脑卒中后抑郁与心理社会因素相关分析  

Correlation analysis of post-stroke depression and psychosocial factor

作　　者：刘伯聪 

机构地区：[1]商丘市第二人民医院精神科,河南商丘476000

出　　处：《临床心身疾病杂志》2007年第2期113-114,共2页Journal of Clinical Psychosomatic Diseases

摘　　要：目的探讨脑卒中后抑郁发生率及其心理社会因素。方法对69例脑血管疾病患者采用抑郁自评量表、A型行为类型问卷评定抑郁状况和行为类型,并对卒中后抑郁患者的年龄、性别、行为类型、文化程度、婚姻状况等因素进行对比分析。结果卒中后抑郁的发生率为59.42%;A型行为的抑郁发生率显著高于非A型行为患者(χ2=14.11,P<0.01);有配偶的患者抑郁发生率显著低于无配偶患者(P<0.05)。卒中后抑郁与年龄、性别、文化程度无显著相关性(P均>0.05)。结论脑卒中后发生抑郁的几率较高,且与患者的行为类型、婚姻状况有密切关系。Objective To explore the incidence of post-stroke depression and psychosocial factors. Methods Depressive conditions and behavior types were evaluated in 69 patients with cerebrovascular disease with the Self-rating Depression Scale and Depression Status Inventory（SDS） and the Type A Behavior Pattern Scale（TABP）, and such factors as their age, sex, behavior pattern, educational level and marital status contrasted and analyzed. Restilts Incidence of post-stroke depression was 59.42% ; depression incidence of type A behavior was higher than that of non-type A behavior（x^2 = 14.11, P〈0.01）; depression incidence of patients who had spouse was much lower than that of ones had no spouse（P〈0.05）. The post-stroke depression had no significant dependability to age, sex and educational level（all P〈0.05）. Conclusion Probability of depression induced by stroke is higher and relates to patients＇ behavior pattern and marital status closely.

关 键 词：脑血管疾病 卒中后抑郁 A型行为问卷 抑郁自评量表 

分 类 号：R743.3[医药卫生—神经病学与精神病学]