Carnwath T C, Johnson D A
Br Med J (Clin Res Ed). 1987 Feb 14;294(6569):409-11. doi: 10.1136/bmj.294.6569.409.
The medium term psychiatric morbidity of spouses of patients with stroke was evaluated one to three years after the event. Compared with a control group the spouses were more likely to be depressed (p less than 0.005) and had more physical symptoms (p less than 0.01). Depression increased with the severity of the stroke in the spouse (p less than 0.05) and with time during the three years. Regular contact with friends and neighbours protected spouses (p less than 0.005). Depressed spouses were more likely to be taking tranquillisers than non-depressed spouses (p less than 0.0001) but no more likely to be taking antidepressants. Social rehabilitation after stroke was less successful when the spouse was depressed. Proper attention paid to spouses of patients with stroke might improve the prospects of these patients.
在中风事件发生后的一到三年,对中风患者配偶的中期精神疾病发病率进行了评估。与对照组相比,配偶更易出现抑郁(p<0.005)且有更多身体症状(p<0.01)。配偶的抑郁程度随中风严重程度增加(p<0.05),且在三年期间随时间加重。与朋友和邻居保持定期联系可使配偶受益(p<0.005)。与未抑郁的配偶相比,抑郁的配偶更可能服用镇静剂(p<0.0001),但服用抗抑郁药的可能性并无差异。当中风患者的配偶抑郁时,中风后的社会康复效果较差。对中风患者的配偶给予适当关注可能会改善这些患者的预后。