刘浩
刘浩副主任医师
执业证:1104******15
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老年期抑郁和其他抑郁有何区别?导语:<span style="">老年期是人生中一个特别的时期,这个时期伴随着身体的衰老、社会地位和生活结构的巨大改变。一部分老年人因为难以适应这种改变而容易出现抑郁。那么,老年期抑郁都有哪些特点呢?</span> <div class="topic-content" id="topic-content" style=""> <p style="">老年期是人生中一个特别的时期,这个时期伴随着身体的衰老、社会地位和生活结构的巨大改变。一部分老年人因为难以适应这种改变而容易出现抑郁。</p> <p style="">老年期抑郁有其特殊性,因此容易被忽视、误判,以致延误治疗,增加患者及其家庭的痛苦和负担。</p> <p style=""> <span style="">老年期抑郁的一般表现:</span></p> <p style="">核心症状:1、情绪低落 2、兴趣减退或快感缺乏 3、精力不足</p> <p style="">附加症状:1、早醒或睡眠过多 2、食欲减退或食欲增加,体重减轻或增加 3、注意力不集中  4、反应迟滞或激越不安  5、自卑或负罪感  6、消极观念或行为 等......</p> <p style=""> <span style="">老年期抑郁的特殊表现:</span></p> <p style="">1、往往合并躯体症状,容易忽视情绪问题</p> <p style="">2、情绪表达困难,很少表达内心负性情绪</p> <p style="">3、需加倍警惕自杀风险</p> <p style="">4、多合并认知功能障碍,如记忆力,注意力受损明显</p> <p style="">5、多伴随躯体性焦虑,反复医院就诊,难以查出病因</p></div>
什么是睡眠周期?<section class="topic-guide" style="-webkit-tap-highlight-color: rgba(0, 0, 0, 0); padding: 12px 16px; margin: 0px 0px 18px; word-break: break-all; box-sizing: border-box; font-size: 14px; color: #83889a; background-color: #f5f6f6; line-height: 1.5em; text-align: justify; font-family: 'Hiragino Sans GB', 'Microsoft YaHei', '\微软雅黑', '\宋体', Arial, Verdana, sans-serif;">导语:<span style="-webkit-tap-highlight-color: rgba(0, 0, 0, 0); padding: 0px; margin: 0px; box-sizing: border-box;">人的睡眠是有节律的,这个节律就是睡眠周期;睡眠周期中,慢波睡眠和快波睡眠的转换,是人体睡眠最大的奥秘!</span></section> <div id="topic-content" class="topic-content" style="-webkit-tap-highlight-color: rgba(0, 0, 0, 0); padding: 0px; margin: 0px; word-break: break-all; box-sizing: border-box; color: #000000; font-family: 'Hiragino Sans GB', 'Microsoft YaHei', '\微软雅黑', '\宋体', Arial, Verdana, sans-serif; line-height: 1.6em !important; font-size: 17px !important;"> <p style="-webkit-tap-highlight-color: rgba(0, 0, 0, 0); padding: 0px; margin: 20px 0px; word-break: break-all; box-sizing: border-box; overflow-wrap: break-word; color: #28354c;">人的正常睡眠分为两个时相:快波睡眠和慢波睡眠,两者可以相互转化。</p> <p style="-webkit-tap-highlight-color: rgba(0, 0, 0, 0); padding: 0px; margin: 20px 0px; word-break: break-all; box-sizing: border-box; overflow-wrap: break-word; color: #28354c;">由一个慢波睡眠和一个快波睡眠组成睡眠周期,每个睡眠周期历时约90分钟。人们每晚的睡眠通常经历4~6个睡眠周期。</p> <p style="-webkit-tap-highlight-color: rgba(0, 0, 0, 0); padding: 0px; margin: 20px 0px; word-break: break-all; box-sizing: border-box; overflow-wrap: break-word; color: #28354c;">快波睡眠的特点:</p> <p style="-webkit-tap-highlight-color: rgba(0, 0, 0, 0); padding: 0px; margin: 20px 0px; word-break: break-all; box-sizing: border-box; overflow-wrap: break-word; color: #28354c;">(1)浅睡阶段:当人体进入快波睡眠之后,由于此时大脑活动仍然活跃,因此,这个阶段的睡眠状态相当浅,当事人很容易被唤醒。</p> <p style="-webkit-tap-highlight-color: rgba(0, 0, 0, 0); padding: 0px; margin: 20px 0px; word-break: break-all; box-sizing: border-box; overflow-wrap: break-word; color: #28354c;">(2)做梦的阶段:由于大脑组织在快波睡眠各阶段中并没有完全进入休息的状态,因此,做梦的情况通常发生在这个阶段。此时由于大脑仍然可以进行某些思维活动,于是有些人在醒来后,仍然可以回忆梦中的情景。</p> <p style="-webkit-tap-highlight-color: rgba(0, 0, 0, 0); padding: 0px; margin: 20px 0px; word-break: break-all; box-sizing: border-box; overflow-wrap: break-word; color: #28354c;">(3)持续时间较短:由于快波睡眠所持续的时间为20~30分钟,并且大脑活动仍然活跃,因此,在这个阶段中醒过来的人,就会感觉似乎睡得相当充足,精力充沛。也可以这样理解,如果睡眠时间不长,醒来却仍然感觉精力充沛的人,大多是在快波睡眠的阶段中醒过来。&nbsp;</p> <p style="-webkit-tap-highlight-color: rgba(0, 0, 0, 0); padding: 0px; margin: 20px 0px; word-break: break-all; box-sizing: border-box; overflow-wrap: break-word; color: #28354c;">总的来说,快波睡眠属于浅睡阶段,是人做梦的阶段。</p> <p style="-webkit-tap-highlight-color: rgba(0, 0, 0, 0); padding: 0px; margin: 20px 0px; word-break: break-all; box-sizing: border-box; overflow-wrap: break-word; color: #28354c;">慢波睡眠的特点:</p> <p style="-webkit-tap-highlight-color: rgba(0, 0, 0, 0); padding: 0px; margin: 20px 0px; word-break: break-all; box-sizing: border-box; overflow-wrap: break-word; color: #28354c;">(1)睡眠分期:慢波睡眠由浅至深可分为四期(S1,S2,S3,S4期)。第一、二期(S1,S2)称浅睡期,第三、四期(S3,S4)称深睡期。深睡期对恢复人的精神和体力具有重要价值。</p> <p style="-webkit-tap-highlight-color: rgba(0, 0, 0, 0); padding: 0px; margin: 20px 0px; word-break: break-all; box-sizing: border-box; overflow-wrap: break-word; color: #28354c;">(2)新陈代谢的主要时段:慢波睡眠属于深度睡眠的阶段,人体内各种生理功能的新陈代谢、内分泌系统与神经的修复都是在这个阶段中进行。</p> <p style="-webkit-tap-highlight-color: rgba(0, 0, 0, 0); padding: 0px; margin: 20px 0px; word-break: break-all; box-sizing: border-box; overflow-wrap: break-word; color: #28354c;">(3)持续时间较长:由于慢波睡眠所持续的时间为70~90分钟,因此,如果在这70~90分钟内突然被外界打扰而醒过来,就不能完成慢波睡眠的整个时段,人体就达不到深度睡眠的要求,于是就会感觉头脑不清醒,精神不振。也就是说,如果有人在清醒之后,老是觉得睡不够,那么他可能就是从慢波睡眠醒过来的。</p> <p style="-webkit-tap-highlight-color: rgba(0, 0, 0, 0); padding: 0px; margin: 20px 0px; word-break: break-all; box-sizing: border-box; overflow-wrap: break-word; color: #28354c;">总的来说,慢波睡眠属于深睡阶段,是人体进行自我修复的阶段。</p> <p style="-webkit-tap-highlight-color: rgba(0, 0, 0, 0); padding: 0px; margin: 20px 0px; word-break: break-all; box-sizing: border-box; overflow-wrap: break-word; color: #28354c;">典型睡眠节律按以下程序进行:觉醒&rarr;S1&rarr;S2&rarr;S3&rarr;S4&rarr;S3&rarr;S2&rarr;第一次快波睡眠&rarr;S2&rarr;S3&rarr;S4&rarr;S3&rarr;S2&rarr;第二次快波睡眠&hellip;&hellip;</p> <p style="-webkit-tap-highlight-color: rgba(0, 0, 0, 0); padding: 0px; margin: 20px 0px; word-break: break-all; box-sizing: border-box; overflow-wrap: break-word; color: #28354c;">如果睡眠一直停留在浅睡阶段,那么大脑功能与其他组织器官就得不到完全的放松,也就没办法进入真正休息的状态。因此,人体在经历快波睡眠之后,就要往更深层次的慢波睡眠发展,才能完成一个完整的睡眠周期。&nbsp;</p> </div>
如何进行抑郁症状的自我评估?<section class="topic-guide" style="-webkit-tap-highlight-color: rgba(0, 0, 0, 0); padding: 12px 16px; margin: 0px 0px 18px; word-break: break-all; box-sizing: border-box; font-size: 14px; color: #83889a; background-color: #f5f6f6; line-height: 1.5em; text-align: justify; font-family: 'Hiragino Sans GB', 'Microsoft YaHei', '\微软雅黑', '\宋体', Arial, Verdana, sans-serif;">导语:<span style="-webkit-tap-highlight-color: rgba(0, 0, 0, 0); padding: 0px; margin: 0px; box-sizing: border-box;">怀疑自己抑郁,如何初步自我评估呢?今天要向大家介绍的是:抑郁自评量表(SDS),是美国教育卫生部推荐用于精神药理学研究的量表之一。其中文版也是一般人群自我评估抑郁症状使用最广泛的一个量表。评定的时间范围为过去1周。</span></section> <div id="topic-content" class="topic-content" style="-webkit-tap-highlight-color: rgba(0, 0, 0, 0); padding: 0px; margin: 0px; word-break: break-all; box-sizing: border-box; color: #000000; font-family: 'Hiragino Sans GB', 'Microsoft YaHei', '\微软雅黑', '\宋体', Arial, Verdana, sans-serif; line-height: 1.6em !important; font-size: 17px !important;"> <p style="-webkit-tap-highlight-color: rgba(0, 0, 0, 0); padding: 0px; margin: 20px 0px; word-break: break-all; box-sizing: border-box; overflow-wrap: break-word; color: #28354c; height: 6px;">抑郁自评量表(SDS)</p> <p style="-webkit-tap-highlight-color: rgba(0, 0, 0, 0); padding: 0px; margin: 20px 0px; word-break: break-all; box-sizing: border-box; overflow-wrap: break-word; color: #28354c;"><span style="-webkit-tap-highlight-color: rgba(0, 0, 0, 0); padding: 0px; margin: 0px; box-sizing: border-box; letter-spacing: 0px; font-size: 16px;">&nbsp;</span></p> <p style="-webkit-tap-highlight-color: rgba(0, 0, 0, 0); padding: 0px; margin: 20px 0px; word-break: break-all; box-sizing: border-box; overflow-wrap: break-word; color: #28354c;"><span style="-webkit-tap-highlight-color: rgba(0, 0, 0, 0); padding: 0px; margin: 0px; font-weight: bolder; box-sizing: border-box;"><span style="-webkit-tap-highlight-color: rgba(0, 0, 0, 0); padding: 0px; margin: 0px; box-sizing: border-box; letter-spacing: 0px; font-size: 16px;">最近</span><span style="-webkit-tap-highlight-color: rgba(0, 0, 0, 0); padding: 0px; margin: 0px; box-sizing: border-box; letter-spacing: 0px; font-size: 16px;">1周以来,你是否感到</span></span></p> <p style="-webkit-tap-highlight-color: rgba(0, 0, 0, 0); padding: 0px; margin: 20px 0px; word-break: break-all; box-sizing: border-box; overflow-wrap: break-word; color: #28354c;"><span style="-webkit-tap-highlight-color: rgba(0, 0, 0, 0); padding: 0px; margin: 0px; font-weight: bolder; box-sizing: border-box;"><span style="-webkit-tap-highlight-color: rgba(0, 0, 0, 0); padding: 0px; margin: 0px; box-sizing: border-box; letter-spacing: 0px; font-size: 16px;">&nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; A &nbsp;B &nbsp;C &nbsp;D</span></span></p> <p style="-webkit-tap-highlight-color: rgba(0, 0, 0, 0); padding: 0px; margin: 20px 0px; word-break: break-all; box-sizing: border-box; overflow-wrap: break-word; color: #28354c;"><span style="-webkit-tap-highlight-color: rgba(0, 0, 0, 0); padding: 0px; margin: 0px; box-sizing: border-box; letter-spacing: 0px; font-size: 16px;">1.&nbsp;我觉得闷闷不乐,情绪低沉 &nbsp; &nbsp; &nbsp; &nbsp;1 &nbsp;2 &nbsp;3 &nbsp;4</span></p> <p style="-webkit-tap-highlight-color: rgba(0, 0, 0, 0); padding: 0px; margin: 20px 0px; word-break: break-all; box-sizing: border-box; overflow-wrap: break-word; color: #28354c;"><span style="-webkit-tap-highlight-color: rgba(0, 0, 0, 0); padding: 0px; margin: 0px; box-sizing: border-box; letter-spacing: 0px; font-size: 16px;">*2.&nbsp;我觉得一天之中早晨最好 &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; 4 &nbsp;3 2 &nbsp;1</span></p> <p style="-webkit-tap-highlight-color: rgba(0, 0, 0, 0); padding: 0px; margin: 20px 0px; word-break: break-all; box-sizing: border-box; overflow-wrap: break-word; color: #28354c;"><span style="-webkit-tap-highlight-color: rgba(0, 0, 0, 0); padding: 0px; margin: 0px; box-sizing: border-box; letter-spacing: 0px; font-size: 16px;">3.&nbsp;我一阵阵地哭出来或是想哭 &nbsp; &nbsp; &nbsp; &nbsp;<span style="-webkit-tap-highlight-color: rgba(0, 0, 0, 0); padding: 0px; margin: 0px; box-sizing: border-box;">1 &nbsp;2 &nbsp;3 &nbsp;4</span></span></p> <p style="-webkit-tap-highlight-color: rgba(0, 0, 0, 0); padding: 0px; margin: 20px 0px; word-break: break-all; box-sizing: border-box; overflow-wrap: break-word; color: #28354c;"><span style="-webkit-tap-highlight-color: rgba(0, 0, 0, 0); padding: 0px; margin: 0px; box-sizing: border-box; letter-spacing: 0px; font-size: 16px;">4.&nbsp;我晚上睡眠不好 &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp;<span style="-webkit-tap-highlight-color: rgba(0, 0, 0, 0); padding: 0px; margin: 0px; box-sizing: border-box;">1 &nbsp;2 &nbsp;3 &nbsp;4</span></span></p> <p style="-webkit-tap-highlight-color: rgba(0, 0, 0, 0); padding: 0px; margin: 20px 0px; word-break: break-all; box-sizing: border-box; overflow-wrap: break-word; color: #28354c;"><span style="-webkit-tap-highlight-color: rgba(0, 0, 0, 0); padding: 0px; margin: 0px; box-sizing: border-box; letter-spacing: 0px; font-size: 16px;">*5.&nbsp;我吃的和平时一样多 &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp;&nbsp;<span style="-webkit-tap-highlight-color: rgba(0, 0, 0, 0); padding: 0px; margin: 0px; box-sizing: border-box;">4 &nbsp;3 &nbsp;2 &nbsp;1</span></span></p> <p style="-webkit-tap-highlight-color: rgba(0, 0, 0, 0); padding: 0px; margin: 20px 0px; word-break: break-all; box-sizing: border-box; overflow-wrap: break-word; color: #28354c;"><span style="-webkit-tap-highlight-color: rgba(0, 0, 0, 0); padding: 0px; margin: 0px; box-sizing: border-box; letter-spacing: 0px; font-size: 16px;">*6.&nbsp;我与异性接触时和以往一样感到愉快 &nbsp; &nbsp;<span style="-webkit-tap-highlight-color: rgba(0, 0, 0, 0); padding: 0px; margin: 0px; box-sizing: border-box;">4 &nbsp;3 &nbsp;2 &nbsp;1</span></span></p> <p style="-webkit-tap-highlight-color: rgba(0, 0, 0, 0); padding: 0px; margin: 20px 0px; word-break: break-all; box-sizing: border-box; overflow-wrap: break-word; color: #28354c;"><span style="-webkit-tap-highlight-color: rgba(0, 0, 0, 0); padding: 0px; margin: 0px; box-sizing: border-box; letter-spacing: 0px; font-size: 16px;">7.&nbsp;我发觉我的体重在下降 &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp;<span style="-webkit-tap-highlight-color: rgba(0, 0, 0, 0); padding: 0px; margin: 0px; box-sizing: border-box;">1 &nbsp;2 &nbsp;3 &nbsp;4</span></span></p> <p style="-webkit-tap-highlight-color: rgba(0, 0, 0, 0); padding: 0px; margin: 20px 0px; word-break: break-all; box-sizing: border-box; overflow-wrap: break-word; color: #28354c;"><span style="-webkit-tap-highlight-color: rgba(0, 0, 0, 0); padding: 0px; margin: 0px; box-sizing: border-box; letter-spacing: 0px; font-size: 16px;">8.&nbsp;我有便秘的苦恼 &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp;<span style="-webkit-tap-highlight-color: rgba(0, 0, 0, 0); padding: 0px; margin: 0px; box-sizing: border-box;">1 &nbsp;2 &nbsp;3 &nbsp;4</span></span></p> <p style="-webkit-tap-highlight-color: rgba(0, 0, 0, 0); padding: 0px; margin: 20px 0px; word-break: break-all; box-sizing: border-box; overflow-wrap: break-word; color: #28354c;"><span style="-webkit-tap-highlight-color: rgba(0, 0, 0, 0); padding: 0px; margin: 0px; box-sizing: border-box; letter-spacing: 0px; font-size: 16px;">9.&nbsp;我心跳比平时快 &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp;<span style="-webkit-tap-highlight-color: rgba(0, 0, 0, 0); padding: 0px; margin: 0px; box-sizing: border-box;">1 &nbsp;2 &nbsp;3 &nbsp;4</span></span></p> <p style="-webkit-tap-highlight-color: rgba(0, 0, 0, 0); padding: 0px; margin: 20px 0px; word-break: break-all; box-sizing: border-box; overflow-wrap: break-word; color: #28354c;"><span style="-webkit-tap-highlight-color: rgba(0, 0, 0, 0); padding: 0px; margin: 0px; box-sizing: border-box; letter-spacing: 0px;">10.我无缘无故感到疲乏 &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp;&nbsp;<span style="-webkit-tap-highlight-color: rgba(0, 0, 0, 0); padding: 0px; margin: 0px; box-sizing: border-box;">1 &nbsp;2 &nbsp;3 &nbsp;4</span></span></p> <p style="-webkit-tap-highlight-color: rgba(0, 0, 0, 0); padding: 0px; margin: 20px 0px; word-break: break-all; box-sizing: border-box; overflow-wrap: break-word; color: #28354c;"><span style="-webkit-tap-highlight-color: rgba(0, 0, 0, 0); padding: 0px; margin: 0px; box-sizing: border-box; letter-spacing: 0px; font-size: 16px;">*11.我的头脑和平时一样清楚 &nbsp; &nbsp; &nbsp; &nbsp; &nbsp;<span style="-webkit-tap-highlight-color: rgba(0, 0, 0, 0); padding: 0px; margin: 0px; box-sizing: border-box;">4 &nbsp;3 &nbsp;2 &nbsp;1</span></span></p> <p style="-webkit-tap-highlight-color: rgba(0, 0, 0, 0); padding: 0px; margin: 20px 0px; word-break: break-all; box-sizing: border-box; overflow-wrap: break-word; color: #28354c;"><span style="-webkit-tap-highlight-color: rgba(0, 0, 0, 0); padding: 0px; margin: 0px; box-sizing: border-box; letter-spacing: 0px; font-size: 16px;">*12.我觉得经常做的事情并没有困难 &nbsp; &nbsp;<span style="-webkit-tap-highlight-color: rgba(0, 0, 0, 0); padding: 0px; margin: 0px; box-sizing: border-box;">4 &nbsp;3 &nbsp;2 &nbsp;1</span></span></p> <p style="-webkit-tap-highlight-color: rgba(0, 0, 0, 0); padding: 0px; margin: 20px 0px; word-break: break-all; box-sizing: border-box; overflow-wrap: break-word; color: #28354c;"><span style="-webkit-tap-highlight-color: rgba(0, 0, 0, 0); padding: 0px; margin: 0px; box-sizing: border-box; letter-spacing: 0px; font-size: 16px;">13.我觉得不安而平静不下来 &nbsp; &nbsp; &nbsp; &nbsp; &nbsp;<span style="-webkit-tap-highlight-color: rgba(0, 0, 0, 0); padding: 0px; margin: 0px; box-sizing: border-box;">1 &nbsp;2 &nbsp;3 &nbsp;4</span></span></p> <p style="-webkit-tap-highlight-color: rgba(0, 0, 0, 0); padding: 0px; margin: 20px 0px; word-break: break-all; box-sizing: border-box; overflow-wrap: break-word; color: #28354c;"><span style="-webkit-tap-highlight-color: rgba(0, 0, 0, 0); padding: 0px; margin: 0px; box-sizing: border-box; letter-spacing: 0px; font-size: 16px;">*14.我对将来抱有希望 &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp;&nbsp;<span style="-webkit-tap-highlight-color: rgba(0, 0, 0, 0); padding: 0px; margin: 0px; box-sizing: border-box;">4 &nbsp;3 &nbsp;2 &nbsp;1</span></span></p> <p style="-webkit-tap-highlight-color: rgba(0, 0, 0, 0); padding: 0px; margin: 20px 0px; word-break: break-all; box-sizing: border-box; overflow-wrap: break-word; color: #28354c;"><span style="-webkit-tap-highlight-color: rgba(0, 0, 0, 0); padding: 0px; margin: 0px; box-sizing: border-box; letter-spacing: 0px; font-size: 16px;">15.我比平常容易激动 &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp;<span style="-webkit-tap-highlight-color: rgba(0, 0, 0, 0); padding: 0px; margin: 0px; box-sizing: border-box;">1 &nbsp;2 &nbsp;3 &nbsp;4</span></span></p> <p style="-webkit-tap-highlight-color: rgba(0, 0, 0, 0); padding: 0px; margin: 20px 0px; word-break: break-all; box-sizing: border-box; overflow-wrap: break-word; color: #28354c;"><span style="-webkit-tap-highlight-color: rgba(0, 0, 0, 0); padding: 0px; margin: 0px; box-sizing: border-box; letter-spacing: 0px; font-size: 16px;">*16.我觉得做出决定是容易的 &nbsp; &nbsp; &nbsp; &nbsp;&nbsp;<span style="-webkit-tap-highlight-color: rgba(0, 0, 0, 0); padding: 0px; margin: 0px; box-sizing: border-box;">4 &nbsp;3 &nbsp;2 &nbsp;1</span></span></p> <p style="-webkit-tap-highlight-color: rgba(0, 0, 0, 0); padding: 0px; margin: 20px 0px; word-break: break-all; box-sizing: border-box; overflow-wrap: break-word; color: #28354c;"><span style="-webkit-tap-highlight-color: rgba(0, 0, 0, 0); padding: 0px; margin: 0px; box-sizing: border-box; letter-spacing: 0px; font-size: 16px;">*17.我觉得自己是个有用的人,有人需要我 &nbsp; &nbsp;<span style="-webkit-tap-highlight-color: rgba(0, 0, 0, 0); padding: 0px; margin: 0px; box-sizing: border-box;">4 &nbsp;3 &nbsp;2 &nbsp;1</span></span></p> <p style="-webkit-tap-highlight-color: rgba(0, 0, 0, 0); padding: 0px; margin: 20px 0px; word-break: break-all; box-sizing: border-box; overflow-wrap: break-word; color: #28354c;"><span style="-webkit-tap-highlight-color: rgba(0, 0, 0, 0); padding: 0px; margin: 0px; box-sizing: border-box; letter-spacing: 0px; font-size: 16px;">*18.我的生活过得很有意思 &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp;&nbsp;<span style="-webkit-tap-highlight-color: rgba(0, 0, 0, 0); padding: 0px; margin: 0px; box-sizing: border-box;">4 &nbsp;3 &nbsp;2 &nbsp;1</span></span></p> <p style="-webkit-tap-highlight-color: rgba(0, 0, 0, 0); padding: 0px; margin: 20px 0px; word-break: break-all; box-sizing: border-box; overflow-wrap: break-word; color: #28354c;"><span style="-webkit-tap-highlight-color: rgba(0, 0, 0, 0); padding: 0px; margin: 0px; box-sizing: border-box; letter-spacing: 0px; font-size: 16px;">19.我认为如果我死了别人会生活的更好些 &nbsp; &nbsp;<span style="-webkit-tap-highlight-color: rgba(0, 0, 0, 0); padding: 0px; margin: 0px; box-sizing: border-box;">1 &nbsp;2 &nbsp;3 &nbsp;4</span></span></p> <p style="-webkit-tap-highlight-color: rgba(0, 0, 0, 0); padding: 0px; margin: 20px 0px; word-break: break-all; box-sizing: border-box; overflow-wrap: break-word; color: #28354c;"><span style="-webkit-tap-highlight-color: rgba(0, 0, 0, 0); padding: 0px; margin: 0px; box-sizing: border-box; letter-spacing: 0px; font-size: 16px;">*20.平常感兴趣的事我仍然照样感兴趣 &nbsp; &nbsp;<span style="-webkit-tap-highlight-color: rgba(0, 0, 0, 0); padding: 0px; margin: 0px; box-sizing: border-box;">4 &nbsp;3 &nbsp;2 &nbsp;1</span></span></p> <p style="-webkit-tap-highlight-color: rgba(0, 0, 0, 0); padding: 0px; margin: 20px 0px; word-break: break-all; box-sizing: border-box; overflow-wrap: break-word; color: #28354c;"><span style="-webkit-tap-highlight-color: rgba(0, 0, 0, 0); padding: 0px; margin: 0px; box-sizing: border-box; letter-spacing: 0px; font-size: 16px;">注:*为反向计分条目。</span></p> <p style="-webkit-tap-highlight-color: rgba(0, 0, 0, 0); padding: 0px; margin: 20px 0px; word-break: break-all; box-sizing: border-box; overflow-wrap: break-word; color: #28354c;"><span style="-webkit-tap-highlight-color: rgba(0, 0, 0, 0); padding: 0px; margin: 0px; box-sizing: border-box; letter-spacing: 0px; font-size: 16px;">&nbsp;</span></p> <p style="-webkit-tap-highlight-color: rgba(0, 0, 0, 0); padding: 0px; margin: 5px 0px 20px; word-break: break-all; box-sizing: border-box; overflow-wrap: break-word; color: #28354c;"><span style="-webkit-tap-highlight-color: rgba(0, 0, 0, 0); padding: 0px; margin: 0px; box-sizing: border-box; letter-spacing: 0px; font-weight: bold; font-size: 16px;">填表注意事项:</span></p> <p style="-webkit-tap-highlight-color: rgba(0, 0, 0, 0); padding: 0px; margin: 5px 0px 20px; word-break: break-all; box-sizing: border-box; overflow-wrap: break-word; color: #28354c;"><span style="-webkit-tap-highlight-color: rgba(0, 0, 0, 0); padding: 0px; margin: 0px; box-sizing: border-box; letter-spacing: 0px; font-size: 16px;">一共有20条题目,请仔细阅读每一条,每一条文字后有四个格,分别表示:</span></p> <p style="-webkit-tap-highlight-color: rgba(0, 0, 0, 0); padding: 0px; margin: 5px 0px 20px; word-break: break-all; box-sizing: border-box; overflow-wrap: break-word; color: #28354c;"><span style="-webkit-tap-highlight-color: rgba(0, 0, 0, 0); padding: 0px; margin: 0px; box-sizing: border-box; letter-spacing: 0px; font-size: 16px;">A:没有或很少时间(过去一周内,出现这类情况的日子不超过一天);计分1分(反向条目为4分)</span><span style="-webkit-tap-highlight-color: rgba(0, 0, 0, 0); padding: 0px; margin: 0px; box-sizing: border-box; letter-spacing: 0px; font-size: 16px;"><br style="-webkit-tap-highlight-color: rgba(0, 0, 0, 0); padding: 0px; margin: 0px; box-sizing: border-box;" /></span><span style="-webkit-tap-highlight-color: rgba(0, 0, 0, 0); padding: 0px; margin: 0px; box-sizing: border-box; letter-spacing: 0px; font-size: 16px;">B:小部分时间(过去一周内,有1-2天有过这类情况);计分2分(反向条目为3分)</span><span style="-webkit-tap-highlight-color: rgba(0, 0, 0, 0); padding: 0px; margin: 0px; box-sizing: border-box; letter-spacing: 0px; font-size: 16px;"><br style="-webkit-tap-highlight-color: rgba(0, 0, 0, 0); padding: 0px; margin: 0px; box-sizing: border-box;" /></span><span style="-webkit-tap-highlight-color: rgba(0, 0, 0, 0); padding: 0px; margin: 0px; box-sizing: border-box; letter-spacing: 0px; font-size: 16px;">C:相当多时间(过去一周内,3-4天有过这类情况);计分3分(反向条目为2分)</span><span style="-webkit-tap-highlight-color: rgba(0, 0, 0, 0); padding: 0px; margin: 0px; box-sizing: border-box; letter-spacing: 0px; font-size: 16px;"><br style="-webkit-tap-highlight-color: rgba(0, 0, 0, 0); padding: 0px; margin: 0px; box-sizing: border-box;" /></span><span style="-webkit-tap-highlight-color: rgba(0, 0, 0, 0); padding: 0px; margin: 0px; box-sizing: border-box; letter-spacing: 0px; font-size: 16px;">D:绝大部分或全部时间(过去一周内,有5-7天有过这类情况);计分4分(反向条目为1分)</span></p> <p style="-webkit-tap-highlight-color: rgba(0, 0, 0, 0); padding: 0px; margin: 5px 0px 20px; word-break: break-all; box-sizing: border-box; overflow-wrap: break-word; color: #28354c;"><span style="-webkit-tap-highlight-color: rgba(0, 0, 0, 0); padding: 0px; margin: 0px; box-sizing: border-box; letter-spacing: 0px; font-size: 16px;">序号前*标记为反向条目。</span></p> <p style="-webkit-tap-highlight-color: rgba(0, 0, 0, 0); padding: 0px; margin: 5px 0px 20px; word-break: break-all; box-sizing: border-box; overflow-wrap: break-word; color: #28354c;"><span style="-webkit-tap-highlight-color: rgba(0, 0, 0, 0); padding: 0px; margin: 0px; box-sizing: border-box; letter-spacing: 0px; font-size: 16px;">&nbsp;</span></p> <p style="-webkit-tap-highlight-color: rgba(0, 0, 0, 0); padding: 0px; margin: 5px 0px 20px; word-break: break-all; box-sizing: border-box; overflow-wrap: break-word; color: #28354c;">&nbsp;</p> <p style="-webkit-tap-highlight-color: rgba(0, 0, 0, 0); padding: 0px; margin: 5px 0px 20px; word-break: break-all; box-sizing: border-box; overflow-wrap: break-word; color: #28354c;"><span style="-webkit-tap-highlight-color: rgba(0, 0, 0, 0); padding: 0px; margin: 0px; box-sizing: border-box; letter-spacing: 0px; font-weight: bold; font-size: 16px;">结果分析:</span></p> <p style="-webkit-tap-highlight-color: rgba(0, 0, 0, 0); padding: 0px; margin: 5px 0px 20px; word-break: break-all; box-sizing: border-box; overflow-wrap: break-word; color: #28354c;"><span style="-webkit-tap-highlight-color: rgba(0, 0, 0, 0); padding: 0px; margin: 0px; box-sizing: border-box; letter-spacing: 0px; font-size: 16px;">测试后,请算出你的总分(总粗分)并换算测评分Y(标准分)</span></p> <p style="-webkit-tap-highlight-color: rgba(0, 0, 0, 0); padding: 0px; margin: 5px 0px 20px; word-break: break-all; box-sizing: border-box; overflow-wrap: break-word; color: #28354c;"><span style="-webkit-tap-highlight-color: rgba(0, 0, 0, 0); padding: 0px; margin: 0px; box-sizing: border-box; letter-spacing: 0px; font-size: 16px;">标准分Y=&nbsp;已获总分/45X100(取整)</span></p> <p style="-webkit-tap-highlight-color: rgba(0, 0, 0, 0); padding: 0px; margin: 5px 0px 20px; word-break: break-all; box-sizing: border-box; overflow-wrap: break-word; color: #28354c;"><span style="-webkit-tap-highlight-color: rgba(0, 0, 0, 0); padding: 0px; margin: 0px; box-sizing: border-box; letter-spacing: 0px; font-size: 16px;">根据标准分可评判你的抑郁程度</span></p> <p style="-webkit-tap-highlight-color: rgba(0, 0, 0, 0); padding: 0px; margin: 5px 0px 20px; word-break: break-all; box-sizing: border-box; overflow-wrap: break-word; color: #28354c;"><span style="-webkit-tap-highlight-color: rgba(0, 0, 0, 0); padding: 0px; margin: 0px; box-sizing: border-box; letter-spacing: 0px; font-size: 16px;">53~62为轻度抑郁</span></p> <p style="-webkit-tap-highlight-color: rgba(0, 0, 0, 0); padding: 0px; margin: 5px 0px 20px; word-break: break-all; box-sizing: border-box; overflow-wrap: break-word; color: #28354c;"><span style="-webkit-tap-highlight-color: rgba(0, 0, 0, 0); padding: 0px; margin: 0px; box-sizing: border-box; letter-spacing: 0px; font-size: 16px;">63~72为中度抑郁</span></p> <p style="-webkit-tap-highlight-color: rgba(0, 0, 0, 0); padding: 0px; margin: 5px 0px 20px; word-break: break-all; box-sizing: border-box; overflow-wrap: break-word; color: #28354c;"><span style="-webkit-tap-highlight-color: rgba(0, 0, 0, 0); padding: 0px; margin: 0px; box-sizing: border-box; letter-spacing: 0px; font-size: 16px;">73分以上为重度抑郁</span></p> <p style="-webkit-tap-highlight-color: rgba(0, 0, 0, 0); padding: 0px; margin: 5px 0px; word-break: break-all; box-sizing: border-box; overflow-wrap: break-word; color: #28354c;"><span style="-webkit-tap-highlight-color: rgba(0, 0, 0, 0); padding: 0px; margin: 0px; box-sizing: border-box; letter-spacing: 0px; font-size: 16px;">如果您的SDS量表评分总粗分大于41分,标准分大于52分,那么您可能患有抑郁,建议可到精神心理类门诊进一步咨询或寻求帮助!</span></p> </div>
擅长抑郁焦虑,双相障碍,睡眠障碍等精神心理疾病的多手段综合诊疗;心理咨询和认知行为治疗。
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