Schubert D S, Burns R, Paras W, Sioson E
Case Western Reserve University School of Medicine, Cleveland, Ohio.
Gen Hosp Psychiatry. 1992 Mar;14(2):135-41. doi: 10.1016/0163-8343(92)90039-d.
Clinical observation had suggested that mild depression occurs after admission for acute medical treatment and then decreases during further hospitalization for rehabilitation treatment. The Geriatric Depression Scale (GDS) was given on admission and discharge to 14 stroke and 17 amputee rehabilitation patients. Each of the two groups showed decreasing GDS scores from beginning to end of the rehabilitation admission. Suggested reasons included: (1) the gradually diminishing effects of stroke and amputation as life crises during the 1-2 month admission, (2) effects of physical improvement on mood and affect, (3) milieu effects of the medical ward, and (4) tendencies for all psychopathology scale scores to decrease on retest.
临床观察表明，急性内科治疗入院后会出现轻度抑郁，而在进一步住院接受康复治疗期间抑郁程度会减轻。对14名中风患者和17名截肢康复患者在入院时和出院时进行了老年抑郁量表（GDS）测评。两组患者在康复住院期间的GDS评分均呈下降趋势。可能的原因包括：（1）在1-2个月的住院期间，中风和截肢作为生活危机所产生的影响逐渐减弱；（2）身体状况改善对情绪和情感的影响；（3）内科病房的环境影响；（4）所有心理病理量表评分在复测时都有下降的趋势。
