Background: The bipolar-unipolar distinction in patients with a major depressive episode is the most important issue related to the diagnosis and treatment of mood disorders, but remains unresolved. This study was undertaken to compare bipolar and unipolar depression on Rorschach testing using the Comprehensive System with reference to healthy Japanese controls. Methods: Patients with bipolar or unipolar depression who had undergone the Rorschach test for routine clinical purposes were followed up naturalistically for a long period. Based on diagnostic confirmation after long-term follow-up, scores on this test for patients with bipolar and unipolar depression were compared with those published elsewhere for healthy Japanese controls. Results: The bipolar depression group showed significantly higher scores or positive findings in five variables of the Rorschach test, ie, WSum6, DR2 > 0, (CF + C) > FC + 2, PureC > 1, and Populars > 7, as assessed using the Comprehensive System, than did the unipolar depression group and healthy controls. These scores did not differ between the unipolar depression and control groups. Conclusion: The results of this study show thought disorder or cognitive slippage and marked laxness in modulating emotion in bipolar depression, indicating the psychopathological characteristics of bipolar disorder.
展开▼
机译:背景:重度抑郁发作患者的双相-单相区别是与情绪障碍的诊断和治疗有关的最重要问题,但仍未解决。这项研究的目的是在罗夏测试中使用综合系统参照健康的日本对照来比较双相和单相抑郁。方法:对患有双相性或单相性抑郁症的患者,出于常规临床目的进行了罗夏(Rorschach)试验,并对其进行自然随访。根据长期随访后的诊断确认,将双相性和单相性抑郁症患者的这项测试得分与其他健康日本对照者的得分进行了比较。结果:双相抑郁症组在Rorschach测试的五个变量中显示出明显较高的分数或阳性结果,即WSum6,DR2> 0,(CF + C)> FC + 2,PureC> 1和Populars> 7。使用综合系统,比单极抑郁症组和健康对照者要好。这些分数在单相抑郁症和对照组之间没有差异。结论:这项研究的结果表明,在躁郁症中,思想障碍或认知滑移和放松情绪的情绪明显放松,表明躁郁症的心理病理特征。
展开▼