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首页> 外文会议>European Association of Psychosomatic Medicine., Annual Meeting. >Specific Patterns of Psychosomatic Disorders in Older People
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Specific Patterns of Psychosomatic Disorders in Older People

机译：老年人心理障碍的具体模式

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Psychosomatic disorders are often encountered in older people. It is most obvious in case of depression: an older person will not declare that "I feel sad", "I am hopeless", but will rather report symptoms of a somatic disease: headache, dizziness, various types of pain with different locations. This poses difficult diagnosis problems because older people often might have chronic diseases that could explain their complaints. The process is known as "somatization" and it is a usual way of presentation of depression in older people, unlike younger age groups. Another important aspect is the impact of depression on somatic conditions, and the link to psychosomatic disorders especially cardiovascular diseases (essential hypertension, myocardial infarction), gastrointestinal (peptic ulcer disease), neurologic (anorexia nervosa), respiratory (asthma) and dermatologic diseases. Several studies demonstrated that a person with depression would develop myocardial infarction more often than a person without that condition; moreover, a patient with myocardial infarction and depression will develop more often a new infarction if the psychiatric illness is not addressed. The connection is even between psychiatric diseases themselves: an older person with depression will develop more often and earlier dementia as compared to a person without that disease. In fact depression was even named "pseudodementia". In older people there are many sources of depression and this disease is much more often encountered than diagnosed, especially immediately after retirement. These calls for special attention in this age group and for an active screening and diagnosis follow up in combination with complex multidisciplinary and interdisciplinary management.
机译：在老年人常常遇到心身疾病。在抑郁症的情况下最明显：一个老年人不会宣布“我感到难过”，“我是无望的”，但宁愿报道躯体疾病的症状：头痛，头晕，各种类型的不同地点的痛苦。这造成了困难的诊断问题，因为老年人往往可能会产生慢性疾病，可以解释他们的投诉。与年龄较小的年龄群体不同，该过程称为“躯体化”，并且是老年人抑郁症的一种常用方式。另一个重要方面是抑郁症对体细胞病症的影响，以及心脏血管疾病的联系尤其是心血动物疾病（必需高血压，心肌梗死），胃肠道（消化性溃疡病），神经系统（厌食症），呼吸道（哮喘）和皮肤病学疾病。几项研究表明，一个患有抑郁症的人会比没有这种情况的人更频繁地发展心肌梗塞;此外，如果没有解决精神病疾病，患有心肌梗死和抑郁症的患者将产生更常见的新梗死。联系甚至在精神疾病本身之间：与没有这种疾病的人相比，患有抑郁症的老年人会产生更多往常和早期的痴呆。事实上，抑郁症甚至被命名为“假室”。在老年人中，有许多抑郁症来源，这种疾病比被诊断得多，特别是在退休后立即遇到。这些呼吁在这个年龄组中特别注意，以及主动筛选和诊断与复杂的多学科和跨学科管理相结合。

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