老年期痴呆抑郁和焦虑障碍共病研究  

A research of comorbidity of depression and anxiety in the elderly dementia

作　　者：张国川[1] 施永斌[1] 何琼娜[1] 褚庆文[1] 沈静静[1] 赵宝龙 

机构地区：[1]上海市宝山区精神卫生中心,201900 [2]上海市宝山区中心医院

出　　处：《临床精神医学杂志》2007年第2期91-92,共2页Journal of Clinical Psychiatry

基　　金：上海市宝山区科学技术发展基金项目[宝科委(2004)第5号]

摘　　要：目的:了解老年期痴呆患者抑郁和焦虑障碍共病率及其相关因素。方法:将100例老年期痴呆患者分为两组,阿尔茨海默病(AD)组和血管性痴呆(VD)组。用简明精神病评定量表(BPRS)、Hamilton抑郁量表(HAMD)、Hamilton焦虑量表(HAMA)进行评定。结果:AD组有焦虑20例,伴抑郁17例;VD组有焦虑17例,伴抑郁15例。共病28例,AD组与VD组各14例。AD组与VD组在HAMD因子分有明显差异(P<0.05)。结论:老年期痴呆患者抑郁和焦虑共病率较高,应引起高度重视。Objective：To understand the comorbidity rate of depression and anxiety in the elderly ＆mentia and the related factors. Method： 100 patients with dementia were divided into two groups,Alzheimer disease （AD） and vascular dementia （VD）. All cases were. assessed by brief psychiatric rating scale （BPRS）, Hamilton anxiety scale （HAMA） ,and Hamilton depression scale （HAMD）. Results： There were 20 patients with anxiety and 17 patients with depression in AD group, 17 patients with anxiety and 15 patients with depression in VD group, and AD 14 and VD 14 without depression or anxiety. There were significant differences in factor scores of HAMD between AD group and VD group （ P 〈 0.05）. Conclusion： Comorbidity rate of depression and anxiety in dementia of the elderly is higher, to which more attention need to be paid.

关 键 词：老年期痴呆 抑郁 焦虑 

分 类 号：R749.1[医药卫生—神经病学与精神病学]