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《China Journal of Health Psychology》 2013-01
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The Clinical Features and Identification of Depression in General Hospital

Cheng Shuying,Yu Xiaoyu,Zheng Haiying,et al.Hebei United University,Tangshan 063000,P.R.China  
Objective To investigate the clinical symptoms of patients with depression in general hospital,and provide reference for clinicians to identify and diagnose depression.Methods The research investigated the symptoms of 127 depression patients who were divided into a group of adolescents and a group of adults with Hamilton Depression Scale(HAMD24)and homemade depressive symptoms questionnaire.Results ①The result of HAMD 24 showed significant differences between the group of adolescents and the group of adults on cognitive disorder(t=2.856,P=0.007),block(t=4.762,P=0.001)and feeling of despair(t=3.188,P=0.002).②The common symptoms before the visit of the patients were as follows:A variety of somatic symptoms,sleep disorders,fatigue/tiredness,depression/down/depressed,occupation,declining interest in learning(work)efficiency/performance decline,decline in cognitive function and family conflict.③The frequency of symptoms of the group of adolescents were higher than those of the group of adults in declining interest in learning(work)efficiency / performance decline(χ2=41.571,P=0.0001),weariness and truancy(absenteeism)(χ2=7.788,P=0.005),decline in cognitive function(χ2=5.005,P=0.025),family conflict(χ2=11.998,P=0.001),crying / irritable(χ2=4.915,P=0.027),suicide(χ2=23.993,P=0.046).Conclusion ①The main manifestation of patients with depression are somatic symptoms,sleep disorders and fatigue in general hospital.②In addition to hypothymergasia and somatic symptoms,the depression in the group of adolescents shows learning and interpersonal and social dysfunction symptoms.
【Fund】: 唐山市科学技术与发展指导计划项目(1250205A)
【CateGory Index】: R749.4
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