CLASSIFYING DEPRESSION BY MENTAL STATE SIGNS

被引:112
作者
PARKER, G
HADZIPAVLOVIC, D
BOYCE, P
WILHELM, K
BRODATY, H
MITCHELL, P
HICKIE, I
EYERS, K
机构
[1] Mood Disorders Unit, Prince Henry Hospital, 2036 Sydney, Little Bay
关键词
D O I
10.1192/bjp.157.1.55
中图分类号
R749 [精神病学];
学科分类号
100205 ;
摘要
The possibility that separation of a categorical depressive disease ('melancholia') from remaining depressive disorders can be improved by assessment of mental state signs was examined in patients treated by representative Sydney psychiatrists and patients referred to a specialised mood disorders unit. A set of signs, principally assessing retardation, was derived within the two samples by principal-components and latent-class analyses. Scores were significantly correlated with clinical DSM-III and RDC diagnoses, and appeared independent of severity, suggesting that melancholia can be defined phenomenologically. Scores were also associated with several 'validating' factors. Comparative analyses of a refined list of melancholia symptoms suggested that ratings of defined signs are likely to have greater capacity than symptom ratings to differentiate melancholia from residual depressive disorders.
引用
收藏
页码:55 / 65
页数:11
相关论文
empty
未找到相关数据