比较SCL-90评分情况:焦虑组中比值大于1组SCL-90中除了抑郁分较比值小于1组明显升高以外(P=0.01),其余各因子分结果比较,差异无显著性(P0.05);抑郁组比值大于1组中躯体化、焦虑分较比值小于1组明显升高(P<0.01),而人际敏感、抑郁分较比值小于1组明显降低(P<0.05).结论抑郁症患者焦虑等症状严重程度较焦虑症患者重,仅凭症状的绝对严重程度无法区别焦虑症和抑郁症患者,焦虑和抑郁的相对严重程度(焦虑/抑郁比值)可以作为诊断和鉴别的参考.
목적 탐토통과증상자평량표측험결과 진단화감별초필증여억욱증적가능성.방법 대수진적억욱증화초필증환자,채용증상자평량표(SCL-90)비교각조간평분적차이.결과 초필조제료구체화인자외,기타각인자분명현저우억욱조[구체화(2.12±0.28)분,(2.24±0.82)분;강박(2.21±0.84)분,(2.64±0.81)분;인제관계민감(1.78±0.72)분,(2.28±0.81)분;억욱(2.13,±0.82)분,(2.83±0.87)분;초필(2.26±0.85)분,(2.62±0.84)분;활대(1.90±0.78)분,(2.26±0.82)분;공포(1.67±0.71)분,(2.01±0.76)분;편집(1.68±0.78)분,(1.99±0.79)분;정신병성(1.88±0.71)분,(2.19±0.77)분],차이유비상현저성(P<0.01);초필조여억욱조초/억욱비치적대조유현저성차이,근거초초필/억욱비치대우1혹소우1재분조,비교SCL-90평분정황:초필조중비치대우1조SCL-90중제료억욱분교비치소우1조명현승고이외(P=0.01),기여각인자분결과 비교,차이무현저성(P0.05);억욱조비치대우1조중구체화、초필분교비치소우1조명현승고(P<0.01),이인제민감、억욱분교비치소우1조명현강저(P<0.05).결론 억욱증환자초필등증상엄중정도교초필증환자중,부빙증상적절대엄중정도무법구별초필증화억욱증환자,초필화억욱적상대엄중정도(초필/억욱비치)가이작위진단화감별적삼고.
Objective To explore the possibility of diagnosis and differential diagnosis between anxiety disorder and depression disorder through the rating result of SCL-90.Methods 182 outpatients meet with the criteria of CCMD-Ⅲ for anxiety (n=90) and depression (n=92) were assessed by SCL-90 to compare the two groups of the patient Result All the factors of SCL-90 except somatic were significantly higher in the group of depression than that of anxiety group,but the ratio between anxiety and depression had significant difference;for the further analysis,the anxiety and the depression group were divided to two group respectively according to the anxiety/depression of SCL-90>1or<1.No differenees was observed in all factors of SCL-90 except depression between the anxiety/depression>1 or<1 groups in anxiety groups.Both the somatic and anxiety of SCL-90 in the anxiety/depression>1 group were significantly greater than those of the anxiety/ depression<1 group (P<0.05) in depression group.Otherwise,beth interpersonal sensitivity and depression of SCL-90 in the anxiety/depression>1 group were significant lower than those of the anxiety/depression<1 group (P<0.05) in depression group.Conclusion The patients with depression had more severe symptoms than the patients with anxiety,It was hard to differentiate between anxiety disorder and depression disorder only according to symptoms levels.The ratio between anxiety and depression was more valuable than that of absolutely severe of rating results.