惠州市城区老年精神病患者社会人口学及临床特征调查

Social-demographic and clinical features of urban senile patients with psychoses in Huizhou

目的了解惠州市惠城区老年精神病患者的社会人口学和临床特征。方法以2005年惠州市惠城区精神疾病普查的169例老年精神病患者为调查对像,采用标准化问卷,以半结构式访谈方式进行问卷调查。结果169例老年精神病患者的年龄分布、性别、教育程度与惠城区正常老年人群比较无显著性差异;未婚比例明显高于正常老年人群(χ2=12.82,P<0.01);临床症状以睡眠障碍和认知缺损较为突出;行为异常、情感淡漠、人际关系问题较成年精神病患者少见,较突出的特征为痴呆、器质性疾病和妄想症。结论老年精神病患者的心理健康问题并不随年龄的增加而变得更加严重,主要表现为躯体化症状、认知缺损和智能损害。

Objective To understand social-demographic and clinical features of senile patients with psychoses. Methods Investigations were conducted in 169 senile patients with psychoses selected from Huicheng district of Huizhou in 2005 using the Standard Questionnaire and Semi-structured Interview. Results There was no significant difference in age distribution, gender and education degree between senile ganic psychosis and paranoia. Conclusion The psycho-problems of senile patients with psychoses don＇t gat worse along with ageing and main manifestations are somatization symptom, cognitive and intelligence impairment.