Hyer L, Gouveia I, Harrison W R, Warsaw J, Coutsouridis D
J Gerontol. 1987 Jan;42(1):92-4. doi: 10.1093/geronj/42.1.92.
The relationships among the psychopathological states of depression, anxiety, hypochondriasis, paranoid reactions, and cognitive decline for later-life psychiatric inpatients were addressed. The relationship of these variables to life satisfaction, health, pain, and behavior was also considered. Sixty later-life (older than 55 years) psychiatric patients on an acute geropsychiatric unit were administered a battery of psychological scales; Mini Mental State, Beck Depression Inventory (somatic and psychological components), State-Trait Anxiety Scale, MMPI Paranoia scale (and Harris-Lingoes subscales), the Hypochondriasis Scale (Institutional Geriatric), Life Satisfaction Scale-Z, and self-rated pain responses. In addition, these patients were rated on the MACC-Behavioral Adjustment Scale and the Cumulative Illness Rating Scale. Results showed that there is a high degree of interrelationship among the psychopathological variables except cognition. Independent stepwise regression showed that life satisfaction was accounted for by hypochondriasis and anxiety; health, by depression; pain, by hypochondriasis; and behavior, by cognition.
探讨了老年精神科住院患者抑郁、焦虑、疑病症、偏执反应等精神病理状态与认知衰退之间的关系。还考虑了这些变量与生活满意度、健康、疼痛和行为之间的关系。对一家急性老年精神科病房的60名老年（55岁以上）精神科患者进行了一系列心理量表测试：简易精神状态检查表、贝克抑郁量表（躯体和心理成分）、状态-特质焦虑量表、明尼苏达多项人格调查表偏执量表（及哈里斯-林戈斯分量表）、疑病症量表（老年机构版）、生活满意度量表-Z以及自我评定的疼痛反应。此外，还根据MACC行为调整量表和累积疾病评定量表对这些患者进行了评分。结果表明，除认知外，精神病理变量之间存在高度的相互关系。独立逐步回归分析表明，疑病症和焦虑可解释生活满意度；抑郁可解释健康状况；疑病症可解释疼痛；认知可解释行为。
