长期住院老年精神分裂症患者抑郁症状调查分析

Investigation and analysis of depressive symptoms in long-term hospitalized elderly patients with schizophrenia

摘要:

目的 对长期住院老年精神分裂症患者抑郁状况进行调查分析，了解其抑郁症状的发生情况及特点。方法 对在北京回龙观医院长期住院老年精神分裂症患者60例（男、女各30例），用汉密尔顿量表（HAMD）进行评定，分析长期住院老年精神分裂症患者出现抑郁情绪的临床特点。结果 长期住院老年精神分裂症患者抑郁症状发生率11.7%（男0%，女23.3%），女性抑郁症状的发生率高于男性。抑郁特征依照严重程度排列依次为阻滞、焦虑/躯体化、认知障碍、绝望感、睡眠障碍。结论 长期住院老年精神分裂症患者合并抑郁症状不容忽视，应采取积极有效的治疗措施，必要时应予以药物治疗、心理治疗及康复治疗等综合治疗策略。

Abstract:

Objective To investigate the depressive status in the elderly schizophrenia patients who were hospitalized for a long period, and explore the depressive episode and characteristics of the symptoms. Methods A total of 60 elderly patients (30 males and 30 females) with schizophrenia who had been admitted in our hospital for more than 2 years were recruited in this study. Hamiltion Depression Rating Scale (HAMD) was employed to assess their depressive symptoms. The clinical features of the depressed mood were analyzed based the findings of this cohort. Results The incidence of depressive symptoms was 11.7% (male 0.0%, female 23.3%) in those long-term hospitalized elderly schizophrenia patients, with the female prevalence higher than that in males. In accordance with the severity of depressive symptoms, the characteristics were retardation, anxiety/somatization, cognitive impairment, hopelessness, and sleep disorder in order. Conclusion We shouldn’t ignore the depressive symptoms in the long-term hospitalized elderly patients with schizophrenia, and should take active and effective measures, even medication therapy, psychological treatment, rehabilitation treatment and other comprehensive treatment strategy when necessary.