关键词: 抑郁症, 躯体型障碍, 症状体验, 头晕, 失眠症, 心悸, 质性研究

Abstract: Background　It has been found that 65.0% to 98.2% of patients with depression have somatic symptoms，which severely affect the quality of patients' life.To understand patients' experiences can provide better targeted medical services to meet individual needs and improve their quality of life.However，there is a lack of experience and understanding of somatic symptoms in depression at home and abroad.Objective　To understand experience of people with depressive disorder about somatic symptoms.Methods　Fifteen patients with unipolar depression admitted to a psychiatric hospital in Shanghai from October to December 2017 were selected by sampling method，and a semi-structured interview was conducted by descriptive research.MAXQDA10 software was used to organize，encode，classify，induce and extract the topic.Results　Two topics and five sub-topics were extracted，including：（1） descriptions of somatic symptoms in patients，which were mainly in the neuromuscular system，circulatory respiratory system，gastrointestinal system and some symptoms without obvious systemic classification；besides located somatic symptoms，patients also had somatic discomforts that were difficult to explain or could not be accurately located.Physical discomfort experience was more severe than the result of objective examinations；（2） patients' understanding of somatic symptoms，including insufficient understanding of somatic symptoms and the inability to link somatic symptoms to mental disorder.Conclusion　Patients with depression who have various types of somatic symptoms with different degrees can bring adverse effects on patients and reduce their quality of life.Therefore，clinical medical staff should pay more attention to the somatic symptoms of patients with depression.

Key words: Depressive disorder, Somatoform disorder, Symptomatic experience, Dizziness, Insomnia, Palpitation, Qualitative research