[A study of depressive state and background factors in community-dwelling older persons].
[A study of depressive state and background factors in community-dwelling older persons].
复制标题
社区老年人抑郁状态及背景因素研究[J].
DOI：
10.3143/geriatrics.36.703
复制
发表时间：
1999
期刊：
影响因子：
--
通讯作者：
E. Kajii
中科院分区：
文献类型：
--
作者：
R. Kawamoto;T. Doi;A. Yamada;T. Oguni;M. Okayama;K. Tsuruoka;M. Satho;E. Kajii
为维护和改善社区老年人的心理健康，开展横断面调查，阐明社区老年人的抑郁状况及其背景因素。调查对象为居住在社区且能够自行填写问卷的老年人。该研究使用了 Matsubayashi 等人在 Kahoku 纵向衰老研究中使用的自记录问卷表和 Zung 自评抑郁量表 (SDS)。在社区能够自行填写问卷的2,379名老年人中，有2,361人（99.2%）退回了调查表。消除不充分的反应后，可以对 1,181 人（49.6%）（542 名男性（平均年龄 72.3 +/- 5.5）和 639 名女性（平均年龄 73.0 +/- 6.3）进行分析。通过 SDS 评估，731 人（61.9%）的抑郁状态程度正常；轻度，240 人（20.3%）；中度，181 人患有严重 SDS 的人中，单身人士的比例较高（p < 0.001）（p = 0.001）；重度 SDS 越高，平均年龄也越高（p = 0.0155）。 0.0015），没有定期步行的习惯（p < 0.001），或没有工作（p < 0.001），定期接受药物治疗的比例也显着较高（p = 0.0022）。就SDS与各项得分的关系而言，SDS得分越高，ADL、信息相关功能、功能和情感支持网络、家庭关系、友谊、经济状况的得分显着降低（p < 0.0015）。在使用 SDS 的背景因素作为解释变量的逻辑回归分析中，因素包括女性（优势比，1.73；95% 置信区间，1.10-2.72）、ADL（0.80；0.69-0.93）、情感支持网络（0.88；0.81-0.96）、友谊（0.98；就SDS与主观感觉之间的关系而言，SDS得分越严重，健康感和满意度得分显着降低（均p < 0.001），对于社区老年人的抑郁状态的预防和改善，应尝试通过有效利用健康、医疗和福利服务并积极跟踪未来的进程来改善本研究明确的背景因素。的态度。
In order to maintain and improve the mental health of elderly people living in the community, a cross-sectional survey was conducted to elucidate their depressive state and its background factors. Subjects were elderly persons living in the community who were able to fill in the questionnaire themselves. The study used the self-recording questionnaire sheets used in the Kahoku Longitudinal Aging Study by Matsubayashi et al and the Zung Self-rating Depression Scale (SDS). Out of 2,379 elderly persons who were able to fill in the questionnaire by themselves in the community, 2,361 (99.2%) returned the questionnaire sheets. After removing inadequate responses, analysis was possible for 1,181 (49.6%) (542 males (average age 72.3 +/- 5.5) and 639 females (average age 73.0 +/- 6.3). Degree of depressive state as evaluated by SDS was normal for 731 persons (61.9%); mild, 240 (20.3%); moderate, 181 (15.3%); and severe, 29 (2.5%). The average age became higher as the SDS became high, of being indicating the seriousness of the depressive state (p = 0.0155), with the ratio women significantly higher (p = 0.0077). Among those with severe SDS, the ratio of single persons was high (p < 0.001) as well as those who were non-drinkers (p = 0.0015), without regular habit of walking (p < 0.001), or without work (p < 0.001). The ratio of those receiving medication regularly was also significantly high (p = 0.0022). As for the relation of SDS with various of the scores, the higher the SDS score became, the scores for ADL, information-related function, functional and emotional support network, family relationship, friendship, economic condition became significantly lower (p < 0.001, respectively). In logistic regression analysis using the background factors for SDS as explanatory variables, factors such as being women (odds ratio, 1.73; 95% confidence interval, 1.10-2.72). ADL (0.80; 0.69-0.93), emotional support network (0.88; 0.81-0.96), friendship (0.98; 0.96-0.99) were significant independent contributing factors. As for the relation between SDS and subjective senses, the more serious the SDS score became, the scores for feelings of healthiness and satisfaction became significantly smaller (both p < 0.001). For prevention and amelioration of the depressive state of elderly persons living in the community, attempts should be made to improve the background factors which were clarified by the present study by efficiently utilizing health, medical and welfare services and following the future course with a positive attitude.