老干部情感睡眠认知三项障碍与抑郁状态的关系  

Relationships between Depression and Disturbances of Emotion, Sleep and Cognition of Old Cadres

作　　者：叶秋涛[1] 窦萍[1] 陈道纯[1] 杨明[1] 林似[1] 林凡[1] 

机构地区：[1]福建医科大学附属协和医院,福建福州350001

出　　处：《福建中医药大学学报》2010年第4期15-18,共4页Journal of Fujian College of Traditional Chinese Medicine

基　　金：中央保健局2002年保健专项资金课题(闽C035)

摘　　要：目的探讨老干部情感、睡眠和认知三项障碍(简称三障)与老年抑郁状态(GD)的关系。方法对1910名老干部的三障与GD关系进行单因素分析,具统计学意义者再进行多因素Logistic回归分析。结果情感、睡眠和认知障碍的GD发生率分别为32.6%、29.6%和29.4%;GD的情感、睡眠和认知障碍症状的发生率分别为24.2%、24.4%和14.4%。多因素回归分析表明,促发加重GD的因素为心情压抑、持续胸胁郁闷、容易生气、难得一笑、晨起疲乏感和记不住亲友名字等6项危险因素。结论三障与GD为相辅相成、互为因果的关系,三障是GD发生的重要影响因素,GD的主要临床表现为三障症状。Objective To explore the relationships between geriatric depression（GD） and disturbances of emotion,sleep and cognition of old cadres.Methods The relationships between GD and three disturbances of 1910 old cadres were analyzed by single factor analysis,then the results which had statistical significance were analyzed by Multi-factor logistic regression.Results The incidence rates of GD symptom in patients which had symptoms of disturbances of emotion,sleep and cognition were 32.6%,29.6% and 29.4% respectively,and the incidence rates of symptoms of disturbances of emotion,sleep and cognition in patients which had GD symptom were 24.2%,24.4% and 14.4% respectively.Multi-factor regression analysis indicated that depressive mood,persistent tightness in chest and hypochondrium,easy to get angry,difficult to laugh,fatigue when getting up in the morning,difficult to remember the names of relatives and friends were 6 risk factors which could induce and aggravate the occurrence of GD.Conclusion There is an interactive relationship and reciprocal causation between GD and three disturbances,three disturbances are important influential factors of GD occurrence,and the main clinical manifestations of GD are symptoms of three disturbances.

关 键 词：情感障碍 睡眠障碍 认知障碍 抑郁 老干部 

分 类 号：R749.4[医药卫生—神经病学与精神病学]