短暂缺血性发作后抑郁症的患病率,时间和预测因素:系统性审查,元分析和验证
Aubretia McColl1, Sarah Pendlebury1, Peter M Rothwell1
1Wolfson Centre for the Prevention of Stroke and Dementia Nuffield Department of Clinical Neurosciences Wolfson Building - John Radcliffe Hospital University of Oxford Oxford, UK.
概括
抑郁症在过渡性缺血性发作 (TIA) 后不久影响大约五分之一的患者,患病率随着时间的推移而下降. 研究方法显著影响TIA后报告的抑郁率.
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:
- 抑郁症是中风后的一个常见而严重的并发症.
- 有限的数据存在于短暂性缺血性攻击 (TIA) 后抑郁症的流行率.
- 对于TIA引发抑郁症和相关风险因素的潜力仍然不清楚.
研究的目的:
- 系统地审查TIA后抑郁症的流行情况.
- 为了确定与TIA后抑郁症相关的风险因素.
- 在基于人口的队列中验证发现.
主要方法:
- 对Medline,PsychInfo和EMBASE数据库进行系统审查.
- 包括横截面和队列研究报告TIA后抑郁症患病率.
- 在牛津血管研究 (OXVASC) 基于人口的队列中的验证.
主要成果:
- 抑郁症的综合流行率从TIA后0-1个月的20.1%下降到TIA后3-12个月的14.1%.
- 年龄较小是TIA后抑郁症的唯一一致预测因素.
- 研究方法,包括评估方法和TIA定义,解释了83%的流行率异质性.
结论:
- 抑郁症影响大约20%的TIA早期患者,患病率随着时间的推移而下降.
- 过渡性心脏病可能会在一些人中引发抑郁症,但需要进一步的研究来确定特定的危险因素.
- 研究设计显著影响经过TIA观察到的抑郁症患病率,需要在未来的研究中仔细考虑.
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