临床误诊误治2025，Vol.38Issue(6)：6-11,16,7.DOI:10.3969/j.issn.1002-3429.2025.06.002
不典型抑郁症临床误诊分析
Analysis of Clinical Misdiagnosis of Atypical Depression
摘要
Abstract
Objective To investigate the clinical characteristics of atypical depression,and to analyze the causes of misdiagnosis and countermeasures.Methods From June 2020 to June 2023,the clinical data of 10 patients with atypical de-pression who were initially diagnosed with other mental,psychological or physical diseases were retrospectively analyzed.Results Among the 10 patients,4 patients were misdiagnosed as chronic fatigue syndrome due to long-term fatigue and inat-tention.Three patients were misdiagnosed as bipolar disorder due to mood swings and irritability.Two patients with stomach discomfort as the main complaint were misdiagnosed as functional gastrointestinal disease.One patient was misdiagnosed as sleep disorder due to excessive sleep and sleep disturbance.After referral to the Department of Psychology,all patients were diagnosed with atypical depression through further examination.The duration of misdiagnosis was 1-3 months.After diagnosis,the patients received individualized symptomatic treatment,and the 6-month follow-up showed that the symptoms of 9 patients improved significantly,and 1 patient had no obvious relief in the early stage of treatment,but significantly improved after drug adjustment.Conclusion The clinical manifestations of atypical depression are complex and varied,which are easily confused with other mental and physical diseases.To improve the understanding of the characteristic symptoms,combined with stand-ardized psychological scale and multidisciplinary collaboration,is helpful to reduce the misdiagnosis rate and improve the diag-nostic accuracy.关键词
不典型抑郁症/误诊/疲劳综合征,慢性/双相情感障碍/功能性胃肠病/睡眠障碍/抑郁自评量表/汉密尔顿抑郁量表Key words
Atypical depression/Misdiagnosis/Fatigue syndrome,chronic/Bipolar disorder/Functional gastroin-testinal disease/Sleep disorders/Self-rating depression scale/Hamilton depression scale分类
医药卫生引用本文复制引用
樊伊楠,陶桂凤,孙大伟,彭龙颜,历跃,姜雨微..不典型抑郁症临床误诊分析[J].临床误诊误治,2025,38(6):6-11,16,7.基金项目
大庆市指导性科技计划项目(zdy-2023-29) （zdy-2023-29）
