Depressed mood among the elderly in Jyväskylä. A five-year follow-up.
Depressed mood among the elderly in Jyväskylä. A five-year follow-up.
复制标题
于韦斯屈莱老年人抑郁情绪的五年跟踪调查。
DOI：
--
复制
发表时间：
1997
期刊：
影响因子：
--
通讯作者：
R. Heikkinen
中科院分区：
文献类型：
--
作者：
R. Heikkinen
本文的目的是描述于韦斯屈莱 75 岁和 80 岁居民五年内抑郁症状发生的变化。它还解决了检测到的情绪障碍是否是永久性现象或是否具有偶发性的问题。在两个后续队列中，抑郁症患者接受了采访，以了解老年人自己如何经历抑郁症，并评估 CES-D 自评量表在测量抑郁症状方面的有效性。该研究的目的还在于查明抑郁症是否可以预测生存。在五年的随访期间，描述抑郁情绪的平均分（CES-D总量表）在任何年龄组或性别中都没有显着变化，随访期间死亡者的平均分与幸存者的核心分数也没有显着差异。在五年的随访期内，80 岁女性的 CES-D 分量表幸福感缺失的平均分有所增加，而死亡者的幸福感得分明显低于幸存者。在两次检查期间，两个年龄组中超过一半的受访者都被归类为抑郁症。几乎所有在第二次检查中得分显示抑郁的老年人都证实了基于CES-D量表的抑郁情绪诊断是正确的。 CES-D 分数越高，他们在抑郁症叙述中提到的问题就越频繁和/或越困难。与基线情况相比，随访期间80岁男性和女性感到孤独的比例显着增加。
The aim of this article is to describe the changes that occurred in depressive symptomatology over a five-year period among 75- and 80-year old residents of Jyväskylä. It also addresses the question of whether the mood disturbance detected is a permanent phenomenon or whether it has a more episodic nature. In both follow-up cohorts, depressed people were interviewed to find out how the elderly themselves experienced depression and to assess the validity of the CES-D self-rating scale in measuring depressive symptomatology. The purpose of the study was also to find out if depression was predictive for survival. During the five-year follow-up the mean score describing depressed mood (CES-D total scale) did not significantly change in any age group or gender, nor did the mean score of those who died during the follow up differ significantly from the core of the survivors. The mean score of the CES-D subscale Lack of well-being increased among 80-year old women over a five-year follow-up period and those who died had a significantly lower well-being score than those who survived. More than half of the interviewees were classified depressed in both age-cohorts in both examination times. Almost all those elderly people whose score indicated depressiveness in the second examination confirmed that the diagnoses of depressed mood based on the CES-D scale was correct. The higher the CES-D score, the more frequent and/or the more difficult were the problems mentioned in their narratives of depression. Compared with the situation at baseline, the proportion of men and women aged 80 who reported loneliness increased significantly during the follow-up.