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KMID : 0378019820250060109
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New Medical Journal
1982 Volume.25 No. 6 p.109 ~ p.118
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A Study of Somatic Discomforts among Depressed Patients
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Abstract
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The author studied the somatic discomforts of 60 depressed patients who were in-patients and out-patients in department of Neuro psychiatry, Paik Hospital of In Je Medical college from March 1, 1981 to Feb. 28, 1982.
The result were as follows;
1. The most frequent age distribution was the fourth decade.
2. Somatic discomforts reported by at least 50% of all patients were 12 of 69 items and these were "anorexia" (70%), "shallow and easily disrupted sleep" (69%), "initial insomania" (64%), "indigestion, and stomach aches" (63%), "heavy headedness" (58%), "periods of weakness/extreme fatigue" (57%) and "heart pounding" (56%) etc..
3. The classes of discomforts with high pretreatment severity were "sleep disturbance,"
"stomach troubles", "fatigue", "dry mouth", and "climacteric symptoms" in that order
and all of these classes showed statistically significant improvement after a treatment period of 3 weeks(P<0.01)
Each items of discomforts with high pretreatment severity were "shallow and easily disrupted sleep", "anorexia", "initial insomnia," "giddiness or dizziness," "heavy headedness" and "indigestion and stomachaches".
4. Eight classes of discomforts such as "autonomic", "intestinal", "Gastric", "sleep", "dry mouth", "climacteric", "constipation" and-"muscular symptoms" showed "significantly" higher severity in the depressed group at admission than in the non-patient control group (P<0.05) .
Comparing the somatic discomforts by different age brackets, patients in the third decade were predominated by gastrointestinal symptoms, these in the fourth decade were characterized by muscular discomforts, those in the fifth decade by drymouth and those in the sixth decade by climacteric symptoms and constipation. Sleep disturbances were conspicuous discomforts among depressed patients of all ages.
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