摘要
目的:探讨老年抑郁症患者的生活质量及预后的影响因素。方法:对85例符合CCMD-3诊断标准的老年抑郁症患者进行一般情况调查、老年抑郁量表(GDS)、社会支持量表、艾森克个性问卷(EPQ)、生活事件量表、大体功能评定量表(GAS)的评定,并进行3年的随访分析。结果:①在此期间有再住院史36例(40%),预后较好56例(65.9%),预后较差29例(34.1%)。②预后与社会支持、文化层次呈正相关(r分别为0.291、0.251,均P<0.05),与EPQ的N分和P分、GDS的因子分呈负相关(r分别为-0.320、-0.301、-0.291,均P<0.05)。③婚姻状况、治疗是否恰当、生活事件、伴精神病性症状、伴躯体疾病、家族史、治疗依从性等有显著性差异(P<0.01,P<0.05);而性别、起病形式、与邻居关系等与预后的相关性无显著性差异。结论:老年抑郁症的预后受多种因素的影响,改善患者的预后要从多方面入手。
Objective： To explore the influence factors of the quality of life and prognosis of patients with senile depression. Methods： Investigated 85 patients with senile depression who met CCMD -3 diagnosis standard, assessed with Geriatric Depression Scale （GDS）, Social Support Sacle, Eysen- ck Personality Questionnair （ EPQ）, Life Event Scale, General Function Evaluation Scale （ GAS）, follow - up three years. Results： ① During this period,36 patients （40%） had further hospitalization,56 patients （65.9%） had a good prognosis,29 patients （34.1% ） had a poor prognosis. ②Prognosis and social support, cultural level was positively correlated （ r = 0. 291,0. 251, all P 〈 0.05 ） , EPQ - N and P Points, GDS factor scores were negatively coorelated （ r = - 0. 320, - 0.301, - 0.291, all P 〈 0.05 ）. ③Marital status, Proper treatment, life events, with psychotic symptoms, with body disease, family histo- ry, treatment compliance were significant difference （ P 〈 0.01 ,P 〈 0.05 ） ; gender, onset form, and the relationship between the neighbors and the prognosis were no significant difference. Conclusion ： The prognosis of senile depression is affected by many factors, improving the prognosis of patients from various staff.
出处
《中国民康医学》
2011年第18期2229-2230,2238,共3页
Medical Journal of Chinese People’s Health
关键词
老年抑郁症
预后
Senile depression
Prognosis
