[抑郁症概念的未来]。

Acta psychiatrica Belgica Pub Date : 1996-03-01
P Pichot
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引用次数: 0

摘要

简要回顾抑郁症概念的历史。首先以忧郁症的名义描述为一种妄想状态,然后,自Esquirol以来,作为一种原发性情绪障碍,Kraepelin将其细分为以假设病因为特征的疾病,自1980年以来,被认为是一种具有许多亚型的综合征。讨论了这三种可能模型的性质。到目前为止使用的前两种方法将抑郁症视为一种疾病或一种综合症,是绝对的。由于缺乏关于病因的科学证据,第一种方法已被暂时放弃;第二种方法尽管越来越复杂,但显然不能令人满意。第三种模型,维度,在精神病学的其他领域引起了越来越多的关注,暂时提供了一种可能的选择。
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[The future of the concept of depression].

The history of the concept of depression is briefly reviewed. First described under the name of melancholia as a delusional state, then, since Esquirol, as a primary mood disorder, it was subdivided by Kraepelin in diseases characterised by an hypothetical etiology and is considered, since 1980, as a syndrome with many sub-varieties. The nature of the three possible models is discussed. The first two, until now used, which considered depression either as a disease or as a syndrome, are categorical. The first has been provisorily abandoned, due to the insufficiency of scientific proofs about the etio-pathogeny; the second, despite its growing complexity, is obviously not satisfactory. The third model, dimensional, which attracts a growing attention in other field of psychiatric nosology, offers for the time being a possible alternative.

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