Schuerch M, Farag L, Deom S
Service de Psychogériatrie, Cliniques de Soins Spécialisés Valdor-Pèrî, ISoSL, Liège, Belgique.
Rev Med Liege. 2012 Jan;67(1):26-34.
As there is no consensus in the specialized literature, it is often difficult to recognize the ties existing between dementia, delirium and depression. Depression preceding dementia is well-documented. Depressive symptoms during the process of dementia are less well-known. So are the close relationships between dementia and delirium as well as between delirium and depression. The commonality of symptoms between the three often causes diagnostic dilemmas. Unfortunately, elderly patients can often present two, or even three, of the "3 D's" simultaneously. Untangling the 3 D's has been the subject of several articles. We propose a synthesis as well as our thoughts on the subject from a clinical psychogeriatric standpoint.
由于专业文献中尚无共识,通常很难识别痴呆、谵妄和抑郁之间存在的联系。痴呆之前出现抑郁已有充分记录。痴呆过程中的抑郁症状则鲜为人知。痴呆与谵妄之间以及谵妄与抑郁之间的密切关系同样如此。三者之间症状的共性常常导致诊断困境。不幸的是,老年患者常常会同时出现两种甚至三种“3D症状”。梳理这三种“3D症状”一直是多篇文章的主题。我们从临床老年精神病学的角度提出了一种综合观点以及对此主题的看法。