情感性障碍的结局及相关因素——出院八年随访研究  

An investigation in the outcome of affective disorder and it's relevant factors

作　　者：侯钢[1] 张心保[1] 孙静[1] 欧红霞[1] 孔维东[1] 

机构地区：[1]南京医科大学脑科医院

出　　处：《上海精神医学》1997年第1期3-5,共3页Shanghai Archives of Psychiatry

摘　　要：目的 探讨情感性障碍的结局及相关因素。方法 对符合CCMD-2情感性障碍诊断标准的117例患者出院后随访8年,进行结局评定和多元回归分析。结果 75％的病例复发、47％再住院、16％自杀、8％转慢性、3％死亡和36％结局较差,与结局相关的因素有发作频率、返回社区时间、住院频率、社会支持总分、抑郁不典型、生活事件总值、年龄和性格。结论 本研究提示情感性障碍患者出院后复发、再住院和自杀频率均较高,1/3以上的病例结局较差,应针对有关因素采取预防措施。To investigate the outcome and the relevant factors of affective disorders.Methods 117 cases of affective disorders were followed up for 8 years after discharge from the Brain Hospital. All the relevant factors were analyzed with multifactor regressive analysis method. Results The outcomes of affective disorders were: 75% relapse, 47% re-admission, 16% suicide, 8% shift to chronic phase, 3% dead, and 36% poor outcome. The relevant factors were: relapse frequency, period of living in community, readmission frequency, social support, untypical clinical picture, life events, age, and personality. Conclusions There were worse outcomes in about 1/3 pf affective disorders 8 years after discharge from hospital.

关 键 词：情感性精神障碍 结局 社会适应功能 

分 类 号：R749.4[医药卫生—神经病学与精神病学]