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与丧偶相关的重度抑郁症。

Major Depression Associated With Widowhood.

作者信息

Zisook Sidney, Shuchter Stephen R

机构信息

University of California, San Diego, Outpatient Psychiatric Services, UCSD School of Medicine.

出版信息

Am J Geriatr Psychiatry. 1993;1(4):316-326. doi: 10.1097/00019442-199300140-00006. Epub 2013 Jan 28.

Abstract

The authors look at the frequency of depressive symptoms and syndromes associated with spousal bereavement in late life and assess both the course and associated morbidity of those syndromes over a 2-year period. The prevalence of major depressive syndromes ranges from 24% 2 months after the spouse's death to 14% at 25 months. Major depression was associated with poor role functioning, interpersonal difficulties, poor medical health, and increased medical treatment. Risk factors for continuing major depression 25 months after the death of a spouse include, in descending order of importance, early post-bereavement depressive syndromes, intensity of early depressive symptoms, family history of depression, alcohol consumption, medical health, and suddenness of the death.

摘要

作者研究了与晚年配偶丧亡相关的抑郁症状和综合征的发生频率,并评估了这些综合征在两年期间的病程及相关发病率。重度抑郁综合征的患病率在配偶死亡后2个月时为24%,在25个月时为14%。重度抑郁与角色功能差、人际关系困难、身体健康不佳及医疗治疗增加有关。配偶死亡25个月后持续存在重度抑郁的危险因素,按重要性降序排列包括:丧亲后早期抑郁综合征、早期抑郁症状的强度、抑郁家族史、饮酒、身体健康状况以及死亡的突然性。

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