Objective To explore the relationship between symptoms and psychopathology of depression with obsessive symptoms. Methods The obsessive and depressive symptoms in 43 cases of depression with obsessive compulsive sympt...Objective To explore the relationship between symptoms and psychopathology of depression with obsessive symptoms. Methods The obsessive and depressive symptoms in 43 cases of depression with obsessive compulsive symptoms were analyzsed and compared with 50 cases of depression without obsessive symptoms and 30 cases of pure obsessive compulsive disorders (OCD). Results The Y BOCS score of depressive patients with obsessive features was noticeable and was correlated with the score of HAMD, anxity/somatization and cognitive disorder. The rate of obsessive symptoms in depressive state was 86%. Depressive with obsessive symptoms had simpler obsession than OCD, and had more marked manifestations of anxity, hypochondriasis, paranoid symptoms, suicide, and longer duration of symptoms. The effect of treatment also appeared slower than depression without obsession. The score of obsession and anxiety was the highest and the course of illness was the longest of the three groups. Conclusions The obsessive symptoms in depression with obsession was a part of depressive symptoms and certainly affected the dpressive featurese. They differed from the obsessive symptoms of pure OCD in nature. The study of symptomatology of these overlapping disorders may help refine clinical classification, diagnosis and treatment.展开更多
文摘Objective To explore the relationship between symptoms and psychopathology of depression with obsessive symptoms. Methods The obsessive and depressive symptoms in 43 cases of depression with obsessive compulsive symptoms were analyzsed and compared with 50 cases of depression without obsessive symptoms and 30 cases of pure obsessive compulsive disorders (OCD). Results The Y BOCS score of depressive patients with obsessive features was noticeable and was correlated with the score of HAMD, anxity/somatization and cognitive disorder. The rate of obsessive symptoms in depressive state was 86%. Depressive with obsessive symptoms had simpler obsession than OCD, and had more marked manifestations of anxity, hypochondriasis, paranoid symptoms, suicide, and longer duration of symptoms. The effect of treatment also appeared slower than depression without obsession. The score of obsession and anxiety was the highest and the course of illness was the longest of the three groups. Conclusions The obsessive symptoms in depression with obsession was a part of depressive symptoms and certainly affected the dpressive featurese. They differed from the obsessive symptoms of pure OCD in nature. The study of symptomatology of these overlapping disorders may help refine clinical classification, diagnosis and treatment.
