摘要
目的:调查社区老人抑郁障碍的患病率、自然转归及其危险因素。方法:对2011年采用多层次整群随机抽样法抽取的上海市浦东新区常住户籍≥60岁的3 579名老年人进行3年后随访,以《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(SCID-I/P)为诊断工具,对入组者抑郁障碍的患病率、自然转归及其危险因素进行分析。结果:共调查3 478(97.17%)人,抑郁障碍时点患病率为12.92%(446例);3年后新发病38例(1.09%),好转和痊愈26例(1.05%),病情加重21例(0.60%);女性、不良婚姻状况具更高的患病率(P均<0.05);糖尿病及心脏病是抑郁障碍的易感因素(P均<0.01)。结论:社区老人抑郁障碍患病率高,女性、不良婚姻状况者多见;共患糖尿病、心脏病者是易感因素。
Objective:To survey the prevalence of community elderly depressive disorder, natural outcome and its risk factors. Method:The aged over 60 years old 3 579 residents of Shanghai pudong new area who were extracted and investigated by multi-level cluster random sampling method at 3 years ago were followup. By the diagnostic tool of the diagnostic and statistical manual of mental disorders fourth edition ( DSM-IV ) axis I disorders with clinical eheck box version (SCID-I/P) ,the prevalence of depressive disorder,natural out- come and its risk factors of the respondents were analyzed. Results:The total 3 478 (97.17%)people comple- ted the follow-up. Point prevalence of depression was 12.92% (446 cases). Three years later a new onset was 38 cases ( 1.09% ) ,improvement and recovery was 26 cases ( 1.05% ) ,aggravation was 21 cases (0.60%). The prevalence in female and people in poor marital status were higher ( all P 〈 0.05 ). Diabetes and heart disease history were predisposing factors of depressive disorder. Diabetes and heart disease were the risk factors of depressive disorder. Conclusion:The prevalence of depressive disorder in elder residents is high in community, especially in female and people with poor marital status. Diabetes, heart disease is susceptible factors.
出处
《临床精神医学杂志》
2017年第1期25-27,共3页
Journal of Clinical Psychiatry
基金
上海市浦东新区卫生系统学科带头人基金(PWRd2013-04)
关键词
抑郁障碍
社区老人
患病率
转归
易感因素
depressive disorder
eommtmity elderly
prevalence rate
prognosis
predisposing factors