Investigation on the somatic symptoms of patients with unipolar and bipolar depressive disorders

ObjectiveTo investigate the status and characteristics of somatic symptoms in patients with unipolar and bipolar depressive disorders.

MethodsThe general information, somatic symptoms and depression in 94 patients with depressive disorders were investigated using the symptom questionnaire(SSI), Hamilton Depression Scale(HAMD) and general questionnaire, and all data were analyzed using SPSS20.0 software.

ResultsThe average score of SSI of patients was(48.16±15.121), and the somatic symptoms of 26.6% patients were the moderate to severe levels.The somatic symptoms of patients with depressive disorders were significantly correlated with the diet, life events and side effects of medication(P < 0.05 to P < 0.01).The total score of somatic symptoms and non-pain somatic symptom score in patients with good diet were significantly lower than those in patients with normal diet and anorexic(P < 0.05 to P < 0.01).The score of pain symptoms in patients with experiencing more than 2 major life events in one year was significantly higher than that in patients without experiencing or with experiencing one major life event(P < 0.05).The total score of somatization symptoms and non-pain symptoms score in patients with three or more adverse drug reactions were significantly higher than those in patients without or with one adverse drug reaction(P < 0.01).The total score of somatic symptoms, dimension of pain and non-pain were positively correlated with the depression degree of patients(r=0.337, 0.325 and 0.316, P < 0.01).

ConclusionsSomatic symptoms is more common in patients with depressive disorder.The diet, management of adverse drug reactions, and emotional management of patients experiencing major life events should be concerned by nurses, so that the comprehensive rehabilitation of patients with depressive disorders is promoted.