痴呆患者抑郁症状测评量表研究进展

Research on rating scales for depressive symptoms in patients with dementia

抑郁是痴呆患者最常见的精神行为症状之一,可降低痴呆患者的日常生活自理能力,加速认知衰退及疾病进展,严重影响生活质量,增加死亡率.抑郁评估及干预疗效评价受到关注.目前,应用于测评痴呆患者抑郁症状的量表有康奈尔痴呆抑郁量表、痴呆心境评定量表、蒙哥马利-艾森贝格抑郁评定量表、汉密尔顿抑郁量表、老年抑郁量表、患者健康问卷及抑郁症状量表.本文对上述7种测评量表的主要内容、特点及局限性等进行综合论述,以期为今后在评估、干预、评价过程中选择合适的测评工具提供借鉴和参考,并对发展与完善专门应用于痴呆患者抑郁症状的测评量表提供基础.

Depression is one of the most common psychiatric symptoms in patients with dementia. It can reduce the daily living ability of dementia patients, accelerate cognitive decline and disease progression, seriously affect the quality of life and increase mortality. Attention has been paid to depression assessment and intervention evaluation. At present, the scales using for rating depressive symptoms in dementia patients include Cornell Scale for Depression in Dementia （CSDD）, Dementia Mood Assessment Scale （DMAS）, Montgomery-Aasberg Depression Rating Scale （MADRS）, Hamilton Depression Scale （HAMD）, Geriatric Depression Scale （GDS）, Patient Health Questionnaire-9-Observation Version （PHQ-9-OV） and Depressive Signs Scale （DSS）. In this paper, the main contents, characteristics and limitations of the 7 kinds of rating scales are discussed comprehensively, in order to provide reference in selecting suitable rating tools in the process of assessment, intervention and evaluation, and provide basis for developing and improving rating tools of depressive symptoms in dementia patients.