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阿尔茨海默病中抑郁症的识别与治疗

Recognition and treatment of depression in Alzheimer's disease.

作者信息

Harris M J, Gierz M, Lohr J B

机构信息

University of California, San Diego.

出版信息

Geriatrics. 1989 Dec;44(12):26-30.

PMID:2687119
Abstract

Although there is no generally effective treatment for Alzheimer's disease, some common psychiatric symptoms associated with the disease, including depression, may respond to pharmacological intervention. Recognition of the depression requires a high index of suspicion from the primary care physician and caregivers and a history from family members or other caregivers. Several groups of medications, including tricyclic antidepressants, monoamine oxidase inhibitors, and psychostimulants, have been used for treatment of depression in dementia patients. Generally, Alzheimer's patients require lower dosages of medication and longer drug treatment trials than younger patients treated for depression.

摘要

虽然目前尚无针对阿尔茨海默病的普遍有效的治疗方法,但与该疾病相关的一些常见精神症状,包括抑郁,可能对药物干预有反应。对抑郁的识别需要初级保健医生和护理人员高度怀疑,并需要家庭成员或其他护理人员提供病史。包括三环类抗抑郁药、单胺氧化酶抑制剂和精神兴奋剂在内的几类药物已被用于治疗痴呆症患者的抑郁。一般来说,与治疗抑郁的年轻患者相比,阿尔茨海默病患者所需的药物剂量更低,药物治疗试验时间更长。

相似文献

1
Recognition and treatment of depression in Alzheimer's disease.阿尔茨海默病中抑郁症的识别与治疗
Geriatrics. 1989 Dec;44(12):26-30.
2
How to manage depression and psychosis in Alzheimer's disease.如何管理阿尔茨海默病中的抑郁和精神病症状。
Geriatrics. 1995 Jan;50(1):43-6, 49.
3
Diagnosis and treatment of depression in patients with Alzheimer's disease and other dementias.阿尔茨海默病及其他痴呆症患者抑郁症的诊断与治疗
J Clin Psychiatry. 1998;59 Suppl 9:38-44.
4
Late-life depression: when and how to intervene.老年期抑郁症:何时以及如何进行干预。
Geriatrics. 1995 Aug;50(8):44-6, 49-52, 55; quiz 56-7.
5
Finding and treating depression in Alzheimer's patients: a study of the effects on patients and caregivers.
Psychopharmacol Bull. 1997;33(4):721-9.
6
The clinical interface of depression and dementia.抑郁症与痴呆症的临床关联
J Clin Psychiatry. 1998;59 Suppl 10:9-12.
7
[Affective disorders in Alzheimer's disease].[阿尔茨海默病中的情感障碍]
Rev Med Suisse Romande. 1997 Sep;117(9):651-3.
8
The prevalence, diagnosis and treatment of depression in dementia patients in chronic care facilities in the last six months of life.临终前六个月慢性护理机构中痴呆症患者抑郁症的患病率、诊断与治疗。
Int J Geriatr Psychiatry. 2002 May;17(5):464-72. doi: 10.1002/gps.634.
9
[Depressive pseudodementia and Alzheimer's disease - a pilot study (author's transl)].
Nervenarzt. 1982 May;53(5):284-6.
10
Case for and against specificity of depression in Alzheimer's disease.阿尔茨海默病中抑郁症特异性的正反观点。
Psychiatry Clin Neurosci. 2010 Aug;64(4):358-66. doi: 10.1111/j.1440-1819.2010.02108.x. Epub 2010 Jun 21.

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West J Med. 1992 Jan;156(1):75-7.