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卒中后抑郁状态及其影响因素的相关研究
引用本文:龙洁,蔡焯基,刘永珍,柴滨,贺佳丽,任艳萍,王涛,牛世芹,余华峰,刘艳,魏明,王丽,王效敏,李菁,李冬华,蒋初明,金鑫,王友兰,陈黔妹,于小千,刘力,王得新,康智敏,张茁,张菁,唐启盛,韩刚. 卒中后抑郁状态及其影响因素的相关研究[J]. 中国神经精神疾病杂志, 2001, 27(6): 430-432
作者姓名:龙洁  蔡焯基  刘永珍  柴滨  贺佳丽  任艳萍  王涛  牛世芹  余华峰  刘艳  魏明  王丽  王效敏  李菁  李冬华  蒋初明  金鑫  王友兰  陈黔妹  于小千  刘力  王得新  康智敏  张茁  张菁  唐启盛  韩刚
作者单位:1. 北京天坛医院,
2. 北京安定医院
3. 北京海淀医院
4. 北京朝阳医院
5. 北京同仁医院
6. 北京和平里医院
7. 北京铁路总医院
8. 航天部711医院
9. 北京复兴医院
10. 北京酒仙桥医院
11. 北京友谊医院
12. 北京东方医院
13. 北京安贞医院
基金项目:为北京市科委资助课题(编号:953304005)
摘    要:目的研究北京市卒中患者伴发卒中后抑郁状态(PSD)的发生率和相关因素.方法采用Hamilton抑郁量表、SDS抑郁自评量表和自制一般情况调查表,对北京市7个区12家医院的1966例卒中患者进行测查,并用Logistic回归分析法对33种相关因素进行分析.结果PSD总发生率为35.0%,其中轻度22.5%、中度9.3%、重度3.2%.影响PSD发生的相关因素依次是既往抑郁症史、近期负性生活事件、家庭关系、性别、病灶数目、合并疾病种类、护理人员和病灶前后部位.结论PSD发生率较高,它可能是社会心理学因素和神经生物学因素共同作用的结果.

关 键 词:卒中后抑郁发生率危险因素
修稿时间:2001-07-22

A study of prevalence and related factors of post-stroke depression.
Long Jie,Cai Zhuoji,Liu Yongzhen,et al.. A study of prevalence and related factors of post-stroke depression.[J]. Chinese Journal of Nervous and Mental Diseases, 2001, 27(6): 430-432
Authors:Long Jie  Cai Zhuoji  Liu Yongzhen  et al.
Abstract:Objective To investigate the prevalence and related factors of post-stroke depression(PSD). Methods 1966 patients with stroke were assessed by Hamiton Depression Rating Scales(HAMD), Self-Rating Depression Scale(SDS), and a self-designed questionaire. A multiple factor analysis with the logistic regression method was carried out to analysis 33 related fac- tors in these data. Results Among them, 688 cases(35.0%) were identified as suffering from depression, of which 22.5%, suffered from mild depression middle 9.3% suffered from moderate depression and 3.2% severe depression. In addition, the step- wise regression analysis showed that important risk factors of PSD included history of depression, negative life accidents, family hannony, sex, number of lesions, complication, caregivers and lesion location. Conclusions The prevalence of PSD is high, and it may he caused by both psychosocial and neurobiological factors.
Keywords:Post-stroke depression Prevalence Risk factors
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