Associations Between Self-Rated Mental Health and Psychiatric Disorders Among Older Adults: Do Racial/Ethnic Differences Exist?
Associations Between Self-Rated Mental Health and Psychiatric Disorders Among Older Adults: Do Racial/Ethnic Differences Exist?
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DOI：
10.1097/jgp.0b013e3181f61ede
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发表时间：
2011-05-01
影响因子：
7.2
通讯作者：
Parmelee, Patricia
中科院分区：
文献类型：
--
作者：
Kim, Giyeon;DeCoster, Jamie;Parmelee, Patricia
目标：这项研究考察了美国社区老年人自评心理健康（SRMH）与精神疾病之间关联的种族/民族差异。设计：对来自协作精神病学流行病学调查（2001-2003）的全国代表性数据进行横断面分析。设置：面对面的家庭访谈。参会人员：60岁及以上的老年人（N = 1，840），包括非西班牙裔白人（N = 351）、黑人（N = 826）、西班牙裔（N = 406）和亚裔（N = 257）。测量：SRMH是用一个单一的项目来测量的，“你如何评价你自己的心理健康？根据《精神疾病诊断和统计手册》第四版（DSM-IV），情绪和焦虑障碍的诊断是用世界卫生组织的世界精神卫生版综合国际诊断访谈来衡量的。结果如下：Logistic回归分析的结果显示，SRMH和种族/民族对情绪和焦虑障碍的存在有显着的主要影响：SRMH差的非西班牙裔白人更容易患情绪和焦虑障碍。SRMH和种族/民族之间也有显着的相互作用，例如SRMH与精神疾病诊断的关系在非西班牙裔白人中最强。结论：种族/民族的差异被发现在心理健康的自我感知和DSM-IV精神疾病之间的关系。研究结果表明，有必要制定种族/民族的具体战略，以筛选精神疾病在不同的老年人群。未来的研究需要调查种族/民族差异的可能原因。(Am J Geriatr Psychiatry 2011; 19：416-422）
Obective: This study examined racial/ethnic differences in the association between self-rated mental health (SRMH) and psychiatric disorders among community-dwelling older adults in the United States. Design: Cross-sectional analyses of nationally representative data from the Collaborative Psychiatric Epidemiology Surveys (2001-2003). Setting: In-person household interviews. Participants: Older adults aged 60 and older (N = 1,840), including non-Hispanic Whites (N = 351), Blacks (N = 826), Hispanics (N = 406), and Asians (N = 257). Measurements: SRMH was measured with a single item, "How would you rate your own mental health?" Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition (DSM-IV), diagnoses for mood and anxiety disorders were measured with the World Health Organization's World Mental Health version of the Composite International Diagnostic Interview. Results: Results from logistic regression analyses showed significant main effects of both SRMH and race/ethnicity on the presence of mood and anxiety disorders: people who have poor SRMH and are non-Hispanic Whites were more likely to have mood and anxiety disorders. There were also significant interaction effects between SRMH and race/ethnicity, such that the relation of SRMH with diagnoses of psychiatric disorders was strongest in non-Hispanic Whites. Conclusions: Racial/ethnic variations were found in the relationship between self-perception of mental health and DSM-IV psychiatric disorders. The findings suggest the need to develop race/ethnicity-specific strategies to screen psychiatric disorders in diverse elderly populations. Future studies are needed to investigate possible reasons for the racial/ethnic group differences. (Am J Geriatr Psychiatry 2011; 19:416-422)