首发抑郁症患者主观认知功能对其社会功能改善的影响
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首都医科大学附属北京安定医院 国家精神疾病医学中心 国家精神心理疾病临床 医学研究中心 精神疾病诊断与治疗北京市重点实验室

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北京市卫生健康委员会“首都卫生发展科研专项”资助课题(首发2022-4-2125);北京市 教育委员会科研计划一般项目(KM202210025008)


Impact of subjective cognitive function on improvement of social function in first-episode depression patients
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Beijing Key Laboratory of Mental Disorders, National Clinical Research Center for Mental Disorders & National Center for Mental Disorders, Beijing Anding Hospital, Capital Medical University

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    摘要:

    目的 分析首发抑郁症患者主观认知功能对急性期(8 周内)社会功能改善的影响。 方法 本研究为前瞻性、观察性研究,选取2016年3月至2017年2月于北京安定医院门诊就诊的260例首 发抑郁症患者为研究对象。在基线期、第4周末、第8周末分别采用17项汉密尔顿抑郁量表(HAMD-17)、 认知功能缺陷自评问卷(PDQ-D)、席汉残疾量表(SDS)评估患者的抑郁症状严重程度、主观认知功能 以及社会功能损伤程度。采用 Spearman 相关分析患者 PDQ-D 得分与 HAMD-17、SDS 得分之间的相关 性。采用时间依存变量的重复测量混合效应模型分析患者主观认知功能的差异及主观认知功能对社 会功能改善的影响。结果 首发抑郁症患者基线期 PDQ-D、HAMD-17、SDS 得分分别为(32.85±16.48)、 (23.12±4.66)、(17.32±7.07)分;第 4 周 末 的 得 分 分 别 为(25.75±0.96)、(13.86±0.39)、(12.36±0.50)分; 第 8 周末的得分分别为(21.69±0.97)、(10.33±0.38)、(9.37±0.47)分。相关分析结果显示,患者基线期 的 PDQ-D 得分与 HAMD-17、SDS 得分呈正相关(r=0.30、0.49;P< 0.001)。第 8 周末,患者 PDQ-D 得分对 SDS 得分有影响(P< 0.001),受教育程度、本次病程及抗抑郁药类型对社会功能变化无显著影响(P> 0.05)。结论 首发抑郁症患者主观认知功能在急性期内的变化可影响社会功能。

    Abstract:

    Objective To analyze the impact of subjective cognitive function on the improvement of social function in patients with first-episode depression during the acute phase (within 8 weeks). Methods This study was prospective and observational. From March 2016 to February 2017, 260 first-episode depression patients who visited the outpatient department of Beijing Anding Hospital were selected as the research subject. The severity of depressive symptoms, subjective cognitive function, and social function impairment were evaluated using the 17-item Hamilton Depression Rating Scale (HAMD-17), Perceived Deficits Questionnaire for Depression (PDQ-D), and Sheehan Disability Scale (SDS) at baseline, on the fourth weekend, and eighth weekend, respectively. Spearman correlation was used to explore the correlation between the scores of PDQ-D, HAMD-17 and SDS. The repeated measurement mixed effect model of time-dependent variables was used to analyze the differences in subjective cognitive function of patients and the impact of subjective cognitive function on social function improvement. Results At baseline, the PDQ-D, HAMD-17, and SDS scores of first-episode depression patients were (32.85±16.48), (23.12±4.66), and (17.32±7.07), respectively. On the fourth weekend, the scores were (25.75±0.96), (13.86±0.39), and (12.36±0.50), respectively. On the eighth weekend, the scores were (21.69±0.97), (10.33±0.38), and (9.37±0.47), respectively. Correlation analysis showed that the baseline PDQ-D score of patients was positively correlated with HAMD-17 and SDS scores, and the difference was statistically significant (r=0.30, 0.49; P< 0.001). On the eighth weekend, the PDQ-D score of patients had a statistically significant impact on SDS score (P < 0.001), while education level, duration of the disease, and type of antidepressants had no significant impact on the social function impairment (P> 0.05). Conclusions The changes in subjective cognitive function of first-episode depression patients during the acute phase can affect social function.

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杨洁,朱雪泉.首发抑郁症患者主观认知功能对其社会功能改善的影响[J].神经疾病与精神卫生,2023,23(12):
DOI :10.3969/j. issn.1009-6574.2023.12.003.

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  • 在线发布日期: 2024-01-08