《中国康复理论与实践》

《中国康复理论与实践》 ›› 2001, Vol. 7 ›› Issue (04): 159-160.

• 脑卒中康复 • 上一篇    下一篇

脑卒中后抑郁及相关因素分析

杨明明   

  1. 北京博爱医院心理科 北京市 100077
  • 收稿日期:2001-05-10 出版日期:2001-12-25 发布日期:2001-12-25

Study on post-stroke depression and related factors

YANG Ming-ming   

  1. Department of Psychology,China Rehabilitation Research Centre,Beijing 100077,China
  • Received:2001-05-10 Published:2001-12-25 Online:2001-12-25

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摘要： 目的了解脑卒中后抑郁与焦虑情绪、认知功能的关系及预后情况。方法对144例脑卒中患者进行抑郁自评量表(SDS)、焦虑自评量表(SAS)和老年认知功能量表(SECF)评定。SDS≥ 50分者为抑郁组,SDS<50分者为非抑郁组。结果抑郁发生率是40.27%,有自杀意念者占总数的17.36%。抑郁组认知功能低于非抑郁组,焦虑情绪高于非抑郁组,有非常高度性差异(P<0.001)。2个月后复查,抑郁组抑郁、焦虑情绪显著降低(P<0.001),非抑郁组焦虑情绪亦明显降低(P<0.01)。两组认知功能改善不明显。结论脑卒中后抑郁与患者焦虑情绪、认知功能密切相关。住院2个月后抑郁组患者抑郁、焦虑情绪均改善,非抑郁组患者焦虑情绪亦降低,但认知功能改善较慢,2个月内变化不大。

关键词: 脑卒中, 抑郁, 焦虑, 认知功能

Abstract: ObjectiveTo investigate the relationship between post-stroke depression (PSD) and mood of anxiety and cognitive function, and to explore prognostic condition.Methods144 post-stroke patients were examined with the Self-rating Depression Scale (SDS), the Self-rating Anxiety Scale (SAS) and Scale of Elderly Cognitive Function (SECF). Scores of the depression group were SDS≥50 and scores of the group without depression were SDS<50. ResultsThe incidence of the depression was 40.27%, the suicidal intention was 17.36%. There was significant difference between two groups with lower cognitive function and higher rates of anxiety in the depression group (P<0.001). The re-examination revealed the emotion of depression and anxiety reduced obviously in the depression group after 2 months (P<0.001), the emotion of anxiety also reduced in the group without depression (P<0.01). The cognitive function had little improvement in two groups.ConclusionsPSD is closely related to the emotions of anxiety and cognitive function of patients, emotions of depression and anxiety all improve after 2 months hospitalization, emotions of anxiety also reduce in the group without depression. But the cognitive function improves slower, with no evident changes in 2 months.

Key words: stroke, depression, anxiety, cognitive function