Association between depressive symptoms and age, sex, loneliness and treatment among older people in Sweden
Association between depressive symptoms and age, sex, loneliness and treatment among older people in Sweden
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DOI：
10.1080/13607863.2014.962001
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发表时间：
2015-06-03
影响因子：
3.4
通讯作者：
Peterson, Ulla
中科院分区：
文献类型：
--
作者：
Djukanovic, Ingrid;Sorjonen, Kimmo;Peterson, Ulla
目的：本研究的目的是探讨老年人中抑郁症状和孤独感的患病率及其与年龄和性别的关系（65- 80岁），并调查那些报告抑郁症状的人在多大程度上访问了医疗保健专业人员和/或使用抗抑郁药物。方法：在65- 80岁年龄组总人群中随机抽取的瑞典样本（n = 6659）中进行了一项横断面研究。结果：653名被调查者中有9.8%（n = 653）的人有抑郁症状，27.5%的人有孤独感。报告抑郁症状的男性多于女性，75- 80岁年龄组的男性比例最大。研究发现，抑郁症和孤独感之间存在关联，但这种关联随着年龄的增长而下降。在有抑郁症状的人中，很少有人去看过心理学家（2.9%）或福利官员（4.2%），四分之一的人报告说他们使用抗抑郁药物。那些谁报告的抑郁症状，29%的人认为，他们需要在过去三个月的医疗保健，但没有寻求，最常见的原因是负面的经验，从以前visits.Conclusion：相反，在大多数的研究结果，抑郁症状并没有更普遍的妇女。结果强调了检测老年人抑郁症状和孤独的重要性，并提供适当的治疗以提高他们的福祉。
Objectives: The objective of this study was to examine the prevalence of and the association between depressive symptoms and loneliness in relation to age and sex among older people (65-80years) and to investigate to what extent those who report depressive symptoms had visited a health care professional and/or used antidepressant medication.Method: A cross-sectional study was conducted in a Swedish sample randomized from the total population in the age group 65-80years (n = 6659). Chi square tests and logistic regression analyses were conducted.Results: The data showed that 9.8% (n = 653) reported depressive symptoms and 27.5% reported feelings of loneliness. More men than women reported depressive symptoms, and the largest proportion was found among men in the age group 75-80years. An association between the odds to have a depressive disorder and loneliness was found which, however, decreased with increasing age. Of those with depressive symptoms a low proportion had visited a psychologist (2.9%) or a welfare officer (4.2%), and one in four reported that they use antidepressant medication. Of those who reported depressive symptoms, 29% considered that they had needed medical care during the last three months but had refrained from seeking, and the most common reason for that was negative experience from previous visits.Conclusion: Contrary to findings in most of the studies, depressive symptoms were not more prevalent among women. The result highlights the importance of detecting depressive symptoms and loneliness in older people and to offer adequate treatment in order to increase their well-being.