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重度抑郁症患者认知与抑郁自评的比较

Comparison of self-rating of cognition and depression in patients with major depressive disorder.

作者信息

Berra Kishen, Nguyen Charles, Bota Peter

机构信息

School of Biology, University of California Riverside, Riverside, California, USA.

UC Riverside School of Medicine, Riverside, California, USA.

出版信息

Ment Illn. 2020 Jun 27;12(2):31-33. doi: 10.1108/MIJ-02-2020-0005. eCollection 2020.

DOI:10.1108/MIJ-02-2020-0005
PMID:33505641
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7789845/
Abstract

PURPOSE

The purpose of this paper is to discover if there is a correlation between scores on the Beck's Depression Inventory (BDI) and the Cognitive and Physical Functioning Questionnaire (CPFQ) scores of 43 patients with major depression.

DESIGN/METHODOLOGY/APPROACH: In total, 43 adult patients with major depression were evaluated during their regularly scheduled outpatient appointment in a mental health clinic.

FINDINGS

There was an value of 0.6544 between the patients' scores, a moderate-to-strong correlation which matches other observations that cognitive impairment increases in conjunction with severity of depression. This correlation lends further clinical support to the legitimacy of using the CPFQ as a simpler alternative to traditional neuropsychological testing, with further testing of the correlation between CPFQ and traditional neuropsychological testing results being a worthwhile potential field of study.

ORIGINALITY/VALUE: Cognitive dysfunction is a frequent comorbidity in patients with depression, but while there is a brief and effective self- assessment for depression, the BDI, in common use, there is no equivalent test for cognitive dysfunction, and physicians are forced to rely on less accessible methods of neuropsychological testing.

摘要

目的

本文旨在探究43例重度抑郁症患者的贝克抑郁量表(BDI)得分与认知及身体功能问卷(CPFQ)得分之间是否存在相关性。

设计/方法/途径:共有43例成年重度抑郁症患者在精神卫生诊所定期门诊就诊时接受了评估。

研究结果

患者得分之间的相关值为0.6544,呈中度至高度相关,这与其他观察结果相符,即认知障碍会随着抑郁症严重程度的增加而加重。这种相关性进一步为使用CPFQ作为传统神经心理学测试的更简单替代方法的合理性提供了临床支持,对CPFQ与传统神经心理学测试结果之间的相关性进行进一步测试是一个有价值的潜在研究领域。

原创性/价值:认知功能障碍是抑郁症患者常见的共病情况,但虽然有一个简短有效的抑郁症自我评估工具,即常用的BDI,但对于认知功能障碍却没有等效的测试方法,医生不得不依赖较难获取的神经心理学测试方法。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9b90/7789845/e52911d3bd46/mentilln-12-0031-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9b90/7789845/96a1ccef731d/mentilln-12-0031-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9b90/7789845/d7c8e8a4632a/mentilln-12-0031-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9b90/7789845/e52911d3bd46/mentilln-12-0031-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9b90/7789845/96a1ccef731d/mentilln-12-0031-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9b90/7789845/d7c8e8a4632a/mentilln-12-0031-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9b90/7789845/e52911d3bd46/mentilln-12-0031-g003.jpg

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本文引用的文献

1
Measuring cognitive function in MDD: emerging assessment tools.测量重度抑郁症患者的认知功能:新兴评估工具
Depress Anxiety. 2015 Apr;32(4):262-9. doi: 10.1002/da.22297. Epub 2014 Nov 24.
2
Reliability and validity of the Massachusetts general hospital cognitive and physical functioning questionnaire.麻省总医院认知与身体功能问卷的信度和效度
Psychother Psychosom. 2009;78(2):91-7. doi: 10.1159/000201934. Epub 2009 Feb 13.
3
A cross-sectional study of the prevalence of cognitive and physical symptoms during long-term antidepressant treatment.
一项关于长期抗抑郁治疗期间认知和身体症状患病率的横断面研究。
J Clin Psychiatry. 2006 Nov;67(11):1754-9. doi: 10.4088/jcp.v67n1113.
4
Symptoms of fatigue and cognitive/executive dysfunction in major depressive disorder before and after antidepressant treatment.抗抑郁治疗前后重度抑郁症患者的疲劳及认知/执行功能障碍症状
J Clin Psychiatry. 2003;64 Suppl 14:30-4.
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Epidemiology of unexplained fatigue and major depression in the community: the Baltimore ECA follow-up, 1981-1994.社区中不明原因疲劳与重度抑郁症的流行病学:巴尔的摩ECA随访研究,1981 - 1994年
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