焦虑症患者不良情绪与认知功能损害的相关性

The relativity of negative emotion and cognitive impairment in patients with anxiety disorder

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DOI
刊名
Journal of International Psychiatry
年,卷(期) 2017, 44(1)
作者
作者单位

青海省第三人民医院, 功能检查科心理测验室 ;
青海省第三人民医院, 功能检查科心理测验室, ;
青海省第三人民医院, 三疗区 ;

摘要
[摘要]目的:分析焦虑症患者不良情绪与认知功能损害的相关性。方法:选取2015年6月至2016年6月,期间我院门诊治的102例焦虑症患者作为观察组,同一时期的100例健康者作为对照组,比较两组受试者的汉密尔顿焦虑量表(HAMA)、汉密尔顿抑郁量表(HAMD)及蒙特利尔认知评估量表(MoCA)评分及认知功能损害的发生率,分析MoCA与HAMA/HAMD评分的相关性。结果:观察组患者HAMA评分(19.7±5.3),HAMD评分(23.4±5.6),MoCA评分(25.0±1.9),认知功能损害发生率82.35%(84/102);对照组的HAMA评分(8.8±3.5),HAMD评分(7.1±1.3),MoCA评分(27.2±2.5),认知功能发生率13.00%(13/100)。观察组患者HAMA、HAMD及认知功能损害的发生率高于对照组,观察组的MoCA低于对照组,差异具有统计学意义(P<0.05)。MoCA与HAMA评分(r=-0.226,P=0.027)及HAMD评分(r=-0.231,P=0.015)呈显著负相关。结论:焦虑症患者的焦虑、抑郁等情绪对患者的认知功能具有负面影响。
Abstract
[Abstract] Objective: To analyze the relativity of negative emotion and cognitive impairment in patients with anxiety disorder . Methods: From June 2015 to June 2016,102 patients with anxiety disorder were chosen as study group, and 100 healthy people were chosen as control group at the same time. The HAMA, HAMD, MoCA and rate of cognitive impairment were compared between two groups, and the relativitybetween MoCA and HAMD/ HAMD was analized. Results: In study group, the HAMA was (19.7±5.3), the HAMD was (23.4±5.6), the MoCA was (25.0±1.9), and the rate of cognitive impairment was 82.35% (84/102) ; these in control group were respectively (8.8±3.5), (7.1±1.3), (27.2±2.5) and 13.00% (13/100) . Compared with control group, the HAMA, HAMD and rate of cognitive impairment of study group were higher, and the MoCA of study group was lower, the difference demonstrated statistical significance between two groups (P<0.05).MoCA had significantly opposite relativity with HAMA (r=-0.226,P=0.027) and HAMD (r=-0.231,P=0.015) . Conclusion: The anxiety and depression could exert negative influence on cognitive function in patients with anxiety disorder .
关键词
[关键词] 汉密尔顿焦虑量表(HAMA);汉密尔顿抑郁量表(HAMD);蒙特利尔认知评估量表(MoCA)
KeyWord
[Key words] Hamilton anxiety scale(HAMA); Hamilton depression scale(HAMD);Montreal Cognitive Assessment(MoCA)
基金项目
页码 68-71
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李海霞*, 白春明,王容秀. 焦虑症患者不良情绪与认知功能损害的相关性 [J]. 国际精神病学杂志. 2017; 44; (1). 68 - 71.

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