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憂鬱神經症에 관한 臨床的 考察

Clinical Aspects of Depressive Neurosis

경북의대잡지 1977년 18권 1호 p.68 ~ 75
강석헌,
소속 상세정보
강석헌 (  ) - 경북대학교 의과대학 신경정신과교실

Abstract


To evaluate an outline of clinical pictures of depressive neurosis with an emphasis on recent history of life stresses in relatation to symptom onset as well as history of recent and early parental loss, the author reviewed the first diagnostic interview-notes of ninety seven cases of depressive neurosis.
All of the cases were interviewed by the author himself during last two years at OPD service of Kyungpook University Hospital, and were diagnosed as primary depressive neurosis.
From the review and analysis of the material, then following results could be summarized.
The most frequent complaint was related to physical symptom, contributing about 50 per cent, followed by emotional disturbance (21 per cent) anti cognitive disorder (19 per cent), and then there followed motivational disorder (8 per cent).
The individual item ot" symptom complaints was as follows in the order of decreasing frequency; headache, concentration difficulty and memory im~~airment, anxiety and nervousness, painful complaints, insominia, gastrointestinal symptoms and lastly fatigability.
The incidence of past history of parental loss by death or separation before age ten was twenty-three per cent and that of parental loss by death only eight per cent.
Major contributing facto: s to precipitation of depressive symptoms within one year prior to psychiatric visit were found to be separation or desertion from family, failures of entrance examinatio.i ant stress in school life.

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