第一年内中风后抑郁症 - 从现实世界的数据来看,现象学和临床相关性
Lai Gwen Chan1, Hok Shan Matthew Ng2, Yong Joo Loh3
1Department of Psychiatry, Tan Tock Seng Hospital, 11 Jalan Tan Tock Seng, Singapore 308433.
概括
卒中后抑郁症 (PSD) 影响近20%的住院中风患者,在出血性和战略性中风中更高的发病率. 功能障碍和先前的精神病史预测PSD在所有类型的中风.
科学领域:
- 神经学 神经学
- 精神病学是一个精神病学.
- 流行病学 流行病学
背景情况:
- 关于新加坡中风后抑郁症 (PSD) 的数据有限.
- 不同类型中风的PSD的动态流行病学和现象学在很大程度上是未知的.
研究的目的:
- 描述PSD的流行病学和现象学.
- 在中风后长达一年的时间内,在医院和社区环境中调查PSD.
主要方法:
- 从2010年1月到2021年11月,对1732名中风患者进行了回顾性分析.
- 利用医院焦虑和抑郁量表 (HADS) 和患者健康问卷 (PHQ) 来识别PSD.
- 根据中风类型 (缺血性,出血性,战略性) 分析了人口统计,并发病率,中风相关变量和中风严重程度.
主要成果:
- 住院PSD患病率为19.24% (缺血性) 和24.59% (出血性/战略性).
- 12个月社区PSD患病率为6.42% (缺血性),3.52% (出血性) 和5.23% (战略性).
- 较大的功能障碍和精神疾病史独立预测PSD在所有类型的中风.
结论:
- 由于研究的代表性样本,研究结果提供了立即的临床适用性.
- 强调需要针对中风幸存者的PSD进行有针对性的查和管理.
相关概念视频
Depressive Disorders: Etiology
102
Depressive disorders result from a complex interplay of biological, psychological, and sociocultural factors, each contributing uniquely to the development and persistence of the condition. Understanding these factors provides critical insight into the multifaceted nature of depression.
Biological Factors in Depression
Biological predispositions significantly influence the risk of developing depressive disorders. Genetic studies highlight the role of variations in the serotonin transporter...
Biological Factors in Depression
Biological predispositions significantly influence the risk of developing depressive disorders. Genetic studies highlight the role of variations in the serotonin transporter...
102
Post-traumatic Stress Disorder
35
Post-traumatic stress disorder (PTSD) is a psychiatric condition that arises following exposure to traumatic events such as natural disasters, forced displacement, or severe accidents. It significantly impairs individuals' ability to cope with daily activities and disrupts their emotional and psychological equilibrium.
Symptoms and Behavioral Manifestations
A spectrum of distressing symptoms characterizes PTSD. Recurrent flashbacks, where individuals involuntarily relive traumatic events,...
Symptoms and Behavioral Manifestations
A spectrum of distressing symptoms characterizes PTSD. Recurrent flashbacks, where individuals involuntarily relive traumatic events,...
35
Depression: Overview
251
Depression is a prevalent mental illness marked by persistent sadness and lack of interest in previously enjoyable activities. It can take several forms, including major depression, persistent depressive disorder, and bipolar I and II disorders. Symptoms range from emotional changes like chronic worry to physical changes like sleep disturbances and suicidal thoughts. From a neurobiological perspective, depression is believed to be triggered by abnormalities in the brain's prefrontal cortex,...
251
Long-term Depression
2.5K
Long-term depression, or LTD, is one of the ways by which synaptic plasticity—changes in the strength of chemical synapses—can occur in the brain. LTD is the process of synaptic weakening that occurs over time between pre and postsynaptic neuronal connections. The synaptic weakening of LTD works in opposition to synaptic strengthening by long-term potentiation (LTP) and together are the main mechanisms that underlie learning and memory.
Calcium Ion Concentration Mechanism
If over...
Calcium Ion Concentration Mechanism
If over...
2.5K
Depressive Disorders: MDD and Dysthymia
136
Depressive disorders are a group of mental health conditions characterized by pervasive feelings of sadness, diminished pleasure in life, and a significant impact on daily functioning. These conditions are most prevalent in individuals during their 30s and affect women at twice the rate of men. Contrary to popular belief, younger individuals are generally more susceptible to these disorders than older adults. Two key types of depressive disorders include Major Depressive Disorder (MDD) and...
136


