Trends in Prevalence of Serious Psychological Distress and Depression Among Adults with Stroke in the United States.
Trends in Prevalence of Serious Psychological Distress and Depression Among Adults with Stroke in the United States.
复制标题
DOI：
10.1016/j.jstrokecerebrovasdis.2021.106235
复制
发表时间：
2022-03
影响因子：
2.5
通讯作者：
Lisabeth, Lynda D.
中科院分区：
文献类型：
--
作者：
Dong, Liming;Mezuk, Briana;Lisabeth, Lynda D.
研究 2004 年至 2017 年美国成人中风患者严重心理困扰和抑郁患病率的全国趋势，以及不同社会人口亚组的变化。数据来自 2004-2017 年医疗支出小组调查的家庭组成部分，这是美国的一项全国代表性调查。中风或短暂性脑缺血发作的病史基于自我报告。心理困扰通过 Kessler-6 量表进行测量，抑郁症状通过 2 项患者健康问卷进行测量。使用逻辑回归模型来检查总体上以及按年龄、性别和种族/民族划分的严重心理困扰和抑郁症患病率的趋势。在 10889 名患有中风或短暂性脑缺血发作的参与者中，60.0% 的年龄≥ 65 岁，54.4% 为女性，72.2% 为非西班牙裔白人。严重心理困扰的发生率从2004-2005年的14.9%下降到2016-2017年的11.3%，相当于每两年降低7%（调整后的比值比[aOR]=0.93，95%置信区间[CI]=0.89-0.97）；调整社会人口特征、功能限制和抗抑郁药物使用后，抑郁症患病率从 2004-2005 年的 23.1% 下降到 2016-2017 年的 18.3%，相当于每 2 年降低 5%（aOR=0.95，95% CI=0.92-0.98）。趋势因年龄而异，但性别和种族/民族则不然。总体下降主要是由64岁以上老年人推动的。2004年至2017年，美国成年人中风严重心理困扰和抑郁的患病率有所下降，但心理健康问题的负担仍然很高。
To examine national trends in prevalence of serious psychological distress and depression among adults with stroke in the United States (US) from 2004 to 2017, and variations across sociodemographic subgroups. Data were obtained from the household components of the 2004–2017 Medical Expenditure Panel Survey, a nationally representative survey in the US. History of stroke or transient ischemic attack was based on self-report. Psychological distress was measured by the Kessler-6 scale, and depressive symptoms were measured by the 2-item Patient Health Questionnaire. Logistic regression models were used to examine the trends in prevalence of serious psychological distress and depression overall and by age, sex, and race/ethnicity. Among 10889 participants with stroke or transient ischemic attack, 60.0% were aged ≥ 65, 54.4% were female, and 72.2% were non-Hispanic white. The prevalence of serious psychological distress decreased from 14.9% in 2004–2005 to 11.3% in 2016–2017, corresponding to 7% lower odds every 2 years (adjusted odds ratio[aOR]=0.93, 95% confidence interval [CI]=0.89–0.97); and the prevalence of depression decreased from 23.1% in 2004–2005 to 18.3% in 2016–2017, corresponding to 5% lower odds every 2 years (aOR=0.95, 95% CI=0.92–0.98), after adjustment for sociodemographic characteristics, functional limitations, and antidepressant use. The trends varied significantly by age, but not sex and race/ethnicity. The overall decline was mainly driven by older adults above age 64. Prevalence of serious psychological distress and depression among US adults with stroke decreased from 2004 to 2017, but the burden of mental health problems remained high.
登录
查看更多内容
影响因子：
12.7
作者：
Mulvaney-Day, Norah;Gibbons, Brent J.;Karakus, Mustafa
通讯作者：
Karakus, Mustafa
影响因子：
8.3
作者：
Aparicio, Hugo J.;Himali, Jayandra J.;Seshadri, Sudha
通讯作者：
Seshadri, Sudha
影响因子：
120.7
作者：
Koton, Silvia;Schneider, Andrea L. C.;Coresh, Josef
通讯作者：
Coresh, Josef
影响因子：
5.4
作者：
Ramirez L;Kim-Tenser MA;Sanossian N;Cen S;Wen G;He S;Mack WJ;Towfighi A
通讯作者：
Towfighi A
影响因子：
8.3
作者：
Engstad, T;Bonaa, KH;Viitanen, M
通讯作者：
Viitanen, M