Review of community prevalence of depression in later life
Review of community prevalence of depression in later life
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DOI：
10.1192/bjp.174.4.307
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发表时间：
1999-04-01
影响因子：
10.5
通讯作者：
Prince, MJ
中科院分区：
文献类型：
--
作者：
Beekman, ATF;Copeland, JRM;Prince, MJ
背景尽管有相当大的兴趣，有没有共识，关于抑郁症的患病率在以后的life.Aims要评估的患病率晚年抑郁症在community.Method的系统性回顾，以社区为基础的研究，在晚年（55+）的患病率抑郁症。结果共纳入34篇符合条件的文献，报道的患病率差异很大（0.4-35%）。根据病例水平排列，重度抑郁症在老年人中相对罕见（加权平均患病率为1.8%），轻度抑郁症更为常见（加权平均患病率为9.8%），而所有临床相关的抑郁综合征的平均患病率为13.5%。有一致的证据表明，妇女和老年人生活在不利的社会经济环境中的患病率较高。研究之间的方法差异排除了跨文化和地理差异的坚定结论。提高流行病学研究的可比性是向前迈出的重要一步。意向声明欧洲联盟委员会BIOMED I倡议资助了这一协调行动方案。
Background Despite considerable interest, there is no consensus regarding the prevalence of depression in later life.Aims To assess the prevalence of late-life depression in the community.Method A systematic review of community-based studies of the prevalence of depression in later life (55+). Literature was analysed by level of caseness at which depression was defined and measured.Results Thirty-four studies eligible for inclusion were found. The reported prevalence rates vary enormously (0.4-35%). Arranged according to level of caseness, major depression is relatively rare among the elderly (weighted average prevalence 1.8%), minor depression is more common (weighted average prevalence 9.8%), while all depressive syndromes deemed clinically relevant yield an average prevalence of 13.5%. There is consistent evidence for higher prevalence rates for women and among older people living under adverse socio-economic circumstances.Conclusions Depression is common in later life. Methodological differences between studies preclude firm conclusions about cross-cultural and geographical variation. Improving the comparability of epidemiological research constitutes an important step forward.Declaration of interest The European Commission BIOMED I Initiative funded this Concerted Action Programme.