Prevalence and incidence of depressive disorder: the Baltimore ECA follow-up, 1981-2004
Prevalence and incidence of depressive disorder: the Baltimore ECA follow-up, 1981-2004
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DOI：
10.1111/j.1600-0447.2007.01017.x
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发表时间：
2007-09-01
影响因子：
6.7
通讯作者：
Ding, Y.
中科院分区：
文献类型：
--
作者：
Eaton, W. W.;Kalaydjian, A.;Ding, Y.
目的：描述巴尔的摩东部队列中抑郁症患病率和发病率的趋势。方法：23 岁纵向队列，巴尔的摩流行病学聚集区随访。参与者是 1981 年从家庭人口中随机选出的，并于 1981 年、1993 年和 2004 年进行访谈。根据美国精神病学协会诊断和统计手册的连续版本，通过诊断访谈时间表进行诊断。结果：年龄较大、教育程度较低、非白人种族和认知障碍是因死亡和失去联系而导致的减员的独立预测因素，但抑郁症与磨损。 1981年、1993年和2004年期间，女性患病率有所上升。1993-2004年期间的发病率低于1981-1993年期间，表明患病率上升是由于慢性化所致。结论：在过去的25年中，中年女性抑郁症的患病率有所上升。
Objective: To describe trends in prevalence and incidence of depressive disorder in a cohort from Eastern Baltimore.Method: Twenty-three-year-old longitudinal cohort, the Baltimore Epidemiologic Catchment Area Follow-up. Participants were selected probabilistically from the household population in 1981, and interviewed in 1981, 1993, and 2004. Diagnoses were made via the Diagnostic Interview Schedule according to successive editions of the American Psychiatric Association Diagnostic and Statistical Manual.Results: Older age, lower education, non-White race, and cognitive impairment are independent predictors of attrition due to death and loss of contact, but depressive disorder is not related to attrition. Prevalence rates rise for females between 1981, 1993, and 2004. Incidence rates in the period 1993-2004 are lower than the period 1981-1993, suggesting the rise in prevalence is due to increasing chronicity.Conclusion: There has been a rise in the prevalence of depression in the prior quarter century among middle-aged females.