Depression in the oldest old in urban and rural municipalities
Depression in the oldest old in urban and rural municipalities
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DOI：
10.1080/13607860601086595
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发表时间：
2007-01-01
影响因子：
3.4
通讯作者：
Gustafson, Y.
中科院分区：
文献类型：
--
作者：
Bergdahl, E.;Allard, P.;Gustafson, Y.
简介：目的是比较城市和农村老年人的抑郁情况。方法：对瑞典北部五个人口稀少地区和一个正在扩张的城市进行一项基于人口的横断面研究。 85 岁及以上的参与者接受了抑郁症评估。数据是通过结构化访谈和评估以及亲属、护理人员和医疗图表收集的。使用老年抑郁量表-15（GDS-15）筛查抑郁症并通过蒙哥马利-阿斯伯格抑郁量表（MADRS）进行评估。结果：总共 363 名参与者中有 29% 的人患有抑郁症（农村地区为 34%，城市地区为 27%）。 51% 和 69% 的人正在接受抗抑郁药物治疗。在农村地区，抑郁症患者较少接受选择性血清素再摄取抑制剂 (SSRI) 药物治疗（分别为 36% 和 65%；p = 0.004），而是有一些参与者接受三环抗抑郁药 (TCA) 治疗（分别为 10% 和 0%；p = 0.0018）。城市样本中较大比例的参与者对治疗有反应（59% 对比 27%；p = 0.175）。结论：老年抑郁似乎是老年人情绪痛苦的常见原因。在农村地区，抑郁症往往得不到充分治疗，而且治疗药物也不适当。
Introduction: The aim was to compare an urban and a rural old population regarding depression. Method: A population- based, cross- sectional study in five depopulated areas and one expanding urban city in northern Sweden. Participants aged 85 and above were evaluated for depression. Data were collected from structured interviews and assessments and from relatives, caregivers and medical charts. Depression was screened for using the Geriatric Depression Scale- 15 ( GDS- 15) and evaluated by the Montgomery- Asberg Depression Rating Scale ( MADRS). Results: In total, 29% of the 363 participants were depressed ( 34% in the rural municipality and 27% in the urban municipality). Fifty- one percent versus 69% were receiving treatment with antidepressants. In the rural areas, those with depression were less frequently treated with selective serotonin reuptake inhibitor ( SSRI) medications ( 36% versus 65%; p= 0.004), instead there were participants treated with Tri Cyclic Antidepressant's ( TCA's) ( 10%, versus 0%; p =0.0018). A larger proportion of the participants in the urban sample had responded to treatment ( 59% versus 27%; p =0.175). Conclusion: Depression in old age appears to be a common cause of emotional suffering among the oldest old. In the rural areas, depression was more often inadequately treated and it was also treated with inappropriate medications.