脑卒中后抑郁患者的心理干预前瞻性对照研究

Depression and corresponding Psychological Intervention after Stroke

目的 :探讨脑卒中后患者的抑郁症状、影响因素及心理干预的作用。方法 :对 2 0 6例脑卒中患者采用对照方法进行随访一年的前瞻性研究。结果 :脑卒中急性期抑郁症状发生率为 49 5 % ,经一年随访 ,有抑郁症状者研究组为 5 4 7-2 0 4% ,对照组为 44 7-3 9 8%。多因素分析提示卒中后抑郁的危险因素包括病情、负性生活事件、家庭负担、不吸烟、病变部位、职业及有配偶、配偶文化、心理干预。结论 :脑卒中后的抑郁症状常见 ,并且受多种因素影响 ,心理干预有助于减轻其抑郁症状。

Objective: To explore depression after stroke and the effect of psychological intervention Method: A controlled prospective design was applied in this study of 206 patients with stroke Results: The total incidence of depressive symptoms in acute period of stroke was 49 5% In the study group, this rate declined from 54 7% to 20 4% in the one year follow-up vs 44 7% to 39 8% in the control group Multiple factors analysis showed that the severity of illness, negative life events, family load, non-smoker, loci of stroke, occupation, marriage statue, education of spouse and psychological intervention were the main determinants related to post-stroke depression Conclusion: Psychological intervention can reduce post-stroke depression