Kretschmar C, Kretschmar J H, Stuhlmann W
Reheinische Landesklinik/Psychiatrische Klinik der Universität Düsseldorf, FRG.
Prog Clin Biol Res. 1989;317:71-8.
It is an overall knowledge, that dementia and depression are the most common diagnosis in old age psychiatry. This fact has long since been known, in fact first descriptions of cognitive disorders during the course of endogenous depression can already be found at the beginning of the century in works of Gaupp and Kraepelin. On the other hand there are depressive symptoms in people with later evident dementia that can be found years before cognitive disorders are evident. These short introductory remarks show the need of early diagnosis to enable us to more efficient therapy. The following paper gives a survey of the recent and efficient diagnostic possibilities for practible clinical work as well as it shows new research aspects in this field.
痴呆和抑郁症是老年精神病学中最常见的诊断,这是一个普遍的认知。这个事实早已为人所知,事实上,早在本世纪初,在高普和克雷佩林的著作中就已经能找到关于内源性抑郁症过程中认知障碍的首次描述。另一方面,在后来出现明显痴呆的人群中,抑郁症状早在认知障碍明显出现的数年前就可以被发现。这些简短的介绍性话语表明了早期诊断的必要性,以便我们能够进行更有效的治疗。以下论文概述了适用于实际临床工作的最新且有效的诊断可能性,同时也展示了该领域的新研究方向。