[抑郁症的社会心理病态]
V N Krasnov1,2, V V Kryukov1, S A Trushchelev3
1Serbsky National Medical Research Centre of Psychiatry and Narcology - Moscow Research Institute of Psychiatry, Moscow, Russia.
Zhurnal nevrologii i psikhiatrii imeni S.S. Korsakova
|December 21, 2023
概括
抑郁症的现象学已经发生了转变,更少的患者表达内或自杀念头,但努力表达情绪. 这种变化可能与社交媒体使用导致的情感词汇减少有关.
科学领域:
- 精神病学和心理学 精神病学和心理学
- 临床神经科学 临床神经科学
- 心理语言学 心理语言学
背景情况:
- 几十年来,人们一直在研究抑郁症的现象学,特别是忧郁的亚型.
- 抑郁症症状表现的变化可能反映出不断变化的社会和沟通模式.
研究的目的:
- 研究近几十年来抑郁症临床表现的变化.
- 为了比较20世纪80年代和2010年代-2020年代患者之间的抑郁症现象学.
主要方法:
- 从单一诊所收集的档案数据 (1980-1986年) 和最新数据 (2015-2021年) 的比较分析.
- 使用汉密尔顿抑郁症评分表 (HDRS-17) 评估103名 (第一组) 和109名 (第二组) 患者的症状.
- 统计分析包括频率分析与奇平方 (χ2) 测试.
主要成果:
- 生物介导症状 (睡眠障碍,日间变化,食欲变化) 在不同组之间保持一致.
- 情绪反应症状,包括无价值感,内和自杀念头,在最近的患者组 (组2) 较少出现.
- 第二组的患者,特别是年轻人,报告说,他们更难以表达情感,情感词汇有限.
结论:
- 这项研究表明,随着时间的推移,抑郁症的临床表现发生了变化,尽管存在类似的潜在疾病.
- 变化的意识和情绪的表达,可能受到社交媒体沟通等因素的影响,可能是当代抑郁症表现的特征.
- 心理语言因素,如情感词汇减少,可以解释观察到的抑郁现象学的转变.
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