Trends in major depressive episodes and mental health treatment among older adults in the United States, 2010-2019.
Trends in major depressive episodes and mental health treatment among older adults in the United States, 2010-2019.
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DOI：
10.1016/j.jad.2022.09.007
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发表时间：
2022-12-01
影响因子：
6.6
通讯作者：
Palamar, Joseph J.
中科院分区：
文献类型：
--
作者：
Yang, Kevin H.;Han, Benjamin H.;Moore, Alison A.;Palamar, Joseph J.
尽管人们对过去二十年来抑郁症发病率上升的趋势感到担忧，但人们对老年人抑郁症和心理健康（MH）治疗的近期趋势以及这些趋势是否因人口统计学特征而异知之甚少。我们检查了2010-2019年全国药物使用和健康调查（N = 31，502）中年龄≥65岁的非住院成年人的美国代表性样本的数据。我们估计了过去一年中重度抑郁发作（MDE）的总体患病率和人口统计学特征的趋势。我们还估计了过去一年MDE患者中MH治疗的趋势。从2010/11年到2018/19年，老年人中上年MDE的估计患病率从2.0%（95%CI：1.6-2.6）增加到3.2%（95%CI：2.7 - 3.7），增加了60.0%（p = 0.013）。在男性（p = 0.038）、白色个体（p = 0.018）、丧偶者（p = 0.003）、家庭年收入<20，000美元（p = 0.020）或20，000 - 49，000美元（p = 0.016）的人以及具有一定大学学历的人（p = 0.014）中检测到了增加。在MDE患者中，在过去一年的任何形式的MH治疗中均未检测到显著变化。NSDUH不评估被机构化，监禁或无家可归的人，因此MDE的流行可能被低估。虽然老年人中抑郁症的估计患病率正在增加，但抑郁症患者中MH治疗的比例并未增加。这些研究结果呼吁紧急扩大治疗服务和培训具有老年人专业知识的MH专业人员，以满足这一不断增长的弱势群体的需求。
Despite concerns about increasing trends in depression over the past two decades, little is known about recent trends in depression and mental health (MH) treatment among older adults and whether these trends differ by demographic characteristics. We examined data from a US representative sample of noninstitutionalized adults aged ≥65 from the 2010–2019 National Survey on Drug Use and Health (N = 31,502). We estimated trends in the prevalence of past-year major depressive episode (MDE) overall and by demographic characteristics. We also estimated trends in MH treatment among those with past-year MDE. From 2010/11 to 2018/19, the estimated prevalence of past-year MDE among older adults increased from 2.0 % (95 % CI: 1.6–2.6) to 3.2 % (95 % CI: 2.7 to 3.7), a 60.0 % increase (p = 0.013). Increases were detected among men (p = 0.038), White individuals (p = 0.018), those who are widowed (p = 0.003), those with an annual household income of <$20,000 (p = 0.020) or $20,000–$49,000 (p = 0.016), and those with some college degree (p = 0.014). Among those with MDE, there were no significant changes detected in any form of past-year MH treatment. NSDUH does not assess individuals who are institutionalized, incarcerated, or experiencing homelessness, and thus the prevalence of MDE may be underestimated. Although the estimated prevalence of depression is increasing among older adults, there has not been a proportional increase in MH treatment among those with depression. These findings call for urgent expansion of treatment services and training of MH professionals with expertise in older adults to meet the needs of this growing, vulnerable population.
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DOI：
10.1111/add.13670
发表时间：
2017-03
期刊：
Addiction (Abingdon, England)
影响因子：
--
作者：
Han BH;Sherman S;Mauro PM;Martins SS;Rotenberg J;Palamar JJ
通讯作者：
Palamar JJ
影响因子：
7.2
作者：
Fyffe, DC;Sirey, JA;Bruce, ML
通讯作者：
Bruce, ML
影响因子：
3.3
作者：
O'Shea, Brendan Q.;Finlay, Jessica M.;Kobayashi, Lindsay C.
通讯作者：
Kobayashi, Lindsay C.
DOI：
10.1111/j.1532-5415.2011.03447.x
发表时间：
2011-06-01
影响因子：
6.3
作者：
Akincigil, Ayse;Olfson, Mark;Crystal, Stephen
通讯作者：
Crystal, Stephen
影响因子：
5.7
作者：
Zivin, Kara;Pirraglia, Paul A.;Vijan, Sandeep
通讯作者：
Vijan, Sandeep