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[老年人精神障碍的检测]

[Detection of psychiatric disorders in the elderly].

作者信息

Rojas Castillo G, Camposano Waterkotte S, Corail Bravo J, Lolas Stepke F

机构信息

Dpto. de Psiquiatría y Salud Mental, Facultad de Medicina, Universidad de Chile, Santiago.

出版信息

Acta Psiquiatr Psicol Am Lat. 1995 Mar;41(1):45-51.

PMID:7660846
Abstract

The goal of this paper was to study the usefulness of standardised tests in elderly and assess the relationship among sociodemographic factors, neuropsychological indicators and psychiatric diagnosis, 40 subjects (31 women and 9 men, mean age 71.5 years, sd 6.16) who attended a primary care clinic in Santiago were interviewed using a sociodemographic interview, the Sarason's social support questionnaire, the mini mental state examination, the Goldberg health questionnaire, the Beck's inventory for measuring depression, the Wechsler adult intelligence scale and the Wechsler memory scale. Event related potentials were evoked in response to an auditory "Odd Ball" paradigm. A psychiatric interview, according ICD10 criteria gave 67.5% of psychiatric disorders. Anova analysis considering the psychiatric diagnostic groups showed significant differences for MMSE, GHQ12, BI, and WAIS. It is concluded that there is a high prevalence of psychiatric disorders and that standardised tests could be used for their detection.

摘要

本文的目的是研究标准化测试在老年人中的实用性,并评估社会人口统计学因素、神经心理学指标与精神疾病诊断之间的关系。对40名在圣地亚哥一家初级保健诊所就诊的受试者(31名女性和9名男性,平均年龄71.5岁,标准差6.16)进行了访谈,使用了社会人口统计学访谈、萨拉森社会支持问卷、简易精神状态检查表、戈德堡健康问卷、贝克抑郁量表、韦克斯勒成人智力量表和韦克斯勒记忆量表。通过听觉“Odd Ball”范式诱发事件相关电位。根据ICD10标准进行的精神科访谈显示,精神疾病的患病率为67.5%。对精神疾病诊断组进行的方差分析表明,简易精神状态检查表、一般健康问卷12项、贝克抑郁量表和韦克斯勒成人智力量表存在显著差异。结论是精神疾病的患病率很高,标准化测试可用于其检测。

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