ĐẶC ĐIỂM LÂM SÀNG CỦA BA TRIỆU CHỨNG CHÍNH Ở BỆNH NHÂN RỐI LOẠN TRẦM CẢM TÁI DIỄN

Abstract

Recurrent depression is a common disorder in psychiatry, with an unclear etiology and many difficulties in diagnosis and treatment. The study was conducted on 109 patients diagnosed with recurrent depressive disorder according to ICD-10 criteria (1992) and treated as inpatients at the Institute of Mental Health - Bach Mai Hospital from January 2020 to December 2021. This is a case cluster analysis. Results obtained: the proportion of women (72.48%) was higher than men (27.52%), average age was 48.66 ± 15.07 years old. 66.97% of patients diagnosed with recurrent depressive disorder had severe depressive episodes with or without psychosis. The three main symptoms all appear at a rate of > 90% of patients. All three main symptoms reported appearing gradually; There are no obvious factors that reduce the severity and are often aggravated by stress. Regarding changes in symptom levels during the day, the symptoms of "loss of interest and pleasure" usually do not change during the day, while the symptoms of "depressed mood" and "decreased energy leading to increased fatigue and decreased activity" often occur heavier in the morning. In summary, the study shows three main symptoms that appear at a very high rate in patients with recurrent depressive disorder.