综合医院门诊老年人神经认知功能的精神心理影响因素研究  被引量:1

Psychological and mental influencing factors of neurocognitive function in elderly outpatients

在线阅读下载全文

作  者:郭虹 王梦雨 刘小蕾 郭晓杰 潘昱[1] 冯斌[2] 姜荣环[1] Guo Hong;Wang Mengyu;Liu Xiaolei;Guo Xiaojie;Pan Yu;Feng Bin;Jiang Ronghuan(Department of Medical Psychology,Chinese PLA General Hospital No.1 Medical Center,Beijing 100830,China)

机构地区:[1]解放军总医院第一医学中心医学心理科,北京100830 [2]解放军总医院第六医学中心心血管病医学部

出  处:《中华老年心脑血管病杂志》2021年第11期1188-1191,共4页Chinese Journal of Geriatric Heart,Brain and Vessel Diseases

基  金:军队保健专项科研基金(18BJZ26);解放军总医院第二医学中心应用基础研究项目(ZXD2003)。

摘  要:目的探讨门诊老年人神经认知功能的精神心理影响因素。方法纳入解放军总医院门诊就诊的老年患者116例,根据重复性成套神经心理状态测验(RBANS)评估的认知功能情况分为损伤组60例(RBANS总分<85分)和正常组56例(RBANS总分≥85分)。进行神经心理评估:患者健康问卷抑郁症状群量表(PHQ-9)、广泛性焦虑(GAD-7)量表、健康问卷躯体症状群量表(PHQ-15)、社会支持评定量表(SSRS)、心理弹性量表(CD-RISC)及积极应对倾向。结果2组GAD-7、PHQ-15、SSRS、CD-RISC评分比较,无统计学差异(P>0.05),损伤组PHQ-9评分高于正常组[(7.83±6.92)分vs(5.14±4.05)分,P=0.019],积极应对倾向低于正常组[(8.73±8.40)分vs(12.21±9.84)分,P=0.042]。老年人神经认知功能与PHQ-9评分及积极应对倾向显著相关(r=-0.236,r=0.224,P<0.05)。抑郁既可直接影响神经认知功能(直接中介作用,效应值为-0.568),又可通过积极应对倾向的中介作用调节神经认知功能(间接中介作用,效应值为-0.131)。结论抑郁是老年人神经认知功能的危险因素,积极应对方式倾向是保护性因素,通过积极应对方式的调节可降低抑郁对神经认知功能的损伤。Objective To study the psychological and mental influencing factors of neurocognitive function in elderly outpatients.Methods One hundred and sixteen elderly outpatients were divided into neurocognitive impairment group(n=60)and neurocognitive impairment-free group(n=56)according to their RBANS score.The neuropsychological status was assessed according to their PHQ-9 scale,GAD-7 scale,PHQ-15 scale,SSRS,CD-RISC scale and PCT scale scores.Results No significant difference was detected in GAD-7 scale,PHQ-15 scale,SSRS and CD-RISC scale scores between the two groups(P>0.05).The PHQ-9 scale score was significantly higher while the PCT scale score was significantly lower in neurocognitive impairment group than in neurocognitive impairment-free group(7.83±6.92 vs 5.14±4.05,8.73±8.40 vs 12.21±9.84,P<0.05).The neurocognitive function was positively related with PHQ-9 scale and PCT scale scores in elderly outpatients(r=-0.236,r=0.224,P<0.05).The depression could directly affect neurocognitive function(direct effect,effect value was-0.568)and regulate neurocognitive function through the mediating effect of PCT(indirect effect,effect value was-0.131).Conclusion Depression is a risk factor while PCT is a protective factor for neurocognitive function in elderly outpatients.Neurocognitive impairment can be improved by regulating active life style.

关 键 词:认知 抑郁 焦虑 神经心理学测验 

分 类 号:R749.1[医药卫生—神经病学与精神病学]

 

参考文献:

正在载入数据...

 

二级参考文献:

正在载入数据...

 

耦合文献:

正在载入数据...

 

引证文献:

正在载入数据...

 

二级引证文献:

正在载入数据...

 

同被引文献:

正在载入数据...

 

相关期刊文献:

正在载入数据...

相关的主题
相关的作者对象
相关的机构对象