在不同精神病综合征的背景下,评估同一症状 (疲劳) 报告严重性的变化
Maya Subramanian1, Timothy McAuliffe2, Himanshu Agrawal3
1College of Medicine, Medical College of Wisconsin, Milwaukee, USA.
Cureus
|September 26, 2023
概括
患有严重抑郁症 (MDD) 和普遍焦虑症 (GAD) 的患者根据背景不同地报告疲劳. 了解这种变异性是准确诊断和这些常见疾病的有效治疗策略的关键.
科学领域:
- 精神病学是一个精神病学.
- 临床心理学 临床心理学
- 医学诊断 医学诊断 医学诊断
背景情况:
- 疲劳是主要抑郁障碍 (MDD) 和泛性焦虑障碍 (GAD) 的常见症状.
- 精神疾病诊断和统计手册第五版 (DSM-5) 在MDD和GAD的诊断标准中包括疲劳.
- 自我报告的症状严重程度的变化可能会影响诊断的准确性和治疗的有效性.
研究的目的:
- 调查诊断为MDD和GAD的患者之间自我报告的疲劳严重程度的差异.
- 确定疾病的背景 (MDD与GAD) 是否影响患者对疲劳的感知和报告.
主要方法:
- 对100名因疲劳而被评估的患者的回顾性图表审查.
- 利用抑郁和焦虑问卷来评估疲劳症状的严重程度.
- 雇员相关样本威尔科克森签名等级测试和曼-惠特尼U测试用于统计比较.
主要成果:
- 在比较MDD和GAD情境时,在中位疲劳得分中发现了统计学上显著的差异 (p值=.008).
- 症状报告的顺序没有改变观察到的疲劳感知的显著差异.
- 结果表明,患者对疲劳的看法不同,取决于它与MDD或GAD有关.
结论:
- 根据潜在的精神病综合征 (MDD与GAD),疲劳感知有很大差异.
- 症状报告的背景对于准确诊断和治疗MDD和GAD患者至关重要.
- 这些发现强调了需要细微的诊断方法,考虑综合征特异性症状感知.
相关概念视频
Factors Affecting Illness
4.3K
When a person's physical, emotional, intellectual, social development or spiritual functioning is compromised, this deviation from a healthy normal state is called illness. Illness creates stress that in turn harms individuals. Irritation, anger, denial, hopelessness, and fear are behavioral and emotional changes an individual experiences in the phases of illness. A variety of factors influence a person's health and well-being.
For instance, risk factors are connected to illness,...
For instance, risk factors are connected to illness,...
4.3K
Diagnostic and Statistical Manual of Mental Disorders (DSM)
74
The Diagnostic and Statistical Manual of Mental Disorders (DSM) serves as the primary classification system for mental health disorders, providing standardized diagnostic criteria for clinicians and researchers. First published by the American Psychiatric Association (APA) in 1952, the DSM has undergone several revisions to reflect evolving psychiatric understanding. The fifth edition, DSM-5, released in 2013, introduced key updates that expanded diagnostic categories and modified diagnostic...
74
Depressive Disorders: Etiology
114
Depressive disorders result from a complex interplay of biological, psychological, and sociocultural factors, each contributing uniquely to the development and persistence of the condition. Understanding these factors provides critical insight into the multifaceted nature of depression.
Biological Factors in Depression
Biological predispositions significantly influence the risk of developing depressive disorders. Genetic studies highlight the role of variations in the serotonin transporter...
Biological Factors in Depression
Biological predispositions significantly influence the risk of developing depressive disorders. Genetic studies highlight the role of variations in the serotonin transporter...
114
Generalized Anxiety Disorder
150
Generalized Anxiety Disorder (GAD) is a chronic condition characterized by excessive and uncontrollable worry that persists for at least six months, significantly interfering with daily functioning. Unlike situational anxiety, which arises in response to specific stressors, GAD often occurs without a clear cause. Individuals may experience disproportionate worry about work, health, or relationships. For instance, a person might continuously fear poor health despite normal medical evaluations or...
150
Panic Disorder
129
Panic disorder is an anxiety disorder characterized by recurrent and sudden minutes-long episodes of intense fear, known as panic attacks. These attacks may feel like heart attacks and often happen without warning or a specific cause. They can include symptoms such as rapid heart rate, shortness of breath, chest pain, trembling, sweating, dizziness, and a sense of helplessness. During a panic attack, individuals may feel as though they are experiencing a heart attack or are in a...
129
Depressive Disorders: MDD and Dysthymia
149
Depressive disorders are a group of mental health conditions characterized by pervasive feelings of sadness, diminished pleasure in life, and a significant impact on daily functioning. These conditions are most prevalent in individuals during their 30s and affect women at twice the rate of men. Contrary to popular belief, younger individuals are generally more susceptible to these disorders than older adults. Two key types of depressive disorders include Major Depressive Disorder (MDD) and...
149


