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首页> 外文期刊>Nordic journal of psychiatry. >Phenomenological differences between acute and chronic forms of major depression in inpatients.
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Phenomenological differences between acute and chronic forms of major depression in inpatients.

机译：住院患者急性和慢性形式抑郁的现象学差异。

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BACKGROUND: Chronic forms of depression are highly prevalent especially in inpatient settings. Defined only by episode duration greater than 2 years, heterogeneous diagnoses like dysthymic disorder, double depression, major depression and recurrent major depression are included. Chronic depression is considered difficult to treat, although its distinguishing characteristics remain unclear. AIMS: The purpose of the present study was empirically to approach proposed differences between acute and chronic forms of depression. METHODS: 80 psychiatric inpatients positively screened for depression and diagnosed with the Composite International Diagnostic Interview (CIDI), completed a set of questionnaires regarding symptom severity (a simplified version of the Beck Depression Inventory), dysfunctional attitudes (Dysfunctional Attitudes Scale), ruminative response style (Response Styles Questionnaire, Why Ruminate Scale) and interpersonal problems (Inventory of Interpersonal Problems; IIP). RESULTS: 30 patients were diagnosed with chronic forms of depression; 34 patients with acute depression. Patients did not differ regarding symptom severity, ruminative response styles, all but one subscales of the IIP or presence of comorbid post-traumatic stress disorder. However, chronic depression did show higher dysfunctional attitudes than acute depression, and reported higher rates of socially avoidant behavior. CONCLUSIONS: In line with previous findings, acute and chronic forms of depression differed in dysfunctional attitudes, which might actually reflect a distinguishing pattern of chronicity. Chronic depression patients also reported higher socially avoidant behavior, which might be crucial to focus in treatment. Surprisingly, other variables that are assumed to characterize chronic depression could not be confirmed as distinguishing features. Future research should take etiological aspects into account.
机译：背景：慢性抑郁症非常普遍，尤其是在住院环境中。仅由发作持续时间大于2年来定义，包括异质性诊断，如运动困难，重度抑郁，重度抑郁和复发性重度抑郁。慢性抑郁症的特征尚不清楚，但仍被认为难以治疗。目的：本研究的目的是根据经验来探讨急性和慢性抑郁形式之间的拟议差异。方法：对80名精神病住院患者进行了积极的抑郁筛查，并通过综合国际诊断面试（CIDI）进行了诊断，完成了一系列有关症状严重程度（贝克抑郁量表的简化版本），功能障碍态度（功能障碍态度量表），反刍反应的问卷调查风格（回应风格问卷，为什么要使用量表）和人际关系问题（人际关系问题清单; IIP）。结果：30例患者被诊断出患有慢性抑郁症。急性抑郁症34例。患者在症状严重程度，反刍反应方式，IIP的所有子量表（除了IIP的一个子量表）或创伤后应激障碍并存的症状方面均无差异。但是，慢性抑郁症确实比急性抑郁症表现出更高的机能障碍态度，并且报告出较高的社交回避行为发生率。结论：与先前的研究结果一致，急性和慢性抑郁症的功能障碍态度有所不同，这实际上可能反映出慢性病的独特模式。慢性抑郁症患者还报告了较高的社交回避行为，这对于集中治疗至关重要。出人意料的是，其他假设为慢性抑郁症特征的变量不能被确认为区别特征。未来的研究应考虑病因方面。

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