以身體症狀為主要表徵之非典型老年憂鬱症－個案報告

Atypical Geriatric Depression Presented with Unspecified Somatic Symptoms - A Case Report

吳政航(Cheng-Hang Wu) ； 王冠元(Kuan-Yuan Wang) ； 李純瑩(Chun-Ying Lee) ； 葉怡君(Yi-Chun Yeh)

《台灣老年醫學暨老年學雜誌》 12卷3期 (2017/08) Pp. 216-223

https://doi.org/10.29461/TGG.201708_12(3).0006

摘要

本個案為85歲男性，因持續2個月感覺胸部及腹部緊繃難受前來就醫。住院治療期間安排多項身體檢查皆無明顯異常現象。經老年周全性評估、仔細精神狀態檢查及精神病史詢問下，發現個案有心情低落、孤獨無助感受，其身體症狀抱怨可能為老人非典型性憂鬱症狀，在使用抗憂鬱劑治療下，不僅情緒症狀改善，個案也未再出現身體不適症狀抱怨。本個案提醒臨床工作者注意老人憂鬱症的非典型症狀表現，以期能及早覺察並介入治療。

關鍵字

老年 ； 憂鬱症 ； 身體症狀 ； 抗憂鬱藥物

並列摘要

An 85 year-old male was admitted due to chest tightness and abdomen discomfort lasting for about 2 months. No associated disease was confirmed in spite of the various physical and image examinations conducted during his hospitalization. After comprehensive geriatric assessment, mental state examination and psychiatric history taking, we found the patient troubled by depression and feelings of loneliness and helplessness and suspected that his somatic complaints might be atypical symptoms of geriatric depression. After treatment with antidepressants, the patient reported significant improvement in emotional symptoms and no longer complained about physical discomfort. This case report reminds clinicians to take heed of atypical presentation of elderly depression so as to facilitate early detection and intervention.

並列關鍵字

Geriatrics ； depression ； atypical symptoms ； antidepressants