Screening African-American elderly for the presence of depressive symptoms: A preliminary investigation
Screening African-American elderly for the presence of depressive symptoms: A preliminary investigation
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DOI：
10.1177/089198879600900304
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发表时间：
1996-07-01
影响因子：
2.6
通讯作者：
Wong, S
中科院分区：
文献类型：
--
作者：
Baker, FM;Okwumabua, J;Wong, S
一些作者报告说，患有多种医疗问题和日常生活活动减少的老年非裔美国人报告抑郁症症状的风险增加。非裔美国人更有可能报告愤怒，易怒，否认疾病的症状，并自发报告的症状并不反映情绪的变化，而是忍受困难时期或身体的抱怨。本文介绍了一项研究的结果，以评估老年非裔美国人社区居民的抑郁症状的存在。一种新的工具，贝克信念量表，比较流行病学中心抑郁量表（CES-D）和医疗疾病，社会网络，和日常生活活动（ADL）的身体功能水平的关联。来自田纳西州西部城市和农村县的96名年龄在60岁或以上的非洲裔美国男性和女性组成了样本。在两个县的每个县，样本被分层为三个年龄组：60-69岁，70-79岁和80岁及以上。筛选电池组成的简短便携式精神状态问卷，CES-D，Lubben社会网络量表，和Katz ADL管理的样本。目前的医疗疾病与人口数据一起记录。对于那些抑郁症状筛查阳性的患者，CES-D评分和BBS评分之间存在显著相关性。此外，CES-D评分与特定的医疗疾病、社会网络、ADL中的身体功能和居住地（城市与农村）之间存在显著相关。抑郁性血管病筛查阳性（N = 19）且CES-D评分≥ 16分的居民，其高血压、动脉硬化和循环系统问题的发生率高于阴性者（N = 77）。更多的城市居民（N = 13）比农村居民（N = 6）筛选抑郁症状阳性。在96名受访者中，约有21%（N = 20）的Lubben社交网络量表得分为20分或更低，这表明一个群体面临社会孤立的风险。
Several authors have reported that older African-Americans with multiple medical problems and decreased activities of daily living are at an increased risk of reporting symptoms of depression. African-Americans were more likely to report symptoms of anger, irritability, denial of illness, and to spontaneously report symptoms that did not reflect a change in mood, but rather forbearance of a difficult time or somatic complaints. This paper describes the results of a study to assess the presence of depressive symptoms in older African-American community residents. Anew instrument, the Baker Belief Scale, is compared with the Center for Epidemiologic Studies-Depression Scale (CES-D) and the association of medical illnesses, social network, and level of physical function in activities of daily Living (ADL). Ninety-six African-American men and women, aged 60 years or older, with equal representation from urban and rural counties in western Tennessee comprised the sample. The sample was stratified, in each of the two counties, into three age categories; 60-69, 70-79, and 80 years and older. A screening battery consisting of the Short Portable Mental Status Questionnaire, the CES-D, the Lubben Social Network Scale, and the Katz ADL were administered to the sample. Current medical illnesses were recorded with demographic data. There was a significant association between the CES-D score and the BBS score for those who screened positive for symptoms of depression. In addition there was a significant relationship between CES-D score and specific medical illnesses, social network, physical function in ADL, and residence (urban vs. rural). Residents who screened positive (N = 19) for depressive symptomatology with CES-D scores of 16 or higher exhibited a higher frequency of hypertension, arteriosclerosis, and circulatory problems than those who tested negative (N = 77). More urban residents (N = 13) than rural residents (N = 6) screened positive for symptoms of depression. Approximately 21% (N = 20) of the 96 respondents had scores of 20 or less on the Lubben Social Network Scale, suggesting a group ''at risk'' for social isolation.