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单相重度抑郁症当前发作期及缓解期患者的言语工作记忆损害

Verbal working memory impairment in patients with current episode of unipolar major depressive disorder and in remission.

作者信息

Kaneda Yasuhiro

机构信息

Department of Psychiatry, Iwaki Clinic, 11-1 Kamimizuta, Tokushima, Japan.

出版信息

Clin Neuropharmacol. 2009 Nov-Dec;32(6):346-7. doi: 10.1097/WNF.0b013e3181b130a0.

Abstract

In this naturalistic cross-sectional study, the author tested the hypothesis that verbal working memory (WM) in major depressive disorder (MDD) persists even after remission. The subjects consisted of 54 adult clinic outpatients and 54 age- and sex-equated healthy comparison subjects. The author found that the digit sequencing task scores for verbal WM were significantly less in both patients with a current episode of MDD and patients in remission than in the controls. Also, there were no significant correlations between the digit sequencing task scores and the dose of antidepressants or benzodiazepines in patients experiencing remission. It is suggested that WM/central executive function in MDD might be impaired, and thus verbal WM might be, at least to a degree, trait related.

摘要

在这项自然主义横断面研究中,作者检验了这样一个假设:重度抑郁症(MDD)患者的言语工作记忆(WM)即使在缓解后依然存在。研究对象包括54名成年门诊患者以及54名年龄和性别匹配的健康对照者。作者发现,无论是当前患有MDD的患者还是处于缓解期的患者,其言语WM的数字序列任务得分均显著低于对照组。此外,处于缓解期的患者中,数字序列任务得分与抗抑郁药或苯二氮䓬类药物的剂量之间没有显著相关性。这表明MDD患者的WM/中央执行功能可能受损,因此言语WM可能至少在一定程度上与特质相关。

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