CAJ | 학술논문

目的探讨不同间歇期情感性精神障碍患者的临床特点,以利指导治疗和估计预后.方法研究对象为第2次发作住院治疗的情感性障碍患者,根据2次发作间歇期的长短,分为长间歇期组(间歇期≥5年,下称研究组)和短间歇期组(间歇期＜5年,下称对照组).应用自编调查表收集相关资料,抑郁发作患者评定汉米尔顿抑郁量表和临床疗效总评量表的严重程度分量表(SI),躁狂发作患者评定躁狂量表和SI.结果研究组目前年龄平均(45.32±14.13)岁,大于对照组的(39.71±13.26)岁,差异有显著性(t=2.50,P＜0.01);研究组女性占63.83%,对照组44.78%,差异有显著性(X~2=8.24,P＜0.01);研究组外向性格63.33%.对照组40.43%,差异有显著性(X~2=6.69,P＜0.01);研究组家族史阳性率45.00%,对照组69.15%,差异有显著性(X~2=4.37,P＜0.01);研究组伴有精神病性症状的38.33%,对照组86.17%,差异有显著性(X~2=9.54,P＜0.01).结论长间歇期情感性精神障碍患者女性偏多,性格外向者多,家族史阴性者多,而伴精神病性症状少,疾病严重程度轻.
목적 탐토불동간헐기정감성정신장애환자적림상특점,이리지도치료화고계예후.방법 연구대상위제2차발작주원치료적정감성장애환자,근거2차발작간헐기적장단,분위장간헐기조(간헐기≥5년,하칭연구조)화단간헐기조(간헐기＜5년,하칭대조조).응용자편조사표수집상관자료,억욱발작환자평정한미이돈억욱량표화림상료효총평량표적엄중정도분량표(SI),조광발작환자평정조광량표화SI.결과 연구조목전년령평균(45.32±14.13)세,대우대조조적(39.71±13.26)세,차이유현저성(t=2.50,P＜0.01);연구조녀성점63.83%,대조조44.78%,차이유현저성(X~2=8.24,P＜0.01);연구조외향성격63.33%.대조조40.43%,차이유현저성(X~2=6.69,P＜0.01);연구조가족사양성솔45.00%,대조조69.15%,차이유현저성(X~2=4.37,P＜0.01);연구조반유정신병성증상적38.33%,대조조86.17%,차이유현저성(X~2=9.54,P＜0.01).결론 장간헐기정감성정신장애환자녀성편다,성격외향자다,가족사음성자다,이반정신병성증상소,질병엄중정도경.
Objective To understand the characteristics of the reoccurrence inpatients with mood disorder with a different intermission,and to support the guides of treatment and estimate prognosis for them.Methods Based on the intermission period between two episodes,the inpatients met the diagnostic criteria of mood disorder in CCMD-3 were divided into longer intermission duration group (≥5 years,n=60) and lower intermission duration group (＜5 years,n=94).The information of the patients on demography and ill-related characteristics were collected by self-developed questionnaire.The psycholepsy patients were evaluated by HAMD and SI.The manic episode patients were evaluated by BRMS and Si.Results The ratio of female and extroversion personality in the longer intermission group were significant higher than those in the lower intermission group (68.33% vs 44.78%,t=8.24,P=0.005 ;63.33% vs 40.43%,t=6.89,P=0.006).The proportion of positive family history was higher in the longer intermission group than in the lower intermission group (45.00% vs 69.15%,t=4.37,P=0.00).The proportion of psychosis symptoms was higher in the longer intermission group than in the lower intermission group (38.33% vs 86.17%,t=9.54,P=0.00).The inpatients with lower intermission were more severe,companied by psychotic symptoms.Conclusion The inpatients with mood disorder,who have a longer intermission periods,have less psychotic sympotoms ,female was predominant and more extroversion.