Ng K C, Chan K L, Straughan P T
Department of Rehabilitative Medicine, Tan Tock Seng Hospital, Singapore.
Acta Psychiatr Scand. 1995 Jul;92(1):75-9. doi: 10.1111/j.1600-0447.1995.tb09546.x.
This was a prospective study of 52 stroke patients. The incidence of post-stroke depression was 55%. A past history of depression was significantly associated with the clinical assessment of depression. There was no association between the clinical assessment of depression and type and site of lesion and intellectual impairment. The clinical assessment of depression was significantly associated with the degree of functional impairment. The clinical assessment of depression also correlated well with Hamilton Depression Rating Scale score. We conclude that post-stroke depression is unlikely to be caused by neuronal injury due to the cerebrovascular accident. There is also a significant reactive component to it. The Hamilton Depression Rating Scale is suitable for assessing the severity of depression in stroke patients.
这是一项针对52名中风患者的前瞻性研究。中风后抑郁症的发病率为55%。抑郁症病史与抑郁症的临床评估显著相关。抑郁症的临床评估与病变类型、部位及智力损害之间无关联。抑郁症的临床评估与功能损害程度显著相关。抑郁症的临床评估也与汉密尔顿抑郁量表评分密切相关。我们得出结论，中风后抑郁症不太可能由脑血管意外导致的神经元损伤引起。它也有显著的反应性成分。汉密尔顿抑郁量表适用于评估中风患者抑郁症的严重程度。
