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急性单相抑郁对卒中患者 1 年以上功能结局的影响。

Impact of acute phase depression on functional outcomes in stroke patients over 1 year.

机构信息

Department of Psychiatry, Chonnam National University Medical School,60 Baekseoro, Dong-gu, 501-746 Gwangju, Republic of Korea.

Department of Neurology, Chonnam National University Medical School, Gwangju, Republic of Korea.

出版信息

Psychiatry Res. 2018 Sep;267:228-231. doi: 10.1016/j.psychres.2018.06.026. Epub 2018 Jun 12.

Abstract

This study examined the influence of acute phase post-stroke depression (PSD) on various functional outcomes over 1 year after stroke. PSD was diagnosed at 2 weeks after stroke using the Mini International Neuropsychiatric Interview and functional outcomes were assessed via the National Institutes of Health Stroke Scale, the Barthel Index, and the Mini-Mental State Examination at 2 weeks and 1 year. Acute phase PSD was an independent predictor of poor functional outcomes during both the acute and chronic phases. Considering the negative impact of PSD on stroke outcomes, identification of acute phase PSD is important for improving functional outcomes.

摘要

本研究旨在探讨卒中后急性期抑郁(PSD)对卒中后 1 年各种功能结局的影响。PSD 采用 Mini 国际神经精神访谈于卒中后 2 周进行诊断,功能结局通过国立卫生研究院卒中量表(NIHSS)、Barthel 指数和简易精神状态检查(MMSE)于卒中后 2 周和 1 年进行评估。急性期 PSD 是急性和慢性期不良功能结局的独立预测因子。鉴于 PSD 对卒中结局的负面影响,早期识别 PSD 对于改善功能结局至关重要。

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