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时间:2019-06-14
《geriatricdepression-老年抑郁症》由会员上传分享,免费在线阅读,更多相关内容在教育资源-天天文库。
1、1DepressioninOlderPeopleGuangleiXunMentalHealthCenterofShandongProvince2IntroductionofDepression(1)DifinitionofdepressionDepressivedisorderischaracterizedbydepressedmoodthatisoutofkeepingwiththecircumstances.Itmayvaryfromlowmoodtomelancholia,orevenstupor.Inseverecases,psychoticsym
2、ptomssuchasdelusionsandhallucinationsmaybepresent.Anxietyandmotoragitationmaybemoreprominentthandepressioninsomecases.3IntroductionofDepression(2)CoresymptomsDepressedmoodLossofinterestorpleasureDecreasedenergy,increasedfatigueAdditionalsymptomsLossofconfidenceInappropriateandexce
3、ssiveguiltRecurrentthoughtsofdeath,suicidalthoughtsorbehaviourDiminishedevidenceofabilitytothinkorconcentrateChangeinpsychomotoractivitySleepdisturbanceAppetitechangeandcorrespondingweightchange4IntroductionofDepression(3)Duration:Symptomandseveritycriteriaaremetforatleast2weeksSe
4、verityimpairmentofsocialfunctionindividualsubjectivedistressundesirableoutcomesononeself5GeriatricDepressionOccurredinpeopleaged65andabove.10%worldwidepopulationismadeupofolderadults.Depressivedisorderisoneofthemostcommonmentaldisordersinlaterlife.Theprevalenceofgeriatricdepressio
5、nisabout13.5%.Geriatricdepressionhasspecificfeatures,whichdonotaccordwiththerigiddiagnosticcriteria.BeekmanAT.etal.BritishJournalofPsychiatry,1999,174:307-116TypesofGeriatricDepressionEndogenousdepressionOrganicmooddisorderDysthymiaAdjustmentdisorderVasculardepression7VascularDepr
6、ession—anewcategoryofgeriatricdepression(1)HypothesisDamagetoend-arteriessupplyingsubcorticalstriatal-pallidum-thalamus-corticalpathwaysdisruptstheneuro-transmittercircuitryinvolvedinmoodregulation,andmaycausedepression.8VascularDepression—anewcategoryofgeriatricdepression(2)Featu
7、resDepressionarisesinlatelifeReducedinsightApathyandretardationCognitiveimpairmentNeurologicalevidenceofischemicbraindamage9FeaturesofGeriatricDepression(1)Comparedwithyoung-adultdepression,thedepressioninlaterlifehasspecialclinicalfeaturesAnxietySomatizationAnxiety,somatizationma
8、ybethemostcommonsymptoms,sometime
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