Chapagain Ghanshyam, Rajbhandari Krishna Chandra, Sharma Vidya Dev
Department of Psychiatry, Nepal Medical College, Jorpati-7, Kathmandu, Nepal.
Nepal Med Coll J. 2003 Dec;5(2):92-4.
Depression is common clinical manifestation following myocardial infarction (MI), the prevalence being 20.0-30.0% in different studies. Both biological factors and problems related to life threatening condition have been blamed as risk factors of depression following MI. Although the profile of symptomatology of depression after life threatening physical illnesses is similar in many aspects to that of depressive disorder in other individuals, there are substantial differences between them. Fifty-one patients with MI were studied using Hamilton Depression Rating Scale (HDRS) during first visit, and after one month, three months and six months period. The result showed that most of the symptoms were somatic type (45.0-57.0%), psychological category being the next (36.0-44.0%), whereas 7.0 to 12.0% of the symptoms constituted motor.
抑郁症是心肌梗死(MI)后的常见临床表现,不同研究中的患病率为20.0 - 30.0%。生物因素和与危及生命状况相关的问题都被认为是心肌梗死后抑郁症的危险因素。尽管危及生命的身体疾病后抑郁症的症状表现模式在许多方面与其他个体的抑郁症相似,但它们之间存在显著差异。在首次就诊时、1个月后、3个月后和6个月后,使用汉密尔顿抑郁量表(HDRS)对51例心肌梗死患者进行了研究。结果显示,大多数症状为躯体类型(45.0 - 57.0%),其次是心理类别(36.0 - 44.0%),而7.0%至12.0%的症状构成运动性症状。