武汉地区老年人群抑郁症的患病率调查

发布时间：2018-05-29 07:25

  本文选题：老年人 + 抑郁症　； 参考：《中国心理卫生杂志》2017年11期

【摘要】：目的:调查武汉地区老年人抑郁症(MDD)的患病率和危险因素。方法:多阶段随机整群抽取武汉市30个社区的1572例60岁及以上老人进行简明国际神经精神访谈评定,并了解MDD老人的精神卫生服务利用情况。结果:武汉地区老年人MDD的调整患病率为5.9%。多因素Logistic回归分析显示,女性、年龄≥80岁、农村居住、有孤独感、罹患慢性病、身体移动困难、自我照料困难和与他人相处困难是老年人MDD的危险因素(OR=1.60~3.90,均P≤0.05)。MDD老人的精神卫生服务利用率仅为3.9%。结论:武汉地区老年人MDD患病率高,但精神卫生服务利用率极低。提供心理社会支持以减轻孤独感、治疗躯体病及采取措施以减轻躯体活动和日常生活能力受限的程度可能有助于预防老年人的抑郁症。
[Abstract]:Objective: to investigate the prevalence and risk factors of MDD in the elderly in Wuhan. Methods: 1572 elderly people aged 60 years old and over in 30 communities of Wuhan City were selected by multi-stage random cluster and evaluated with brief international neuropsychiatric interviews, and the utilization of mental health services in MDD elderly was investigated. Results: the adjusted prevalence of MDD in the elderly in Wuhan was 5.9%. Multivariate Logistic regression analysis showed that female, aged more than 80 years, lived in rural areas, had a feeling of loneliness, suffered from chronic diseases, and had difficulty in moving their bodies. The risk factors of MDD in the elderly were self-care difficulties and difficulty in getting along with others, and the utilization rate of mental health services for all P 鈮，

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