不同临床类型老年抑郁症患者之间生物、社会心理因素的比较

Comparison between distinguished type of late life depression in biology and psychosocial factors

关键词:  老年抑郁症  社会心理因素  人格特征  血管危险因素

Key words:  late life depression  psychosocial factor  personality characteristics  vascular risk factor

摘要:

［目的］比较不同类型老年抑郁症患者的人格特征、社会心理因素、血管危险因素的差别。［方法］将受试者分为早发性抑郁复发组（RGD），晚发性抑郁组（LOD），继发性抑郁组（SGD）。每组各30例。采用艾森克个性问卷、生活事件量表及社会支持评定量表、Framingham 研究评分方法进行评定。［结果］RGD组神经质特征得分与LOD组及SGD组比较，差异有显著性意义（P<0.05）；SGD组负性生活事件及健康因子与RGD组及LOD组比较，差异有显著性意义（P<0.05）；LOD组血管危险因素评分值与RGD及SGD相比，差异具有显著性意义（P<0.05）。［结论］不同类型老年抑郁症之间人格特征、社会心理因素和血管危险因素均存在着差异。

Abstract:

［Objective］To compare the personality characteristics,psychosocial factor,vascular risk factor in different type of late life depression.［Methods］Late life depression subjects were grouped by diagnosis averagely into three clinical groups:recurrent geriatric depression (RGD),late onset depression (LOD) and secondary geriatric depression (SGD).Every group had thirty patients.The following neuropsychological tasks were used to assess the all subjects:Eysenck Personality Questionnaires (EPQ),Life Event Scale (LES),Social Support Rating Scale (SSRS),Screening the main vascular risk factor according to Framingham Risk Score.［Results］The neurotic trait (N) score of RGD group was the highest (P<0.05).The negative life events and healthy factor effects of SGD group were more greatly than the other groups (P<0.05).The variation of the vascular risk factors according to Framingham Risk Score existed within the groups.The LOD group had higher score than the other groups (P<0.05).［Conclusion］The variation is between different types of late life depression.