摘要
目的了解神经内科门诊老年患者的心理健康状况。方法用症状自评量表(SCL-90)对神经内科门诊416例60岁以上老年患者进行调查。结果神经内科门诊中老年患者的心理问题主要表现为抑郁合并焦虑和躯体化。其中抑郁合并焦虑的比例占27.16%,躯体形式障碍占16.35%。SCL-90各因子得分均显著高于中国成人常模(抑郁2.83±0.75/2.22±0.65,强迫2.78±0.64/1.62±0.58,焦虑2.60±0.66/1.39±0.43,躯体化2.61±0.63/1.37±0.48,P分别<0.001)。结论神经内科门诊老年患者的心理健康状况低于普通人群,在对神经系统疾病进行诊治时,应关注该群体存在的心理健康问题,特别是抑郁,强迫,焦虑和躯体形式障碍。
Objective To examine the psychosomatic symptoms of old patients in outpatient department of neurology. Methods A total of 416 patients over sixty from outpatient department of neurology were assessed with the Symptom Checklist 90. Results The neuropsychological problems in these patients were depression concomitant with anxiety （27. 16 %） and somatization（16.35%）,especially in scores of depression 2.83±0.75 vs 2.22±0. 65,obsessive-compulsive 2.78±0. 64 vs 1.62±0. 58, anxiety2.60±0. 66 vs 1.39±0.43,and sornatization 2. 61±0. 63 vs 1. 37±0.48 as compared with normal adults, P〈0. 001. Conclusion The mental health of old patients in out-patient department of neurology was not as good as normal adults. Neurologists should pay attention to their psychosomatic symptoms such as depression, obsessive-compulsion, anxiety, and sornatization in the outpatient department.
出处
《中华老年多器官疾病杂志》
2006年第3期182-184,188,共4页
Chinese Journal of Multiple Organ Diseases in the Elderly
