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抑郁青少年住院患者的运动能力:生化及临床诊断相关性

Motor proficiency in depressed adolescent inpatients: biochemical and clinical diagnostic correlates.

作者信息

Humphries L, Gruber J, Hall J, Kryscio R

出版信息

J Dev Behav Pediatr. 1985 Oct;6(5):259-62.

PMID:4066960
Abstract

A pilot investigation was conducted on 25 adolescents, ages 11 to 18 years, admitted to a six-bed psychiatric unit in a university hospital in order to explore relationships among motor proficiency and categories of depressive illness. The investigators endeavored to determine whether (a) depressed adolescents would perform as well as normals on the Bruininks-Oseretsky Test of Motor Proficiency and (b) whether the method of diagnosing major depressive episode (MDE), using DSM-III criteria or the Dexamethasone Suppression Test, was related to motor proficiency. Results indicate that depressed adolescents performed less well on balance, bilateral coordination, upper limb coordination, and response speed than normals. Major depressive episode (MDE) patients, as defined by the Dexamethasone Suppression Test, performed less well than patients with Adjustment Disorder with Depressive Mood. Patients diagnosed as MDE on the basis of DSM-III criteria had motor proficiency scores similar to those of the other patients with depressive mood adjustment disorders. The method of diagnosis is critical if prescribed physical activity therapy is to be effective.

摘要

为了探究运动能力与抑郁症类型之间的关系,对一所大学医院设有六张床位的精神科病房收治的25名年龄在11至18岁之间的青少年进行了一项初步调查。研究人员试图确定:(a)抑郁青少年在布鲁宁克斯-奥塞瑞斯基运动能力测试中的表现是否与正常人一样好;(b)使用《精神疾病诊断与统计手册》第三版(DSM-III)标准或地塞米松抑制试验诊断重度抑郁发作(MDE)的方法是否与运动能力有关。结果表明,抑郁青少年在平衡、双侧协调、上肢协调和反应速度方面的表现不如正常人。根据地塞米松抑制试验定义的重度抑郁发作(MDE)患者,其表现不如伴有抑郁情绪的适应障碍患者。根据DSM-III标准诊断为MDE的患者,其运动能力得分与其他伴有抑郁情绪适应障碍的患者相似。如果规定的体育活动疗法要有效,诊断方法至关重要。

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