55岁以下患者主观记忆抱怨与客观记忆表现、抑郁和焦虑水平的关系

Lütfiye Söğütlü, N. Alaca
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引用次数: 1

摘要

目的:即使没有明显的神经或身体疾病,但在有记忆疾患的年轻患者中,精神病学的鉴别诊断往往被忽视。在本研究中,我们旨在确定主观记忆抱怨与客观记忆障碍、抑郁和焦虑水平的关系。方法:选取精神病学、神经病学和内科门诊56例年龄在55岁以下的记忆主诉患者和55名健康志愿者进行研究。所有受试者完成主观记忆抱怨问卷(SMCQ)、蒙特利尔认知评估(MoCA)、听觉言语学习测试(AVLT)、本顿视觉记忆测试(BVMT)、数字广度测试(DST)、语言流畅性测试(VFT)、贝克抑郁量表(BDI)和贝克焦虑量表(BAI)。结果:记忆疾患患者的SMCQ、MoCA、AVLT、BVMT、DST、VFT、BDI和BAI得分与对照组相比均有显著差异,且不能归因于任何神经或躯体疾病。抑郁和焦虑水平明显高于对照组。结论:年轻患者的记忆疾患必须进行鉴别诊断。主观记忆抱怨可能是抑郁和焦虑障碍的表现。有必要通过纵向研究来评估主观记忆障碍的年轻患者可能随着时间的推移而发展的认知障碍。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
[The Relationship Between Subjective Memory Complaints and Objective Memory Performance, Depression and Anxiety Levels in Patients Under 55 Years of Age].
OBJECTIVE Psychiatric differential diagnosis is often ignored in young patients with memory complaints, even if no neurological or physical illnesses were evident. In this study, we aimed to determine the relationship between subjective memory complaints and objective memory impairment, depression and anxiety levels in young patients with memory complaints.  METHOD: The study was carried out with 56 patients under the age of 55 who applied to the psychiatry, neurology and internal medicine outpatient clinics with memory complaints and 55 healthy volunteers. All participants completed the Subjective Memory Complaints Questionnaire (SMCQ), the Montreal Cognitive Assessment (MoCA), the Auditory Verbal Learning Test (AVLT), the Benton Visual Memory Test (BVMT), the Digit Span Test (DST), the Verbal Fluency Test (VFT), the Beck Depression Inventory (BDI) and the Beck Anxiety Inventory (BAI).  RESULTS: Significant differences were observed in the scores of SMCQ, MoCA, AVLT, BVMT, DST, VFT, BDI and BAI in individuals with memory complaints compared to the controls, which could not be ascribed to any neurological or physical disease. Depression and anxiety levels were significantly higher than those of the control group.  CONCLUSION: Differential diagnosis of memory complaints has to be made in young patients. Subjective memory complaints may be indicative of depression and anxiety disorders. It is necessary to evaluate the cognitive impairment that may develop over time in young patients with subjective memory disturbances via longitudinal studies.
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