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预防医学  2016, Vol. 28 Issue (7): 658-661,665    
  论著 本期目录 | 过刊浏览 | 高级检索 |
抑郁障碍患者缓解期认知功能损害研究
孙丽君1,2,王希林1,黄悦勤1
1.北京大学精神卫生研究所联络会诊科,北京 100191;
2.杭州市第七人民医院
A study on cognitive impairment during depression remission stage
SUN Li-jun,WANG Xi-lin,HUANG Yue-qin
Peking University Institute of Mental Health, Key Laboratory of Mental Health,Ministry of Health (Peking University), Beijing, 100191, China
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摘要 目的 探讨抑郁障碍患者在缓解期认知功能的损害与变化。方法 采用成套神经心理测验工具,从注意、记忆及执行功能多维度评估14例抑郁障碍患者发病期和1年后缓解期的认知功能。设置对照组,比较两组受试者的测验结果。结果 抑郁组发病期持续操作测验(CPT)中第二和第三情境错误数和威斯康星卡片分类测验(mWCST)的持续错误数均多于对照组(P< 0.05);彩色文字阅读(Stroop-C)完成时间和连线测验(TMT)A式完成时间均多于对照组(P< 0.05);彩色文字色彩阅读(Stroop-CW)正确数和完成数、mWCST中完成分类数和词汇流畅性测验(VFT)正确数、理解记忆分测验(LMT)总分和视觉再生测验(VRT)总分均低于对照组(P< 0.05);Stroop-CW完成数和VRT总分均低于缓解期(P< 0.05)。抑郁组缓解期CPT第二和第三情境错误数、Stroop-C完成时间和TMT A式完成时间均多于对照组(P< 0.05);Stroop-CW正确数和完成数、VFT正确数、LMT总分和VRT总分均低于对照组(P< 0.05)。结论 抑郁障碍患者在病情缓解后,不同的认知维度损害程度不同,认知功能损害在较长时间内仍持续存在。
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孙丽君
王希林
黄悦勤
关键词 抑郁障碍发病期缓解期认知功能损害    
AbstractObjective To investigate the impairment and change of cognitive function in patients with depression in remission. Methods The cognitive function was evaluated with group neurocognitive test tool from multi-dimensional evaluation of attention, memory and execution function among 14 depressive patients during diseased episode and in remission after one year. The control group was set and the results of the two groups were compared. Results The result of the attention test showed that the error counts of the second and third situation of Continuous Performance Test (CPT) in depression group in diseased episode and in remission were more than those in the control group (P<0.05), and the time used in Stroop-C and the time used in A of Trail making test(TMT) were longer than those in the control group (P<0.05), and the right numbers in Stroop-CW were less than those in the control group (P<0.05). The numbers completed in Stroop-CW in diseased episode of depression group were less than those in control group(P<0.05), and the numbers completed in Stroop-CW in remission of depression group were more than those in diseased episode(P<0.01). The result of the memory test showed that the score of a in Logical memory test (LMT) in diseased episode of depression group was less than that in control group(P<0.05), and the score of b and aggregate score in LMT and the score of b in Visal reproduction test (VRT) in diseased episode and in remission of depression group were less than that in control group (P<0.05). In VRT, the score of a and aggregate score in diseased episode were less than that in remission of depression group and in control group(P<0.05), and the score of c in diseased episode and the aggregate score in remission were less than that in control group(P<0.05).The result of the execution function test showed that the numbers of sustained error of mWCST in diseased episode of depression group were more and the numbers of categories were less than those in control group (P<0.05), and the correct numbers in Verbal fluency test (VFT) of the depressive group in diseased episode and in remission were less than those in control group(P<0.01). Conclusion When the depressive disorder is remitted, the degree of cognitive impairment in different dimension is different, and the cognitive impairment is still exist for a long time.
Key wordsDepression disorder    Diseased episode    Remission stage    Cognitive function
          出版日期: 2016-07-25
中图分类号:  R749.4  
基金资助:科技部国家科技支撑计划(2007BA117B05)
通信作者: 王希林,E-mail: xilinwang@126.com   
作者简介: 孙丽君,硕士,医师,主要从事精神科的临床工作
引用本文:   
孙丽君, 王希林, 黄悦勤. 抑郁障碍患者缓解期认知功能损害研究[J]. 预防医学, 2016, 28(7): 658-661,665.
SUN Li-jun, WANG Xi-lin, HUANG Yue-qin. A study on cognitive impairment during depression remission stage. Preventive Medicine, 2016, 28(7): 658-661,665.
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http://www.zjyfyxzz.com/CN/      或      http://www.zjyfyxzz.com/CN/Y2016/V28/I7/658
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