老年双相I型障碍患者的心理社会障碍
Berkay Vahapoğlu1, Cana Aksoy Poyraz, Armağan Özdemir
1VAHAPOĞLU and ÖZDEMIR: Bakirköy Mazhar Osman Bakirköy Mental Health and Neurological Diseases Education and Research Hospital, Istanbul, Turkey; POYRAZ: Department of Psychiatry, İstanbul University-Cerrahpaşa Medical School, Istanbul, Turkey.
Journal of psychiatric practice
|March 25, 2024
概括
患有双相I型精神障碍的老年人表现出不同的心理社会功能,抑郁症状和认知问题预测结果较差. 对这些因素的早期干预是改善生活质量的关键.
科学领域:
- 老年精神病学是一门精神病学专业.
- 神经心理学 神经心理学
- 临床心理学 临床心理学
背景情况:
- 二极性I型障碍显著影响老年人的心理社会功能.
- 了解导致功能衰退的因素对于有针对性的干预至关重要.
研究的目的:
- 为了比较老年人与双相I型情绪障碍的心理社会功能与健康对照.
- 在这个患者群体中确定功能不良的精神病学预测因素.
主要方法:
- 招募了68名双相情感患者 (年龄大于50岁) 和89名健康对照.
- 使用标准化措施:年轻狂热评分表,汉密尔顿抑郁/焦虑表,功能评估简短测试,蒙特利尔认知评估.
主要成果:
- 双极症I患者的心理社会功能 (职业,自主,认知) 比对照患者差.
- 功能障碍不同:35.3%没有显著的障碍,38.2%轻度,26.5%中度.
- 抑郁症状和认知缺陷与整体功能较差相关.
结论:
- 在老年双相I型患者中,心理社会功能是异质的.
- 副综合征性抑郁症状和认知障碍预示着功能不良,即使在euthymic状态.
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