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老年抑郁症的临床现象学特征

The clinical phenomenological characteristics of depression in late life

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【作者】 吕永良吴爱勤李鸣刘建农

【Author】 Lv Yongliang,Wu Aiqin,Li Ming,et al.The First Hospital Affiliated to Suzhou University,Suzhou 215006

【机构】 江苏苏州大学附属第一医院精神科苏州市广济医院苏州市广济医院 215006硕士研究生215006

【摘要】 目的 :探讨老年抑郁症的临床现象学特征。 方法 :按中国精神障碍分类与诊断标准第 3版心境障碍抑郁发作诊断标准 ,收集 33例 6 0岁以上首次发作的患者 (老年组 ) ,30例 18~ 5 0岁首次发作的患者 (青壮年组 )进行对照研究。 结果 :老年组焦虑、激越、疑病、记忆减退、胃肠症状和伴发躯体疾病明显多于青壮年组 ,焦虑程度较青壮年组严重。老年组近期疗效比青壮年组差。 结论 :老年抑郁症症状特征及预后各方面均有自身的特点。

【Abstract】 Objective:To explore the clinical phenomenological characteristics of depression in late life. Method:33 elderly people (aged over 60)(elderly people group) and 30 younger adults (aged from 18 to 50)(younger adult group) with the first episode of depression diagnosed according to CCMD-3 were investigated. Results:The rates of anxiety,agitation,hypochondriac symptom,hypomnesia,gastroenteric symptom and somatic disease were significantly higher in elderly people group than in younger adult group. Elderly people group had more severe anxiety than younger adult group. The recent prognosis was worse in elderly people group than in younger adult group. Conclusion:Depression in late life has its own clinical features and prognosis.

【关键词】 老年抑郁症临床特征
【Key words】 Depression in late lifeClinical features
【基金】 苏州市 2 0 0 2年度第一批指导性科技 (社会发展 )项目 (SSZ0 2 2 7)
  • 【文献出处】 临床精神医学杂志 ,Journal of Clinical Psychological Medicine , 编辑部邮箱 ,2003年06期
  • 【分类号】R749.4
  • 【被引频次】18
  • 【下载频次】148
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