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Pessimism, Worthlessness, Anhedonia, and Thoughts of Death Identify DSM-IV Major Depression in Hospitalized, Medically Ill Patients

机译:悲观,毫无价值,快感不足和死亡的想法可确定住院的医疗疾病患者的DSM-IV重度抑郁

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Major depression can be difficult to diagnose in medically ill patients, as distinct mood states may not be adequately differentiated. Previous research has found several dimensions of mood states, including demoralization (hopelessness/helplessness) and anhedonia (inability to experience pleasure). DSM-IV major depression was highly prevalent in the clusters of participants typified by high levels of demoralization, and to a slightly lesser extent, anhedonia.
机译:由于可能无法充分地区分不同的情绪状态,因此在医疗疾病患者中很难诊断出严重的抑郁症。先前的研究发现了情绪状态的几个方面,包括士气低落(无助/无助)和快感不足(无法体验快乐)。 DSM-IV重度抑郁症以高水平的士气低落为特征,在参与者群中非常普遍,而快感低下的程度则较小。

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    《Psychosomatics》 |2010年第4期|p.302-311|共10页
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    DEAN P. MCKENZIE, PH.D., DAVID M. CLARKE, PH.D., FRANZCPANDREW B. FORBES, PH.D., MALCOLM R. SIM, PH.D., FAFOM, FFOMReceived July 15, 2008, revised October 24, 2008, accepted October 28, 2008. From the Monash Centre for Occupational and Environmental Health, Dept. of Epidemiology and Preventive Medicine, Monash University, Melbourne, Australia, and the Psychological and Behavioural Medicine Unit, School of Psychiatry, Psychology, and Psychological Medicine, Monash University, Monash Medical Centre, Clayton, Australia. Send correspondence and reprint requests to Dr. Dean P. McKenzie, Monash Centre for Occupational and Environmental Health, Dept. of Epidemiology and Preventive Medicine, School of Public Health and Preventive Medicine, Monash University, The Alfred Centre, 99 Commercial Road, Melbourne, Victoria, 3004 Australia, e-mail: dean.mckenzie@med.monash.edu.au© 2010 The Academy of Psychosomatic Medicine,;

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