《中国康复理论与实践》 ›› 2008, Vol. 14 ›› Issue (06): 589-590.

• 心理康复 • 上一篇    下一篇

青年脑卒中急性期心理障碍临床观察

高绚照   

  1. 新乡市中心医院神经内三科,河南新乡市 453000
  • 收稿日期:2007-06-03 出版日期:2008-06-01 发布日期:2008-06-01

Clinical Observation of Mental Disorder for Young Adult Stroke in Acute Stage

GAO Xuan-zhao   

  1. The Department of Neurology, the Center Hospital of Xinxiang, Xinxiang 453000, Henan, China
  • Received:2007-06-03 Published:2008-06-01 Online:2008-06-01

摘要: 目的探讨青年脑卒中急性期心理障碍及相关因素。方法对符合脑卒中诊断标准的98例青年脑卒中患者,应用SCL-90量表及汉密尔顿抑郁量表(HAMD)、汉密尔顿焦虑量表(HAMA)进行调查、评估和诊断,并比较分析青年脑卒中急性期心理障碍的相关因素。结果98例青年脑卒中患者急性期62例出现心理障碍,发生率63.3%,男性明显高于女性(P<0.01);相关因素有自身性格、日常生活能力、家庭关系、神经功能缺损程度及近期负性生活事件等。结论青年脑卒中急性期产生心理障碍的因素主要为生物学因素和社会心理学因素两大类。

关键词: 青年脑卒中, 心理障碍, 相关因素

Abstract: Objective To investigate mental disorder and related factors for young adult stroke in acute stage.Methods 98 young patients with stroke were evaluated with Symptom Checklist-90 (SCL-90), Hamilton Depression Scale (HAMD) and Hamilton Anxiety Scale (HAMA). The mental disorder and related factors of these patients in acute stage were analyzed.Results Of 98 patients, 62 cases (63.3%) had mental disorder in acute stage and incidence rate of male was significantly higher than that of female ( P<0.01). The related factors included self-character, activity of living, family relationship, the degree of nervous functional defects and recent negative life events, etc.Conclusion The factors related with mental disorder of young adult stroke in acute stage are mainly biological and social psychic.

Key words: young adult stroke, mental disorder, related factor