THE PREVALENCE OF DEPRESSIVE-DISORDERS AND THE DISTRIBUTION OF DEPRESSIVE SYMPTOMS IN LATER LIFE - A SURVEY USING DRAFT ICD-10 AND DSM-III-R
THE PREVALENCE OF DEPRESSIVE-DISORDERS AND THE DISTRIBUTION OF DEPRESSIVE SYMPTOMS IN LATER LIFE - A SURVEY USING DRAFT ICD-10 AND DSM-III-R
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DOI：
10.1017/s0033291700025496
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发表时间：
1993-08-01
影响因子：
6.9
通讯作者：
DOYLE, C
中科院分区：
文献类型：
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作者：
HENDERSON, AS;JORM, AF;DOYLE, C
在70岁及以上的人群样本中估计了抑郁症的点患病率，其中包括那些生活在社区和机构环境中的人。非专业的采访者对受试者和他们的线人进行了堪培拉老年人访谈。ICD-10诊断标准草案定义的抑郁发作点患病率为3.3%。DSM-III-R重度抑郁症的发生率为1.0%。后者的患病率与其他地方报道的老年人患病率相似。越来越多的证据表明，在正式病例水平上，老年人患抑郁症的比率可能确实很低。对这一发现提出了可能的原因。一个完全基于ICD-10草案和DSM-III-R中规定的抑郁症状量表显示，老年人确实经历了许多抑郁症状。与预期相反，这些并没有随着年龄的增长而增加。抑郁症状的数量与神经质、身体健康状况不佳、残疾和既往抑郁史相关。现在需要注意的是，低于病例水平的老年人抑郁症状的临床意义。
The point prevalence of depressive disorders was estimated in a sample of persons aged 70 years and over, which included both those living in the community and those in institutional settings. Lay interviewers administered the Canberra Interview for the Elderly to the subjects and their informants. The point prevalence of depressive episodes as defined by the Draft ICD-10 diagnostic criteria was 3.3%. The rate for DSM-III-R major depressive disorder was 1.0%. The latter prevalence rate is similar to those reported elsewhere for the elderly. Evidence is accumulating that older persons may indeed have low rates for depressive disorders at the formal case level. Possible reasons for this finding are offered.A scale for depressive symptoms, based exclusively on those specified in Draft ICD-10 and DSM-III-R, showed that the elderly do experience many depressive symptoms. Contrary to expectation, these did not increase with age. The number of depressive symptoms was correlated with neuroticism, poor physical health, disability and a history of previous depression. Attention now needs to be directed to the clinical significance of depressive symptoms below the case level in elderly persons.