Prevalence of depressive symptoms and syndromes in later life in ten European countries - The SHARE study

Prevalence of depressive symptoms and syndromes in later life in ten European countries - The SHARE study
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DOI:
10.1192/bjp.bp.107.036772
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发表时间:
2007-11-01
影响因子:
10.5
通讯作者:
Prince, M.
Prince, M.
中科院分区:
医学1区
文献类型:
--
作者:
Castro-Costa, E.;Dewey, M.;Prince, M.

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背景 EURO-D 是一份包含 12 项的抑郁症自我报告问卷,旨在促进欧洲晚年抑郁症的跨文化研究。目的 描述十个欧洲国家抑郁症症状和综合症患病率的国家差异。方法 EURO-D 的对象是年龄>= 50 岁的非福利机构人员的全国代表性横断面样本(n=22 777)。评估了年龄、性别、教育和认知功能对个体症状和 EURO-D 因子评分的影响。重新估计了特定国家的抑郁症患病率和平均因子得分,并根据这些成分效应进行了调整。结果所有症状的患病率在拉丁民族语言国家中都较高,尤其是与动机相关的症状。女性在情感痛苦方面得分较高;老年人和言语流畅性受损的人在动机方面得分较高。 结论 各个 EURO-D 症状和可能的抑郁症(截止分数 >= 4)的患病率在不同国家之间存在一致差异。对年龄、性别、教育和认知功能的影响进行标准化表明,这些构成因素并不能解释观察到的变化。
Background The EURO-D,a 12-item self-report questionnaire for depression, was developed with the aim of facilitating cross-cultural research into late-life depression in Europe.Aims To describe the national variation in depression symptoms and syndrome prevalence across ten European countries. Method The EURO-D was administered to cross-sectional nationally representative samples of non-institutionalised persons aged >= 50 years (n=22 777). The effects of age, gender, education and cognitive functioning on individual symptoms and EURO-D factor scores were estimated. Country-specific depression prevalence rates and mean factor scores were re-estimated, adjusted for these compositional effects.Results The prevalence of all symptoms was higher in the Latin ethno-lingual group of countries, especially symptoms related to motivation.Women scored higher on affective suffering; older people and those with impaired verbal fluency scored higher on motivation.Conclusions The prevalence of individual EURO-D symptoms and of probable depression (cut-off score >= 4) varied consistently between countries. Standardising for effects of age, gender, education and cognitive function suggested that these compositional factors did not account for the observed variation.