中华行为医学与脑科学杂志
中華行為醫學與腦科學雜誌
중화행위의학여뇌과학잡지
CHINESE JOURNAL OF BEHAVIORAL MEDICINE AND BRAIN SCIENCE
2013年
3期
225-227
,共3页
抑郁症%自杀行为%认知功能%神经心理学测验
抑鬱癥%自殺行為%認知功能%神經心理學測驗
억욱증%자살행위%인지공능%신경심이학측험
Depression%Suicide behavior%Cognitive function%Neuropsychological test
目的 比较伴与不伴有自杀行为的首发中青年抑郁症患者临床症状及认知功能的差异.方法 采用韦氏成人智能量表、韦氏记忆量表、威斯康星卡片分类测验对62例伴有自杀行为的抑郁症患者(研究组)和61例不伴有自杀行为的抑郁症患者(对照组)进行认知功能的对照性评估,同时进行症状自评量表(SCL-90)的评定.结果 ①研究组的抑郁因子评分[(2.90±1.00)分]与对照组[(2.51±0.76)分]差异有统计学意义(P=0.04 ＜0.05).②研究组的长时记忆、短时记忆、智商数、总测验数和持续错误数[分别为(35.28 ±6.87)分,(51.32±13.41)分,(107.41±15.78)分,(73.18±27.02)分,(32.77±17.93)分]与对照组[分别为(41.60±4.24)分,(71.41±8.51)分,(118.98±10.95)分,(64.14±28.71)分,(23.73±13.64)分]差异有统计学意义(P＜0.05).结论 伴自杀行为的抑郁症患者临床症状有一定特征性,低认知水平对评估抑郁症自杀风险有重要意义.
目的 比較伴與不伴有自殺行為的首髮中青年抑鬱癥患者臨床癥狀及認知功能的差異.方法 採用韋氏成人智能量錶、韋氏記憶量錶、威斯康星卡片分類測驗對62例伴有自殺行為的抑鬱癥患者(研究組)和61例不伴有自殺行為的抑鬱癥患者(對照組)進行認知功能的對照性評估,同時進行癥狀自評量錶(SCL-90)的評定.結果 ①研究組的抑鬱因子評分[(2.90±1.00)分]與對照組[(2.51±0.76)分]差異有統計學意義(P=0.04 ＜0.05).②研究組的長時記憶、短時記憶、智商數、總測驗數和持續錯誤數[分彆為(35.28 ±6.87)分,(51.32±13.41)分,(107.41±15.78)分,(73.18±27.02)分,(32.77±17.93)分]與對照組[分彆為(41.60±4.24)分,(71.41±8.51)分,(118.98±10.95)分,(64.14±28.71)分,(23.73±13.64)分]差異有統計學意義(P＜0.05).結論 伴自殺行為的抑鬱癥患者臨床癥狀有一定特徵性,低認知水平對評估抑鬱癥自殺風險有重要意義.
목적 비교반여불반유자살행위적수발중청년억욱증환자림상증상급인지공능적차이.방법 채용위씨성인지능량표、위씨기억량표、위사강성잡편분류측험대62례반유자살행위적억욱증환자(연구조)화61례불반유자살행위적억욱증환자(대조조)진행인지공능적대조성평고,동시진행증상자평량표(SCL-90)적평정.결과 ①연구조적억욱인자평분[(2.90±1.00)분]여대조조[(2.51±0.76)분]차이유통계학의의(P=0.04 ＜0.05).②연구조적장시기억、단시기억、지상수、총측험수화지속착오수[분별위(35.28 ±6.87)분,(51.32±13.41)분,(107.41±15.78)분,(73.18±27.02)분,(32.77±17.93)분]여대조조[분별위(41.60±4.24)분,(71.41±8.51)분,(118.98±10.95)분,(64.14±28.71)분,(23.73±13.64)분]차이유통계학의의(P＜0.05).결론 반자살행위적억욱증환자림상증상유일정특정성,저인지수평대평고억욱증자살풍험유중요의의.
Objective To compare the difference of clinical symptoms and cognitive function between starting young and middle-aged depression patients with and without attempted suicide behavior.Methods Depressive patients were divided into two groups.One group was composed of patients with attempted suicide behavior (n =62),the other group was composed of patients without attempted suicide behavior(n =61).The cognitive function were measured by WAIS-RC,Wechsler Memorv Scale and Wisconsin Card Sorting test(WCST).The patients were evaluated by symptom checklist 90 (SCL-90).Results There were significant differences in the score of depressive factor between tow groups,such as attempted suicide (2.90 ± 1.00,2.51 ± 0.76).There were significant differences in some nenuropsychological test between tow groups,such as long-term memory (35.28 ± 6.87,41.60 ±4.24),short-term memory (51.32 ± 13.41,118.98 ± 10.95),intelligence quotient(107.41 ± 15.78,118.98 ± 10.95),total quizzes number (73.18 ± 27.02,64.14 ± 28.71),perseverative errors (32.77 ± 17.93,23.73 ± 13.64).Conclusions There are certain characteristics on clinical symptoms of depressive patients with attempted suicide.The low cognitive function levels play an important role in the risk of suicide in depressive patients.
