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目的探讨脑卒中后抑郁症(post-stroke depression,PSD)患者心理健康状况。方法对304例脑卒中患者进行抑郁自评量表(self-rating depression scale,SDS)、汉密尔顿抑郁量表(Hamilton depression scale,HAMD)及心理健康调查表(psychological health inventory,PHI)测查,根据测查结果及中国精神障碍分类与诊断标准确诊PSD;比较PSD与非PSD患者PHI结果,PSD组与常模以及不同性别PSD患者的PHI结果。结果 304例脑卒中患者中87例符合PSD诊断,发病率28.62%;PSD组PHI量表中说谎分数、诈病或装坏分数以及临床量表中躯体化、抑郁、焦虑、病态人格、疑心、脱离实际和兴奋状态分数均高于非PSD组(P<0.05或P<0.01)和常模(P<0.05或P<0.01),不同性别PSD患者PHI各量表比较差异无统计学意义(P>0.05)。结论 PSD患者主要心理问题是说谎、诈病、躯体化、抑郁、焦虑、病态人格、疑心、脱离现实、兴奋状态。
Objective To investigate the mental health status of post-stroke depression (PSD) patients. Methods A total of 304 stroke patients underwent self-rating depression scale (SDS), Hamilton depression scale (HAMD) and psychological health inventory (PHI) Test results and classification and diagnostic criteria of mental disorders in China diagnosed PSD; PHI results between PSD and non-PSD patients, PHI results of PSD patients and normotensive PSD patients. Results 87 of 304 stroke patients were diagnosed as PSD, the incidence rate was 28.62%. In the PHI scale of PSD group, the scores of lying, malaria or bad, as well as somatization, depression, anxiety, sick personality, suspicion, (P <0.05 or P <0.01) and normotensives (P <0.05 or P <0.01). There was no significant difference in PHI among different sex PSD patients (P <0.05 or P <0.01) > 0.05). Conclusion The main psychological problems in PSD patients are lying, malingering, somatization, depression, anxiety, sick personality, suspicion, being out of touch with reality and excitement.