抑郁症、早期痴呆症检测中老年人的认知与身体功能
Depressive Disorders, Cognitive and Physical Function of Older People in Early Dementia Detection.
作者信息
Pietrzak Beata, Kujawa Jolanta, Lipert Anna
机构信息
Department of Medical Rehabilitation, Medical University of Lodz, 92-213 Lodz, Poland.
Department of Sports Medicine, Medical University of Lodz, 92-213 Lodz, Poland.
出版信息
Life (Basel). 2023 Oct 4;13(10):2010. doi: 10.3390/life13102010.
BACKGROUND
Aging is associated with cognitive decline, leading to cognitive and physical impairments, which are risk factors for loss of independence and dementia development. Early diagnosis is beneficial for both, the patient and their family, to avoid long-term consequences. The aim of this study was to analyze the frequency of depressive disorders and their influence on cognitive and physical function of older people in early dementia detection.
METHODS
There were 852 patients, aged at least 60 years, from the Central Teaching Hospital. The study was conducted between September 2022 and June 2023. The qualified participants were examined using four tools: Geriatric Depression Scale (GDS), Instrumental Activities of Daily Living (IADL), Timed Up and Go (TUG) and Schulman's Clock-Drawing Test.
RESULTS
Over one-third had depressive disorders. A relationship with < 0.05 was observed between GDS and IADL: r = -0.61. A relationship with > 0.05 was observed between GDS and TUG: r = -024. A relationship with < 0.05 was observed between GDS and CDT: r = 0.74.
CONCLUSIONS
The first signs of depressive disorders in older people may be considered an indication for further diagnosis of dementia.
背景
衰老与认知能力下降相关，会导致认知和身体功能障碍，而这些都是失去独立能力和患痴呆症的风险因素。早期诊断对患者及其家人都有益，可避免长期后果。本研究的目的是分析抑郁症的发病率及其在早期痴呆症检测中对老年人认知和身体功能的影响。
方法
选取了中央教学医院的852名年龄至少60岁的患者。研究于2022年9月至2023年6月进行。使用四种工具对符合条件的参与者进行检查：老年抑郁量表（GDS）、日常生活活动能力量表（IADL）、定时起立行走测试（TUG）和舒尔曼画钟试验。
结果
超过三分之一的患者患有抑郁症。观察到GDS与IADL之间存在显著相关性（P<0.05）：r = -0.61。观察到GDS与TUG之间无显著相关性（P>0.05）：r = -0.24。观察到GDS与CDT之间存在显著相关性（P<0.05）：r = 0.74。
结论
老年人抑郁症的最初迹象可能被视为进一步诊断痴呆症的指征。
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