A Study on Psycho-social Background of Depressive Disorders and Adjustment Disorders with Depressive Mood who Mainly Complain Somatic Symptoms

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  • Ohta Daisuke
    Department of Psychosomatic Medicine, Toho University, School of Medicine

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  • 身体症状を主訴とするうつ病性障害ならびに抑うつ気分を伴う適応障害患者の心理・社会的背景についての研究
  • シンタイ ショウジョウ オ シュソ ト スル ウツビョウセイ ショウガイ ナラビニ ヨクウツ キブン オ トモナウ テキオウ ショウガイ カンジャ ノ シンリ シャカイテキ ハイケイ ニ ツイテ ノ ケンキュウ

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Abstract

It is reported that patients suffering from depression are increased in these days. Especially, the increase of depression who mainly have somatic complaints are reported. These patients often see general physicians or primary care doctors. We had a question if these depressives with somatic complaints are same as depressives with psychiatric complaints. So we investigated about psycho-social background of depressive patients with somatic complaints. Subjects are 142 patients who visited our department at least 3 times and diagnosed as depressive disorder or adjustment disorder with depressive mood. We divided these patients in two groups, one was P group whose chief complaints were psychiatric symptoms, the other was S group whose chief complaints were somatic symptoms. We investigated their psycho-social backgrounds retro-spectively, which were age, sex, period for seeking hospital, family history, past history, personality, outcome, etc. Statisticaly significant difference found between these two groups were family history about fatal physical diseases and past history of psychiatric disorders. S group had statisticaly significantly high rates of fatal physical diseases in their family, and P group had statisticaly significantly high rates of psyhiatric past history. It was indicated that family history with fatal disease is a factor to promote somatization in depressives.

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