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中风后患者的抑郁症状与运动技能之间是否存在相关性?

Is there a correlation between depressive symptoms and motor skills in post-stroke patients?

作者信息

Yoshida Hélio Mamoru, Lima Fabrício Oliveira, Barreira Júlia, Appenzeller Simone, Fernandes Paula Teixeira

机构信息

Universidade Estadual de Campinas, Faculdade de Educação Física, GEPEN - Grupo de Estudos em Psicologia do Esporte e Neurociências, Campinas SP, Brasil.

Hospital Geral de Fortaleza, Fortaleza, CE, Brasil.

出版信息

Arq Neuropsiquiatr. 2019 Mar;77(3):155-160. doi: 10.1590/0004-282X20190012.

DOI:10.1590/0004-282X20190012
PMID:30970127
Abstract

Deficits in motor skills and depressive symptoms are common effects observed after stroke, so it is necessary to understand how these variables interact with each other. Therefore, the aim of this study was to investigate the relationship between these two variables in post-ischemic stroke patients. We evaluated 135 patients with a mean age of 60 years (± 15). The Fugl-Meyer assessment of motor function was used to assess motor skills in the upper limbs, lower limbs, balance, and sensitivity and the Beck Depression Inventory was applied to evaluate depressive symptoms. To assess the relationship between both components, Spearman's correlation was performed. Depressive symptoms were negatively correlated with all variables of motor skills. This study suggests that higher motor skills in post-stroke patients may be associated with fewer depressive symptoms. Thus, a better understanding of how post-stroke symptoms are interrelated may improve patient treatment and care, contributing to a better quality of life.

摘要

运动技能缺陷和抑郁症状是中风后常见的表现,因此有必要了解这些变量之间是如何相互作用的。因此,本研究的目的是调查缺血性中风患者这两个变量之间的关系。我们评估了135名平均年龄为60岁(±15岁)的患者。采用Fugl-Meyer运动功能评估法评估上肢、下肢、平衡和感觉方面的运动技能,并应用贝克抑郁量表评估抑郁症状。为了评估这两个因素之间的关系,进行了Spearman相关性分析。抑郁症状与运动技能的所有变量均呈负相关。本研究表明,中风后患者较高的运动技能可能与较少的抑郁症状相关。因此,更好地理解中风后症状之间的相互关系可能会改善患者的治疗和护理,有助于提高生活质量。

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