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为了解综合性医院住院抑郁症患者的临床特征,采用随机对照原则,对两组符合CCMD-2-R抑郁症诊断标准的患者,用一般情况调查表、EPQ、TAS、HAMD进行评定和记录,结果显示,综合组EPQ-N量表分、TAS总分及因子Ⅱ、因子Ⅳ均分显著高于专科组，综合组症状缺少重症内源性抑郁的特点，而躯体化症状、疑病、焦虑激越出现频率显著高于专科组，两级误诊率、病程、病前生活事件有显著性差异，而家族史、临床疗效无明显差异。提示综合性医院患者有较多的躯体化症状及述情障碍，误诊率高，在综合性医院设立精神科或为其提供精神科会诊和联络服务实属必要。
To understand the clinical features of hospitalized depression patients in general hospitals, randomized comparisons were used to assess and record patients with two groups of diagnostic criteria for CCMD-2-R depression using general condition questionnaires, EPQ, TAS, and HAMD. The results showed that the EPQ-N scale scores, TAS total scores, and factor II and factor IV scores in the comprehensive group were significantly higher than those in the specialist group. Symptoms of the integrated group lacked severe endogenous depression, and somatization symptoms, hypochondriasis, and anxiety The frequency of agitation was significantly higher than that of the specialist group. There was a significant difference in the rate of misdiagnosis, disease course, and premorbid life events at the two levels. There was no significant difference in family history and clinical efficacy. It is suggested that patients in general hospitals have more somatic and alexithymia, and the rate of misdiagnosis is high. It is necessary to establish psychiatric departments or provide psychiatric consultations and liaison services in general hospitals.