MAJOR DEPRESSIVE DISORDER IN HOSPITALIZED MEDICALLY ILL PATIENTS - AN EXAMINATION OF YOUNG AND ELDERLY MALE VETERANS
MAJOR DEPRESSIVE DISORDER IN HOSPITALIZED MEDICALLY ILL PATIENTS - AN EXAMINATION OF YOUNG AND ELDERLY MALE VETERANS
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DOI：
10.1111/j.1532-5415.1991.tb04455.x
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发表时间：
1991-09-01
影响因子：
6.3
通讯作者：
BLAZER, DG
中科院分区：
文献类型：
--
作者：
KOENIG, HG;MEADOR, KG;BLAZER, DG
目的：探讨低龄和高龄住院患者抑郁症的流行病学。设计、患者和环境：使用诊断访谈计划对在退伍军人医疗中心住院的116名年轻人和332名老年患者进行抑郁症检查。结果：40岁以下男性中有22.4%诊断为重度抑郁症，70岁及以上男性中有13.3%诊断为重度抑郁症；18.1%的年轻男性和29.2%的老年男性患有轻度抑郁症。除年龄外，严重抑郁症的其他风险因素包括社会支持受损、老年男性患有严重医疗疾病或功能残疾，以及主要在年轻男性中存在精神问题的历史；具体的医疗诊断不是一个危险因素。年轻患者的重度抑郁与更严重的症状相关；然而，在这两个年龄组中，症状持续时间较长，经常包括自杀念头。结论：在住院的男性退伍军人中，抑郁症是常见的，随年龄、疾病严重程度、社会支持程度和精神问题史的不同而不同，并与相当高的心理发病率相关。
Objective: To study the epidemiology of depressive disorder in younger and older medical inpatients.Design, Patients, & Setting: Depressive disorders were examined using the Diagnostic Interview Schedule in 116 young and 332 elderly medically ill men hospitalized in a VA medical center.Results: Major depressive disorder was diagnosed in 22.4% of men under 40 and 13.3% of those age 70 or over; minor depression was found in 18.1% of young and 29.2% of older men. Besides age, other risk factors for major depression were impaired social support, severe medical illness or functional disability in older men, and history of psychiatric problems primarily in younger men; specific medical diagnosis was not a risk factor. Major depression was associated with more severe symptomatology in younger patients; in both age groups, however, symptoms were of prolonged duration and frequently included suicidal thoughts.Conclusions: Depressive disorder in hospitalized male veterans is common, varies with age, severity of medical illness, degree of social support, and history of psychiatric problems and is associated with considerable psychological morbidity.