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[老年人的精神问题——60岁以上患者症状自评量表SCL - 90 - R的标准化]

[Psychiatric problems in the elderly--standardization of the Symptom Check List SCL-90-R in patients over 60 years of age].

作者信息

Hessel A, Geyer M, Brähler E

机构信息

Universität Leipzig Klinik und Poliklinik für Psychotherapie und Psychosomatische Medizin K.-Tauchnitz-Str. 25 04107 Leipzig, Germany.

出版信息

Z Gerontol Geriatr. 2001 Dec;34(6):498-508. doi: 10.1007/s003910170026.

Abstract

In the following article, data of the symptom checklist SCL-90-R (Derogatis 1986) for elderly people are introduced, including an estimation of the controlling factors on psychological complaints in old age. The representative sample is based on 394 persons aged 61 to 96; their psychological complaints have been studied with respect to SCL-90-R. Evidently elderly people did not state an increasing load on psychological complaints, but a different structure of psychological symptoms. Therefore with increasing age the scales "Somatization", "Obsessive-compulsive" and "Phobic anxiety" increase, while "Interpersonal sensitivity", "Anger--hostility" and "Paranoid ideation" are decreasing. Within that frame, elderly females report increasing symptomatic load compared to elderly males. Furthermore, aspects of social support and health-related attitudes were found to be important predictors of psychological complaints in old age.

摘要

在接下来的文章中,将介绍针对老年人的症状自评量表SCL - 90 - R(德罗加蒂斯,1986年)的数据,包括对老年期心理问题控制因素的评估。代表性样本基于394名年龄在61岁至96岁之间的人;已根据SCL - 90 - R对他们的心理问题进行了研究。显然,老年人并未表明心理问题的负担在增加,而是心理症状的结构有所不同。因此,随着年龄的增长,“躯体化”“强迫观念及行为”和“恐惧焦虑”量表得分增加,而“人际敏感”“愤怒 - 敌意”和“偏执观念”得分则在下降。在此框架内,老年女性报告的症状负担比老年男性有所增加。此外,社会支持和与健康相关的态度方面被发现是老年期心理问题的重要预测因素。

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