Đặc điểm lâm sàng rối loạn trầm cảm tái diễn ở người bệnh nội trú tại cơ sở sức khỏe tâm thần

Abstract

Recurrent depression is a common mental disorder in psychiatry, with an unclear etiology, and many difficulties in diagnosis. The study was conducted on 96 patients diagnosed with recurrent depressive disorder according to ICD-10 (1992) diagnostic criteria at the Institute of Mental Health - Bach Mai Hospital from May 2020 to August 2021. This is a descriptive cross-sectional study and case cluster analysis. The study results obtained from 70.8 % of women and 29.2% of men, the mean age is 48.48 ± 14.48. The main symptoms of depression found in the majority of patients are decreased energy and increased fatigue (99%). The common symptoms were sleep disturbance (95.8%), eating disorder (83.3%), and decreased concentration (83.3%). Common somatic symptoms include loss of interest in daily activities (91.7%), decreased appetite (82.3%), especially decreased or lost sexual arousal, confusion, menstrual disorders in women (71.9%). Anxiety symptoms and pain often accompanied depression with 79.2% and 53.1% respectively. In summary, the study shows that the clinical symptoms are diverse with multiple manifestations such as main symptoms, common, somatic symptoms and other symptoms, especially pain and anxiety.