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记忆门诊中记忆主诉与人格、抑郁和焦虑的相关性

Correlates of memory complaints and personality, depression, and anxiety in a memory clinic.

作者信息

Arbabi Mohammad, Zhand Naista, Eybpoosh Sana, Yazdi Narges, Ansari Sahar, Ramezani Marjan

机构信息

Department of Psychiatry, Tehran University of Medical Sciences.

出版信息

Acta Med Iran. 2015;53(5):270-5.

Abstract

The aim of the study was to find whether there is an association between subjective memory complaint and memory impairment and probable underlying psychological conditions. A total of 90 patients with subjective memory complaint enrolled in this study. Short history and demographic information were obtained and then the patients underwent memory and mental health assessments, using Wechsler Memory Scale (WMS), Hospital Anxiety and Depression Scale (HADS) and Minnesota Multiphasic Personality Inventory (MMPI) test tools. The mean age of the participants was 52.31 ± 17.97. Forty patients out of 90 (44.4%) were male. The prevalence of depression, anxiety and memory impairment was 10%, 12.2%, and 28.8%, respectively. Memory impairment has only shown a significant association with the presence of anxiety disorder according to the HADS findings (P=0.001). Regarding the MMPI, considerable differences were observed in the average grade of hysteria among patients with and without memory impairment: 8.38 ± 2.27 vs. 4.35 ± 1.96. There was also significant statistical association between the average score of depression on the MMPI in patients with and without memory impairment that were 13.7 ± 3.33 and 8.31 ±3.86, (P=0.03). The result of the current study shows that underlying psychological conditions such as anxiety, depression, and histrionic personality are associated with memory impairment.

摘要

该研究的目的是探究主观记忆主诉与记忆损害以及可能潜在的心理状况之间是否存在关联。本研究共纳入了90例有主观记忆主诉的患者。收集了简短病史和人口统计学信息,然后使用韦氏记忆量表(WMS)、医院焦虑抑郁量表(HADS)和明尼苏达多相人格调查表(MMPI)测试工具对患者进行了记忆和心理健康评估。参与者的平均年龄为52.31±17.97岁。90例患者中有40例(44.4%)为男性。抑郁、焦虑和记忆损害的患病率分别为10%、12.2%和28.8%。根据HADS的结果,记忆损害仅与焦虑症的存在显示出显著关联(P = 0.001)。关于MMPI,在有记忆损害和无记忆损害的患者之间,癔症平均得分存在显著差异:8.38±2.27 vs. 4.35±1.96。有记忆损害和无记忆损害患者的MMPI抑郁平均得分分别为13.7±3.33和8.31±3.86,也存在显著的统计学关联(P = 0.03)。当前研究结果表明,焦虑、抑郁和表演型人格等潜在心理状况与记忆损害有关。

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