| 伴与不伴有躯体化症状的首发中青年抑郁症患者认知功能的对照研究 |
| Alternative Title | The case control study of cognitive function between Starting young and middle-aged depression patients with and without Somatization.
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| 李宁 |
| Thesis Advisor | 叶兰仙
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| 2013-04-23
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| Degree Grantor | 兰州大学
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| Place of Conferral | 兰州
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| Degree Name | 硕士
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| Keyword | 抑郁症
躯体化症状
认知功能
神经心理学测验
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| Abstract | 目的： 伴有躯体化症状的抑郁症患者是否比不伴有躯体化的抑郁症患者存在更为严重的认知功能损害及前者是否比后者额颞叶损害更为严重
方法: 对61例伴有躯体化症状的抑郁症患者、58例不伴有躯体化症状的抑郁症患者和60例健康者（对照组）两两分别进行认知功能的对照性评估，用韦氏成人智能量表、韦氏记忆量表、威斯康星卡片分类测验评估其认知功能。
结果: 1.对照组的木块图、操作智商和积累[分别为（7.96±1.25）分，（89.92±13.49）分，（10.45±1.40 ）分]与WSD组[分别为（7.55±1.49 ）分，（88.14±9.82 ）分，（10.30±2.50）分] 差异有显著性（P<0.05）
2.SD组的算术、木块图、图片排列、操作智商和积累[分别为（8.56±3.28 ）分，（7.36±1.25）分，（9.20±2.13）分，（87.92±13.49）分，（9.70±2.40）分]与对照组[分别为（10.56±3.29）分，（7.96±1.25）分，（10.20±2.13）分，（89.92±13.49）分，（10.45±1.40）分] 差异有显著性（P<0.05）
3.SD组的词汇、图画填空、再认、理解和持续错误数[分别为（9.74±2.40）分，（5.54±1.65）分，（7.07±2.35）分，（6.41±2.57）分，（69.02±11.49）分]与WSD组[分别为（10.74±2.91）分，（6.30±1.91）分，（8.28±2.76）分，（8.28±2.23）分，（53.11±12.92）分] 差异有显著性（P<0.05）
结论: 1.抑郁症患者存在认知功能损害
2.伴有躯体化症状的首发中青年抑郁症患者较不伴有躯体化症状的首发中青年抑郁症患者认知功能受损更为严重且前者较后者额颞叶损害可能更为严重 |
| Other Abstract | Objection Accompanied by symptoms of depression in patients with somatization whether there are more severe cognitive impairment than not associated with depression in patients with somatization. Accompanied by physical symptoms of depression in patients with frontotemporal damage is more serious than not associated with somatization of depression in patients with damage. Cerebral neural basis of cognitive impairment in patients with depression of patients with somatization symptoms of depression.
Methods 61 depression patients with Somatization and 58 depression patients without Somatization and 60 normal persons attended in this comparison assessment .The cognitive function were measured by WAIS-RC、Wechsler Memory Scale and wiconsin Card Sorting test(WCST).
Results 1.The block diagram of normal group, PIQ and accumulation [respectively ( 7.96± 1.25 ), ( 89.92 ±13.49 ), ( 10.45 ±1.40 ) points] and WSD group respectively ( 7.55± 1.49 ), ( 88.14 ±9.82 ), ( 10.30 ±2.50 ) points] difference property ( P<0.05)
2. Group SD arithmetic, block diagram, picture arrangement, performance IQ and accumulation [respectively ( 8.56± 3.28 ), ( 7.36 ±1.25 ), ( 9.20 ±2.13 ), ( 87.92 ±13.49 ), ( 9.70 ±2.40 ) points] and WSD group respectively ( 10.56± 3.29 ), ( 7.96± 1.25 ), ( 10.20 ±2.13 ), ( 89.92 ±13.49 ), ( 10.45 ±1.40 ) points] there was a significant difference ( P<0.05 )
3. SD group of words, pictures and fill in the blanks, recognition, understanding and perseverative errors [respectively ( 9.74± 2.40 ), ( 5.54 ±1.65 ), ( 7.07 ±2.35 ), ( 6.41 ±2.57 ), ( 69.02 ±11.49 ) points] and WSD Group [ (10.74± 2.91 respectively. ), ( 6.30± 1.91 ), ( 8.28 ±2.76 ), ( 8.28 ±2.23 ), ( 53.11 ±12.92 ) points] there was a significant difference ( P<0.05 )
Conclusion 1. The first youth depression patients in severe cognitive impairment
2. Accompanied by somatic symptoms of depression cognition impairment in patients with severe
3.The cognitive function of Starting young and middle-aged depression patients with Somatization was worse that of depression without Somatization.
4.Accompanied by physical symptoms of depression in patients with frontotemporal damage may be more serious than not associated with somatization of depression in patients with damage. |
| URL | 查看原文
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| Language | 中文
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| Document Type | 学位论文
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| Identifier | https://ir.lzu.edu.cn/handle/262010/223816
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| Collection | 学院待认领
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| Affiliation | 临床医学院
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Recommended Citation
GB/T 7714 |
李宁. 伴与不伴有躯体化症状的首发中青年抑郁症患者认知功能的对照研究[D]. 兰州. 兰州大学,2013.
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