老年抑郁症的症状特点对照研究  

Control study on symptomatic features of senile depression patients

作　　者：张许来[1] 张晓莉[1] 

机构地区：[1]安徽省精神卫生中心,安徽合肥230022

出　　处：《临床心身疾病杂志》2003年第1期24-26,共3页Journal of Clinical Psychosomatic Diseases

摘　　要：目的了解老年期抑郁症患者的临床症状特点。方法将29例≥60a首次发病的单相抑郁症患者设为研究组,随机抽取30例<印岁的单相抑郁症患者设为对照组。进行汉密尔顿抑郁量表(HAND)评定,同时对发病诱因,伴发躯体疾病及抑郁症状条目进行比较。结果老年组与对照组的自杀意念、迟缓、疑病、偏执症状、焦虑/躯体化、伴体化、认知障碍的差异有显著性(P<0.05),发病诱困的差异无显著性(P>0.05),记忆力减退的差异有非常显著性(P<0.01)。结论老年期抑郁症临床症状特征明显,可能为一种异质疾病。Objective To study the clinical symptomatic features of senile depression patients. Methods Twenty - nine patients with first- episode unipolar depression (no less than 60 Ys) were enrolled as research group and 30 ones (less than 60 Ys) were randomly selected as control group. All patients were assessed with HAMD, and predisposing causes, concomitant somatic diseases and symptoms of depression were also analyzed. Results There were significant differences in suicide idea, retardation, hypochondria, paranoid symptoms, anxiety/ somatization, concomitant and cognitive disorder between the 2 groups( F < 0.05) ;the difference of the predisposing causes was not significant ( P > 0.05) ,but poor memory was very significant( P < 0.01) . Conclusion The senile depression shows obvious clinical features and could be a heterogeneous disease.

关 键 词：老年人 抑郁性障碍 体征 症状 

分 类 号：R749.4[医药卫生—神经病学与精神病学]