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雾霾不出门 30岁女白领憋出抑郁症-给力心理
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雾霾不出门 30岁女白领憋出抑郁症

雾霾不出门 30岁女白领憋出抑郁症
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发表时间:2015-01-29 12:49:44 223 0 0

 抑郁是一种情绪上的“感冒”,影响生活与生存状态,有的甚至影响生命安全。这两天,浙医二院的精神科医生,都进入了“备战”状态,因为寒冷的冬天是抑郁症发作的高峰期。“这两天,我有一些病人复发了,他们本来抑郁症控制得挺不错,但因为前段时间连续雾霾天,再加上下雨天,病情就控制不住了。”浙医二院精神科副主任刘微波说,冬季抑郁高发,主要还是光照少了后,大家体内的褪黑激素分泌多了。

  雾霾天不出门憋出抑郁症

  就在前几天,刘微波在门诊中,碰到了一位30岁左右的白领女性王玲(化名)。以往来精神科门诊就诊的基本上由家人或朋友陪同,但这个病人却是独自前来的,这让他印象深刻。

  王玲是一个户外运动爱好者,每天晚上都会沿着运河,快步走一两个小时,而到了双休日,就会跟QQ群里其他的户外运动爱好者们,一起去野外徒步。爱好运动的人一般都非常开朗,在朋友眼里,王玲也是一个“阳光派”。但前段时间,朋友们发现她整个人都变了。

  雾霾前期,王玲因为工作压力大,每天运动的时间大幅度减少,往往是办公室、家里两点一线的机械工作生活,这让她陷入了负面情绪的恶性循环。渐渐地,王玲就发现自己睡眠质量变得非常差,而胃口也是一落千丈,每天只想喝点清粥。

  王玲说,意识到自己的健康出了问题后,她马上去了一家中医院,请中医医生给她号脉,还开了调理中药。虽然一星期之后复诊检查,身体的指标都没有问题,但是王玲还是觉得自己整天四肢乏力、疲惫、食欲不振。

  到了周末,原本约好的户外活动,因为雾霾取消。这件事就像是压死骆驼的最后一根稻草,压在王玲身上的所有负面情绪暴发了。对于朋友再次的邀约,她没了兴趣;双休日去购物逛街,也没兴趣。王玲说自己上网查了身上所有症状的原因,发现这些症状都指向一个共通的疾病——抑郁症。

  冬季是抑郁症最高发时期

  常常无精打采、忧郁沉闷,对什么事情都提不起兴趣,还经常抱怨身体各处酸楚疼痛,但又查不出明显的问题来!刘微波医生说,像王玲这样的人,临床中并不少见。

  刘微波解释,抑郁症是以情感低落、思维迟缓及言语动作减少为典型症状的一组情绪障碍综合征。概括起来为“三少六无”:即情感低落、思维迟钝、行为减少,无趣、无助、无能、无力、无望、无价值,严重时有自杀意向和行为。

  “这个病是因天气变化而发生的一种忧郁症效应,多见于性格内向、敏感、感情脆弱的人,恰巧在冬季遭遇心理应激事件的人,或未能得到及时的宣泄和疏导,或在室内工作的人,尤其是体质较弱和极少参加体育锻炼的脑力劳动者;生活不规律和饮食不合理的人。”

  英国前首相丘吉尔,就备受冬季抑郁之苦。他把自己的抑郁称为“黑狗”,每到冬天,这只“黑狗”便会更加张狂,让他痛不欲生。

  刘微波说,医学界因此提出一个诊断名词,叫“季节性抑郁”,又称“季节性情绪失调症”。是指因天气的变化,而产生的一种忧郁症效应,但季节性抑郁主要指的还是冬季抑郁。冬季是一年中抑郁症最高发的时期,因为冬季由于光照减少,抑郁症很容易发生和复发。

  一般来说,这些症状从秋冬之交初露端倪,在次年的1月份和2月份症状最明显,直至入春后才会缓解。

 提醒

  预防关键在于多拥抱阳光

  为何冬季会抑郁?主要还是因为日照减少,体内的“快乐激素”被遏制了。

  刘微波介绍,大脑里的松果体,是人体生物钟的调控中心。在光照影响下,松果体黑夜分泌褪黑激素,褪黑激素对生命活动有抑制作用,让人情绪低落,体温降低,心跳减慢,血压下降,这时大脑及机体就会统一进入休息状态,启动睡觉模式。

  随着秋冬季节里太阳照射时间逐渐缩短,人体内的褪黑激素含量增加,引起体内兴奋性递质浓度降低,兴奋性下降,又引起了人的抑郁情绪反应。因此抑郁症病人容易发病,而正常人群也有不少会出现抑郁情绪。

  “因此在冬季,预防抑郁发生最好的方法,是尽量多照照阳光。早上不妨拉开窗帘迎接阳光,中午时外出尽情沐浴。”刘微波说,很多人在阴雨天或者雾霾天,或者不方便出门的时候没法晒太阳,她建议也要把家里的电灯打开,不要让自己被阴暗的环境包围。

  至于要不要将家里的白炽灯换掉,刘微波认为没有太大的必要,“换成暖色调的灯,只是对于一些人来说,能够增加心情的愉悦。”

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