發(fā)布時間：2019-05-20 13:00

【摘要】：目的：本課題研究的目的為分析年齡和性別因素在抑郁障礙門診患者的診斷和癥狀學(xué)上的影響。探討在不同年齡段和性別中抑郁患者的臨床特征是否存在差異。 方法：對符合入組標(biāo)準(zhǔn)的328例門診抑郁患者進(jìn)行分析,采用漢密爾頓抑郁量表24項、蒙哥馬利-阿瑟伯格抑郁量表、漢密爾頓焦慮量表以及特征癥狀篩查表進(jìn)行評定。 結(jié)果：老年患者更多的表現(xiàn)有罪感、激越、精神焦慮、軀體焦慮、全身癥狀、疑病、偏執(zhí)狀態(tài)和認(rèn)知障礙。男性在工作和活動、阻滯、性癥狀、人格解體表現(xiàn)得更為明顯。焦慮癥狀,軀體癥狀和精神病性癥狀為老年女性特征性癥狀。各個亞組在抑郁情緒、日夜變化和動力不足上存在年齡和性別的交互作用。 結(jié)論：隨著患者年齡的增長,抑郁癥狀有加重的趨勢。年齡、性別以及它們之間的交互作用能夠影響抑郁癥狀的嚴(yán)重程度和特征。它們在癥狀學(xué)上的差異是量(維度)的而不是質(zhì)(分類)的。
[Abstract]:Objective: the purpose of this study was to analyze the influence of age and sex factors on the diagnosis and symptomatology of depressive disorder outpatients. To explore whether there are differences in clinical characteristics of depressive patients in different ages and genders. Methods: 328 outpatients with depression were analyzed. 24 items of Hamilton depression scale, Montgomery-Asselberg depression scale, Hamilton anxiety scale and characteristic symptom screening table were used to evaluate the depression. Results: more elderly patients showed guilt, agitation, mental anxiety, somatic anxiety, systemic symptoms, suspicion, paranoid ideation and cognitive impairment. Men are more obvious in work and activity, block, sexual symptoms and personality disintegration. Anxiety symptoms, physical symptoms and psychotic symptoms are characteristic symptoms of elderly women. There was age and gender interaction in depression, day and night changes and lack of motivation in each subgroup. Conclusion: with the increase of age, the depressive symptoms tend to aggravate. Age, sex and their interactions can affect the severity and characteristics of depressive symptoms. Their symptomatic differences are quantitative (dimensional) rather than qualitative (classified).
【學(xué)位授予單位】：復(fù)旦大學(xué)
【學(xué)位級別】：碩士
【學(xué)位授予年份】：2013
【分類號】：R749.4

【參考文獻(xiàn)】

相關(guān)期刊論文 前1條

1 汪洪波;;抑郁癥不同年齡段的臨床特點對照分析[J];中國現(xiàn)代藥物應(yīng)用;2010年05期

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本文編號：2481661