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[老年期反应性抑郁。在与年龄相关的比较方面的类型学、临床病程及转归]

[Reactive depression of advanced age. Its typology, clinical course and outcome in the comparative age-related aspect].

作者信息

Smulevich N A

出版信息

Zh Nevropatol Psikhiatr Im S S Korsakova. 1989;89(4):76-82.

PMID:2750388
Abstract

Thirty-seven patients aged 50 to 84 with reactive depressions which first manifested in involution (50 to 65) or senile (over 65 years) periods were under this investigation. The depressions were divided into 4 groups according to their syndromal structure peculiarities: hysterodepressions, anxious, melancholic and maladaptive-type depressions. In both age groups the differences were marked primarily in such clinical manifestations as the contents of psychogenic complex, anxiety affect and depressive delirium. The study discovered that the age of manifestation is one of determinants of clinical signs and further development of reactive depressions. The later these are manifested, the worse is prognosis.

摘要

对37名年龄在50至84岁之间、首次发于更年期(50至65岁)或老年期(65岁以上)的反应性抑郁症患者进行了此项研究。根据综合征结构特点,这些抑郁症被分为4组:癔症性抑郁症、焦虑性抑郁症、忧郁性抑郁症和适应不良型抑郁症。在两个年龄组中,主要在诸如心因性情结内容、焦虑情感和抑郁性谵妄等临床表现方面存在显著差异。研究发现,发病年龄是反应性抑郁症临床症状及进一步发展的决定因素之一。发病越晚,预后越差。

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