Schneider Barbara, Weber Bernhard, Maurer Konrad, Frölich Lutz
Zentrum der Psychiatrie, Klinik für Psychiatrie und Psychotherapie I, Johann-Wolfgang-Goethe-Universität, Frankfurt/Main.
Psychiatr Prax. 2002 Mar;29(2):76-82. doi: 10.1055/s-2002-22042.
Depressive symptoms are often found in dementia (up to 86 %). Therefore, adequate treatment is necessary. Depressive symptoms appear significantly more often in vascular dementia than in dementia in Alzheimer's disease, but severity and profile of depressive symptomatology are independent of the etiology of dementia. The aim of this review is to help clinicians to select appropriate psychometric instruments to identify and measure depressive symptomatology in dementia. Frequently used scales are described, e.g. the Dementia Mood Assessment Scale and the Cornell Scale for Depression in Dementia - specific scales developed for rating severity of depression in dementia - and the Geriatric Depression Screening Scale. Methodological problems and limitations of psychopathological assessment in dementia caused by restriction of self-report, information gathered by collateral sources, manifestations of age and interference of somatic symptoms are discussed.
抑郁症状在痴呆症中很常见（高达86%）。因此，进行充分治疗很有必要。血管性痴呆中出现抑郁症状的频率明显高于阿尔茨海默病性痴呆，但抑郁症状的严重程度和特征与痴呆症的病因无关。本综述的目的是帮助临床医生选择合适的心理测量工具，以识别和测量痴呆症中的抑郁症状。文中描述了常用量表，如痴呆症情绪评估量表、用于评定痴呆症抑郁严重程度的特定量表——康奈尔痴呆抑郁量表，以及老年抑郁筛查量表。文中还讨论了因自我报告受限、由旁系来源收集的信息、年龄表现和躯体症状干扰而导致的痴呆症心理病理学评估中的方法学问题和局限性。
