,
,
, Annexe 1 Echelle de dépression d'Hamilton 21 items
,
,
,
,
,
, Le malade se plaint d'être agité et troublé pendant la nuit
, Il se réveille pendant la nuit (coter 2 toutes les fois où le malade se lève du lit sauf si c'est pour uriner)
, Se réveille de très bonne heure le matin mais se rendort. 2. Incapable de se rendormir s'il se lève
, Travail et activités : 0. Pas de difficulté
, Pensées et sentiments d'incapacité, fatigue ou faiblesse se rapportant à des activités professionnelles ou de détente
, Perte d'intérêt pour les activités professionnelles ou de détente
, Diminution du temps d'activité ou diminution de la productivité
, A arrêté son travail en raison de sa maladie actuelle
,
,
, Léger ralentissement à l'entretien
, Ralentissement manifeste à l'entretien
,
, Joue avec ses mains, ses cheveux, etc
,
, Se tord les mains, ronge ses ongles, arrache ses cheveux, se mord les lèvres
, Tension subjective et irritabilité
, Se fait du souci à propos de problèmes mineurs
, Attitude inquiète, apparente dans l'expression faciale et le langage
, Peurs exprimées sans qu'on pose de questions
, Concomitants physiques de l'anxiété tels que : Gastro-intestinaux (bouche sèche, troubles digestifs, diarrhée, coliques, éructations), Cardiovasculaires (palpitations, céphalées)
, Frappant le sujet d'incapacité fonctionnelle
, Symptômes somatiques gastro-intestinaux : 0. Aucun
, Perte d'appétit, mais mange sans y être poussé par les infirmières
, A des difficultés à manger en l'absence d'incitations du personnel
, Symptômes somatiques généraux : 0. Aucun
, Lourdeur dans les membres, dans le dos ou la tête. Douleurs dans le dos, céphalées, douleurs musculaires. Perte d'énergie et fatigabilité
, Coter 2 au cas où n'importe quel symptôme est net
, Symptômes génitaux : symptômes tels que : perte de libido, troubles menstruels
, Attention concentrée sur son propre corps
, Préoccupations sur sa santé
, Plaintes fréquentes, demandes d'aide, etc
, Idées délirantes hypochondriques
, Perte de poids : (coter soit A, soit B)
D'après les dires du malade) ,
, Pas de perte de poids
, Perte de poids probable liée à la maladie actuelle
Appréciation par pesées hebdomadaires par le personnel soignant lorsque des modifications actuelles de poids sont évaluées) ,
, Moins de 500 g de perte de poids par semaine
, Plus de 500 g de perte de poids par semaine
, Plus de 1 Kg de perte de poids par semaine
, Prise de conscience : 0. Reconnaît qu'il est déprimé et malade
, Nie qu'il est malade
, Noter si les symptômes sont plus marqués dans la matinée ou la soirée
, Aucune variation diurne
, Légère variation diurne
, Importante variation diurne
, Dépersonnalisation et déréalisation
,
, Symptômes délirants : (persécutifs)
,
, Idées délirantes de référence et de persécution
,
, Graphiques Graphique 1 : Proportion de SABC parmi tous les patients déprimés à chaque séance
, Graphique 2 : Distribution des amplitudes en phase lente sur l'ensemble des cures d'ECT Graphique 3 : Distribution des amplitudes en phase rapide sur l'ensemble des cures d'ECT Graphique 4 : Distribution des durées totales de crises sur l'ensemble des cures d'ECT Graphique 5 : Distribution des durées des phases lentes sur l'ensemble des cures d'ECT Graphique 6 : Distribution des durées des phases rapides sur l'ensemble des cures d, ECT Graphique, vol.7
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