摘要
目的探讨北京市城市社区老年人抑郁症状发生率及其影响因素。方法采用非概率抽样法抽取北京市两个城市社区≥60岁471名老年人作为调查对象,采用老年人抑郁量表简表(GDS-15)和世界卫生组织生活质量问卷简版(WHQOLBREF)对入选老年人进行访谈。结果抑郁症状的检出率为18.259%(86/471)。女性老年人抑郁症状的发生率高于男性(χ2=10.131,P=0.001)。随着学历的增高,老年人抑郁症状的发生率有下降的趋势(χ2=13.210,df=3,P=0.004);随着家庭月收入的增高,老年人抑郁症状的发生率有所下降(χ2=9.969,df=4,P=0.041);个人独居、与子女同居的老年人抑郁症状发生率均高于与夫妇同居的老年人(χ2=11.80,P=0.001;χ2=8.18,P=0.004);患有慢性病的老人抑郁症状的发生率高于未患慢性病者(χ2=5.772,P=0.016)。有抑郁症状的老人在健康状况自评、心理领域、环境领域的得分低于无抑郁症状的老年人(t=2.773,P=0.006;t=2.068,P=0.041;t=3.151,P=0.002)。结论女性、教育程度、经济收入、与谁同住和患有慢性病是老年人抑郁症状发生的影响因素;抑郁症状影响城市社区老年人的生活质量。
Objective To explore the incidence of depression of the elderly from the urban community in Beijing and its related factors.Methods 471 elderly people from two randomly selected urban community were interviewed by GDS -15 and WHQOL-BREF. Results The detection rate of depressive symptoms was 18.26%（86/471）.Incidence of depression of female was higher than that of male（χ2 =10.131,P=0.001）,the incidence of depressive symptoms decreased as the education degree increased （χ2 =13.210,P=0.004）.With the increase of the family monthly income ,the incidence reduced（χ2 =9.969,P=0.041）.The incidence of depression of the elderly living alone or with children was higher than that of those living with couples （χ2 =11.80,P=0.001;χ2 =8.18,P=0.004）. The incidence of depression was higher in patients with chronic disease than patients without chronic disease （χ2=5.772,P=0.016）. Self evaluation of health , psychology environment dimension in depressed elderly were lower than those of non depressed elderly （ t=2.773,P=0.006;t=2.068,P=0.041;t=3.151,P=0.002）.Conclusion Female,education,economic,living status and the elderly with chronic disease are risk factors of depression .Depression affects quality of life of the elderly in urban community .
出处
《中国健康心理学杂志》
2014年第10期1480-1482,共3页
China Journal of Health Psychology
