摘要
目的:开展老年抑郁症流行病学调查,观察其患病率、治疗率及其易感因素,为防治疾病提供重要依据。方法:随机抽样调查上海市浦东新区43个村(居)委会在册常住3 311例老人,应用美国精神障碍诊断与统计手册第4版(DSM-Ⅳ)轴I障碍定式临床检查患者版(SC ID-I/P)诊断工具进行调查。结果:重度抑郁障碍时点患病率为3.6%(118例)。其患病率在年龄、受教育程度、精神病家族史、与家人关系、与周围人关系、子女人数、家庭结构、身体锻炼、居住条件、家庭经济、城乡人口等各组间差异均有显著统计学意义(P<0.05或P<0.001)。该疾病与年龄、干预情况、家庭结构、居住条件、精神病家族史、子女人数等易感因素关系密切。患者的诊治率很低(4.2%)。结论:老年重度抑郁障碍患病有逐年增高趋势,预防易感因素有利于降低其发生发展。
Objective：To Investigate the epidemiological characteristics,such as the prevalence,the rate of treatment,and the predisposing factor of senile depression in community of Pudong New Area,Shangha.Methods：In Pudong New Area,3311 elderly residents were randomly selected in 43 villages（neighborhood） committees,It was applied with United States Diagnostic and Statistical Manual of Mental Disorders 4th edition（DSM-Ⅳ） Axis I Disorders-style version of the clinical examination of patients（SCID-I / P） diagnostic tool for investigation.Results： The point prevalence of major depressive disorder was 3.6%（118 cases）.The prevalence became higher with the age,illiterate,living in urban and alone,positive family histories,poor relationship with relatives,childlessness,no exercising,commodiousness and financial straits,and the differences has significances（P0.05 or P0.001.） Those,which were age,intervention,family structures,living conditions,family histories of mental illnesses,and child numbers,may be the predisposing factors for depression.However,the rate of treatment was very low（4.2%）.Conclusions： The prevalence of senile depression was raised up with the age,and eliminating the predisposing factors would reducing it.
出处
《中国民康医学》
2011年第9期1078-1080,1119,共4页
Medical Journal of Chinese People’s Health
关键词
老年人
重度抑郁障碍
流行病学
易感因素
senile
major depressive disorder
epidemiology
predisposing factor
