老年抑郁症临床特征的性别差异  

Gender difference and clinical characteristics of elderly depression

作　　者：凌云熹[1] 夏仲[1] 汪正华[1] 宋传福[1] 程万良[1] 

机构地区：[1]芜湖市第四人民医院精神科,安徽芜湖241002

出　　处：《皖南医学院学报》2010年第4期314-316,共3页Journal of Wannan Medical College

摘　　要：目的:比较男、女老年抑郁症的临床特征。方法:对54例符合CCMD-3诊断标准的老年期抑郁症患者分别用HAMD、HAMA量表进行评定,将评定结果进行男、女对照研究。结果:男性老年期抑郁症的激越和疑病症状显著高于女性(P<0.01),男性的行为迟滞显著高于女性(P<0.05)。女性患者的自杀意念和自杀行为显著高于男性(P<0.01),早醒也高于男性(P<0.05)。男性老年抑郁症的躯体症状中呼吸系统症状显著高于女性(P<0.05),躯体性焦虑较女性高(P<0.05),而女性的消化系统症状要显著高于男性(P<0.01)。体重减轻和迟滞男性明显多于女性(P<0.01)。结论:老年期抑郁症的临床特征存在性别差异。Objective：To compare the clinical characteristics of elderly male and female patients with depression.Methods：Fifty-four elderly depressive patients eligible to CCMD-3 criteria were respectively examined by Hamilton Depression（HAMD） Scale and Hamilton Anxiety（HAMA） Scale for assessing and comparing the results between male and female patients. Results：The scores on agitation and hypochondriasis were higher in elderly male patients than female ones （P0.01）,and the same results were found concerning behavior retardation （P0.05）. The scores of suicidal ideation and suicidal behavior of female cases were significantly higher than those of male counterparts （P0.01）,and early awakening was more frequently seen in female patients compared with males （P0.05）. Respiratory symptoms together with somatic anxiety were more common in elderly male patients than females （P0.05）,and yet,the scores of gastrointestinal symptoms were significantly higher in females than males （P0.01）.The weight loss and retardation were more often seen in males than females （P0.01）. Conclusion：The clinical manifestation of depression in elderly patients differs from that of females.

关 键 词：老年期 抑郁症 临床特征 性别 

分 类 号：R749.4[医药卫生—神经病学与精神病学]