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在老年人中,积蓄和抑郁症状之间的关系
Sara Nutley1, Binh K Nguyen2, Robert Scott Mackin3
1Department of Psychiatry (SN, BN, CAM), University of Florida College of Medicine, Gainesville, FL; Center for OCD, Anxiety, and Related Disorders (COARD) (SN, BN, CAM), University of Florida, Gainesville, FL; Department of Epidemiology (SN), University of Florida, Gainesville, FL.
积蓄障碍在患有严重抑郁症的老年人中很常见,特别是那些患有活跃抑郁症的人. 积蓄症状随着时间的推移保持稳定,独立于抑郁症变化.
科学领域:
- 神经精神病学是一种神经精神病学.
- 老年学是一门学科.
- 临床心理学 临床心理学
背景情况:
- 储蓄障碍 (HD) 影响2%-6%的人口,随着年龄的增长而增加.
- 大型抑郁症 (MDD) 在~50%的HD病例中同时发生,恶化损伤.
- 对于患有MDD的老年人,特别是晚年抑郁症 (LLD) 的HD存在有限的研究.
研究的目的:
- 在老年人患有LLD或MDD的终身病史中表征积障碍.
- 为了确定这些群体中储蓄症状的发生率和稳定性.
- 为了检查积蓄和抑郁症症状轨迹之间的关系.
主要方法:
- 评估了两组患有LLD (n=73) 或终身MDD (n=580) 的参与者.
- 确定了HD的发病率.
- 储蓄症状使用储蓄库存修订 (SI-R) 和储蓄评级尺度自我报告 (HRS) 进行了测量.
- 研究人员检查了积蓄和抑郁症得分的可靠性,稳定性和随时间变化的共变性.
主要成果:
- 在患有MDD的参与者中,HD在12% - 33%中存在,在患有活跃LLD的参与者中,HD的发病率更高.
- 积严重程度在时间点之间稳定 (相关性>0.75).
- 抑郁症症状的变化并没有随着时间的推移而改变积症状.
结论:
- 储蓄障碍是LLD中比以前更常见的共患病.
- 在患有MDD的老年人中,储蓄症状是稳定的,不管抑郁症的波动如何.
- 在LLD患者中,建议对HD进行查和管理.
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