うつ病と身体症状 : 精神科入院患者を対象として(各科におけるうつ病)

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Recently, much attention has been paid to the physical problem of depression. The depressed patients whose psychiatric syndromes are covered with more prominent somatic complaints, are not uncommon in daily general practice. The term of so called "masked depression", proposed from such a point of view, is now getting a great popularity. The present investigation was undertaken to classify the possible relationships between physical symptoms and various factors such as type of depression, sex, age, duration of admission, diurnal swing, premorbid character, etc. The total of 284 inoatients with depression were treated at Kitasato University Hospital, consisting of 102 cases of endogenous depression, 101 presenile depression, 13 senilke depression, 22 depressive reaction, 39 neurotc depression, 7 organic and symptomatic depression. The Results obtained were as followes ; 1) One hundred thierty-eight patients (48.6%) showed marked physical complaints and this phenomenon was observed more frequently in older cases. About 30% of the patients had recieved some treatment previously by general practitioners due to their somatic conditions. 2) More than 70 different kinds of physical symptoms were found in 284 patients, and they could be devided into three major categories ; that is 1) sleep disturbance, 2) gastrointestinal disturbance and 3) pains in various parts of the body. 3) In the cases of engogenous depression, their physical symptoms were closely related to reduction of vital feelings. Gastro-interstinal symptoms were seen predominantly in female patients and sleep disturbanced as well as general fatigue in male patients. 4) The patients with presenile depression manifested more physical symptoms of various kinds, and more frequently. 5) More severe automic symptom were tended to be found in the patients with long hospitalization. 6) While late insomnia was found more frequently in the patients with diurnal swing, early insomnia occurred in those with the compulsive character of Shimoda's type. The authors Discussed the clinical significance of physical problems in depressed patients on the basis of the above-mentioned findings.
日本心身医学会の論文
1978-02-01

うつ病と身体症状 : 精神科入院患者を対象として(各科におけるうつ病)

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